Cadernos de Saúde Pública (Jan 2007)
Recuperação nutricional de crianças desnutridas e em risco nutricional em programa de suplementação alimentar no Município de Mogi das Cruzes, São Paulo, Brasil Nutritional rehabilitation of undernourished and nutritionally at-risk children admitted to a supplementary food program in Mogi das Cruzes, São Paulo, Brazil
Abstract
Este estudo teve como objetivo avaliar a recuperação nutricional de crianças inscritas no programa Incentivo ao Combate às Carências Nutricionais (ICCN) no Município de Mogi das Cruzes, São Paulo, Brasil. Foram estudadas 724 crianças de 6 a 24 meses inscritas no ICCN, no período de julho de 1999 a julho de 2001. Para avaliar o estado nutricional inicial, utilizaram-se os índices peso/idade, peso/comprimento e comprimento/idade, sendo considerada eutrófica crianças com escore z > -1; em risco > -2 e -3 e desnutrida grave This study aimed to evaluate the nutritional rehabilitation of undernourished children admitted to a program entitled Incentives to Fight Nutritional Deficiencies (ICCN) in Mogi das Cruzes, São Paulo, Brazil. The study included 724 children (6 to 24 months old) from July 1999 to July 2001. The indices used to evaluate baseline nutritional status were weight-for-age, weight-for-length, and length-for-age, defining normal as z score > -1, at-risk as > -2 and -3, and severe malnutrition as < -3. Nutritional evolution was evaluated using the length-for-age index, and the results were analyzed considering the average z score variation at the end of the 12-month program. After 12 months, nutritional status had improved in all categories, while the best results were in children with more intense baseline nutritional deficiency. Gains in length were 1.12, 0.82, 0.57, and 0.45 z scores for the severe and moderate malnutrition, nutritional risk, and normal categories, respectively. The ICCN in Mogi das Cruzes thus demonstrated effective nutritional improvement for program beneficiaries.
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