Childhood obesity is considered a serious health public problem with high rates in the world, by nutrition influence. The following study purposes are to evaluate nutritional profile of the children ...with excess body weight treated in the basic family health centre, in Campina Grande, Paraiba. This is a descriptive and cross-sectional study conducted in a quantitative approach with 20 children with excess body weight. A semi-structured questionnaire has been used as an instrument of data collection, accomplished from April to May 2010. Data has been analyzed by the Epi Info 3.3.2 software among a sample of 50 percent male and 50 percent female. Concerning feeding habits, 65 percent of the children had eaten about 1-3 meals a day, moreover, 15-50 percent has not consumed fruit and vegetables, respectively. Thus, foods such as: meat ingestion, poultry, fish, milk derivates and beans has been mentioned as a daily habit for more than 50 percent of the children. Regarding lifestyle, 90 percent had not practiced any type of physical training, indeed only 35 percent performed leisure training which involved energy effort. Results demonstrate that poor dietary habits and childrens inactivity triggers the necessity to create strategic plans developed to encourage and support healthy feeding habits and physical activity adherence in order to prevent future complications.
Childhood obesity is considered a serious health public problem with high rates in the world, by nutrition influence. The following study purposes are to evaluate nutritional profile of the children ...with excess body weight treated in the basic family health centre, in Campina Grande, Paraiba. This is a descriptive and cross-sectional study conducted in a quantitative approach with 20 children with excess body weight. A semi-structured questionnaire has been used as an instrument of data collection, accomplished from April to May 2010. Data has been analyzed by the Epi Info 3.3.2 software among a sample of 50 percent male and 50 percent female. Concerning feeding habits, 65 percent of the children had eaten about 1-3 meals a day, moreover, 15-50 percent has not consumed fruit and vegetables, respectively. Thus, foods such as: meat ingestion, poultry, fish, milk derivates and beans has been mentioned as a daily habit for more than 50 percent of the children. Regarding lifestyle, 90 percent had not practiced any type of physical training, indeed only 35 percent performed leisure training which involved energy effort. Results demonstrate that poor dietary habits and childrens inactivity triggers the necessity to create strategic plans developed to encourage and support healthy feeding habits and physical activity adherence in order to prevent future complications. KEYWORDS: Obesity; feed habits; lifestyle. A obesidade infantil e um importante problema de saude publica que vem alcancando indices alarmantes em todo o mundo, tendo a nutricao relevante influencia neste contexto. O presente estudo se propos a avaliar o perfil alimentar das criancas com excesso de peso atendidas nas Unidades Basicas de Saude da Familia, em Campina Grande-PB. Trata-se de um estudo do tipo transversal descritivo, com abordagem quantitativa, realizado com 20 criancas acima do peso. Foi utilizado, como instrumento de coleta de dados, um questionario semi-estruturado. A coleta de dados foi realizada no periodo de abril a maio do ano de 2010. Os dados foram analisados no programa Epilnfo 3.3.2. Na amostra, detectou-se que 50% eram do sexo masculino e 50% do sexo feminino. Quanto aos habitos alimentares, verificou-se que 65% das criancas realizavam de 1-3 refeicoes, o consumo de frutas e verduras nao era realizado por 15% e 50%, respectivamente, a ingestao de alimentos como carnes, aves e peixes, produtos lacteos e feijao foi mencionada como um habito diario por mais de 50% das criancas. No que se refere aos habitos de vida, 90% nao praticavam atividade fisica e apenas 35% realizavam atividade de lazer que envolvia gasto energetico. Com base nos resultados, presume-se que os habitos alimentares inadequados e a inatividade dessas criancas levam a necessidade da elaboracao de planos estrategicos para a adicao de acoes de incentivo e respaldo a adesao de habitos alimentares saudaveis e a pratica de atividade fisica, prevenindo complicacoes futuras. PALAVRAS-CHAVE: Obesidade; habitos alimentares; habitos de vida.
To provide a detailed description of the development of the first case of congenital Zika syndrome (CZS) to be reported in the literature worldwide.
This report describes the case of a child with CZS ...monitored from pregnancy until four years of age, with periodic evaluations of head circumference, weight, height, motor function according to the Gross Motor Function Measure (GMFM-88), and the occurrence of comorbidities.
The child's birth weight and length were normal (z-score = 1.1 and −1.95, respectively), while head circumference was below the expected value (z-score = −3.15). At 48 months, head circumference reached 43 cm (z-score = −4.48). During daily home physiotherapy sessions, the child achieved developmental milestones, standing unsupported at 17 months, with a GMFM-88x score of 137. With specialist therapy, the child walked independently at 36 months and a total GMFM-66 score of 214 was achieved by 42 months. In the four years of follow-up, the child was hospitalized four times for different reasons. No convulsive seizures occurred.
Despite severe neurological impairment, the child's weight and height are adequate for age, with motor and cognitive function improving over the first four years of life.
Celotno besedilo
Dostopno za:
DOBA, IJS, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
INTRODUÇÃO: A atividade física realizada durante a gestação vem sendo discutida devido aos seus efeitos benéficos tanto para a saúde materna como para o crescimento fetal e desfechos gestacionais, ...porém ainda são escassos estudos sobre o padrão de atividade física neste período. OBJETIVO: Avaliar o padrão de atividade física entre gestantes atendidas pela estratégia Saúde da Família (ESF) do município de Campina Grande/PB. MÉTODOS:Foi acompanhada uma coorte observacional de gestantes (n=118), a partir da 16ª semana gestacional, durante os anos de 2005 a 2006. A cada quatro semanas eram aferidas as condições clínicas, socioeconômicas e obstétricas, incluindo a aplicação de um questionário específico sobre atividade física na 16ª, 24ª e 32ª semanas gestacionais. A avaliação foi feita a partir da somatória do equivalente metabólico (METs) e as atividades cotidianas foram divididas em quatro grupos: atividades laboral, doméstica e caminhada, além de inatividade. As gestantes foram classificadas de acordo com o padrão de atividade física realizado em: sedentárias, praticantes de atividades física leve, moderada e vigorosa. Os dados foram analisados no programa Epi Info 3.4.1. RESULTADOS: As características socioeconômicas da coorte estudada indicaram majoritariamente gestantes de baixo poder aquisitivo, baixa escolaridade e baixo percentual de mulheres economicamente ativas. O padrão de atividade física observado foi baixo desde o primeiro trimestre gestacional, oscilando entre o leve e o sedentário, e foi diminuindo com o evoluir da gravidez, com 100% das gestantes alcançando o padrão sedentário na 32ª semana. Em relação aos grupos de atividades, observou-se um predomínio de atividades domésticas, seguidas pelas atividades de lazer. CONCLUSÃO:Na coorte estudada verificou-se um padrão de atividade física inadequado desde o início da gestação, agravando-se no terceiro trimestre gestacional.INTRODUCTION: The benefits of physical activity during pregnancy on fetal growth, maternal health and pregnancy outcomes have been debated; however, studies on the physical activity patterns during this period are still scarce. OBJECTIVE: To evaluate the physical activity patterns of pregnant women attending the Family Health Strategy at the municipality of Campina Grande, PB. METHODS:A cohort of 118 pregnant women was followed from 2005 to 2006. Follow up started on the 16th gestational week and continued at every four weeks to assess clinical conditions and collect obstetric and socio-economic information. A specific questionnaire on physical activity was applied on the 16th, 24th and 32nd gestational weeks, which was estimated through the weekly sum of the metabolic equivalent (MET). Daily activities were classified in four groups: labor, household, walking, and inactivity. According to the physical activity pattern, women were classified as sedentary, or performing light, moderate or vigorous activity. The data set was analyzed in Epi Info 3.4.1 RESULTS: The socioeconomic characteristics of the cohort described a population of low levels of income and education. The physical activity pattern observed since the first gestational trimester was low, ranging from light to sedentary and it decreased along pregnancy. On the 32nd gestational week 100% of the women were sedentary. Regarding physical activity groups, women spent more time on household activities followed by recreational activities. CONCLUSION:The physical activity pattern observed was inadequate form the beginning of pregnancy and it worsened in the third gestational trimester.
A obesidade infantil é um importante problema de saúde pública que vem alcançando índices alarmantes em todo o mundo, tendo a nutrição relevante infl uência neste contexto. O presente estudo se ...propôs a avaliar o per- fi l alimentar das crianças com excesso de peso atendidas nas Unidades Básicas de Saúde da Família, em Campina Grande-PB. Trata-se de um estudo do tipo transversal descritivo, com abordagem quantitativa, realizado com 20 crianças acima do peso. Foi utilizado, como instrumento de coleta de dados, um questionário semi-estruturado. A coleta de dados foi realizada no período de abril a maio do ano de 2010. Os dados foram analisados no programa EpiInfo 3.3.2. Na amostra, detectou-se que 50% eram do sexo masculino e 50% do sexo feminino. Quanto aos hábitos alimentares, verifi cou-se que 65% das crianças realizavam de 1-3 refeições, o consumo de frutas e verduras não era realizado por 15% e 50%, respectivamente, a ingestão de alimentos como carnes, aves e peixes, produtos lácteos e feijão foi mencionada como um hábito diário por mais de 50% das crianças. No que se refere aos hábitos de vida, 90% não praticavam atividade física e apenas 35% realizavam atividade de lazer que envolvia gasto energético. Com base nos resultados, presume-se que os hábitos alimentares inadequados e a inatividade dessas crianças levam à necessidade da elaboração de planos estratégicos para a adição de ações de incentivo e respaldo à adesão de hábitos alimentares saudáveis e à prática de atividade física, prevenindo complicações futuras.
This survey evaluated the effects of physical activity on gestational weight gain and birth weight of pregnant women attended by the Family Health Program in Campina Grande, Northeast of Brazil.
A ...cohort study enrolling 118 pregnant women was conducted between 2005 and 2006. Evaluation of the initial nutritional status was performed following Atalah's criteria and gestational weight gain was evaluated according to the Institute of Medicine. The pattern of physical activity was evaluated according to METs (metabolic equivalent) and its association with weight gain and birth weight was determined.
The predominant physical activity pattern at 16 weeks was mild, in 85.6% of pregnant women. An important reduction of physical activity levels was observed with evolution of pregnancy and 98.3% of pregnant women were sedentary at 24 weeks and 100% at 32 weeks. In the initial evaluation of nutritional status 50% were normal, 23% had low weight and 27% had overweight/obesity. At second and third trimesters about 45% of pregnant women had excessive weight gain. Adequate birth weight for gestational age was found in 85.6% of neonates but macrosomia was highly frequent (8.5%). A significant association between METs at 24 weeks and gestational weight gain was found in the second trimester (p=0.045).
All the pregnant women were sedentary in the third trimester and a significant association between physical activity pattern and gestational weight gain was found in the second trimester, but there was no association between this pattern and birth weight.
PDF
