对牛奶蛋白过敏儿童的营养评估

Marília Porto Oliveira Nunes, A. Lustosa, Hildênia B Ribeiro, Júlio César Chaves Nunes Filho, M. Guedes
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引用次数: 0

摘要

目的:探讨牛奶蛋白过敏儿童营养状况与影响营养缺乏的因素之间的关系。方法:采用描述性横断面和定量方法,在塞阿勒儿童医院的食物过敏门诊进行,其抽样为方便的非概率抽样,包括48个月以下的儿童。感兴趣的变量是:性别、年龄、诊断时的年龄、纯母乳喂养的持续时间、婴儿配方奶粉的使用、体重和身材。数据收集于2015年3月至6月,通过人体测量(体重和身高)和半结构化问卷的应用进行。对各变量进行相关分析,p<0.05。结果:本组患儿342例,平均年龄7.50月龄(±6.51),男童占53.50%,女童占46.50%。人口平均体重8.03 kg(±3.85),身高67.68 cm(±9.66),BMI 17.22 kg /m2(±8.87)。诊断为牛奶蛋白过敏的平均时间为8.98个月(±7.90),纯母乳喂养的平均时间为2.58个月(±2.16)。结论:绝大多数儿童体重、身高均属正常。然而,一些因素可能会对结果产生积极影响,如:诊断过敏的年龄、引入配方奶粉的年龄、母乳喂养的持续时间和参与牛奶蛋白过敏计划。
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Nutritional Assessment in Children with Allergy to Cow's Milk Protein
Objective: To relate the nutritional status of children allergic to cow's milk protein to the factors that interfere in the nutritional deficit. Methodology: It is a descriptive cross-sectional and quantitative approach carried out in the outpatient clinic for food allergy of a Children’s Hospital in Ceara, whose sampling is non-probabilistic sample of convenience and includes children up to 48 months of age. The variables of interest were: sex, age, age at diagnosis, duration of exclusive breastfeeding, use of infant formula, weight and stature. The data collection was carried out from March to June 2015 through anthropometric measurements (weight and height) and the application of a semi-structured questionnaire. The statistical analysis related and associated all the variables, obtaining as a result significant p<0.05. Results: The study included 342 children with a mean age of 7.50 months (± 6.51), being 53.50% boys and 46.50% girls. The average weight of the population was 8.03 kg (± 3.85), height was 67.68 cm (± 9.66) and BMI was 17.22 Kg/m2 (± 8.87). The average time for diagnosis of allergy to cow's milk protein was 8.98 months (± 7.90) and the average time of exclusive breastfeeding was 2.58 months (± 2.16). Conclusions: It was found that there was adequacy of weight and height in most children. However, some factors may have positively influenced the results as: age at which the allergy was diagnosed, age at which there was introduction of formulas, duration of breastfeeding and participation in the program of cow's milk protein allergy.
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