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dc.contributor.authorBosa, Vera Lúciapt_BR
dc.contributor.authorMello, Elza Daniel dept_BR
dc.contributor.authorMocelin, Helena Teresinhapt_BR
dc.contributor.authorBenedetti, Franceliane Jobimpt_BR
dc.contributor.authorFischer, Gilberto Buenopt_BR
dc.date.accessioned2012-10-16T01:37:03Zpt_BR
dc.date.issued2008pt_BR
dc.identifier.issn0021-7557pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/56433pt_BR
dc.description.abstractObjetivos: Avaliar o estado nutricional de criancas e adolescentes portadores de bronquiolite obliterante e analisar a associacao com aspectos clinicos e nutricionais. Métodos: Estudo com 57 criancas e adolescentes. Realizou-se avaliacao do estado nutricional (nas criancas, pelos escores z de peso/ idade, estatura/idade e peso/estatura; nos adolescentes, por estatura/idade e percentis do indice de massa corporal), da composicao corporal (avaliaram-se dobras cutaneas tricipital, subescapular e soma das duas e circunferencia muscular do braco) e avaliacao da funcao pulmonar nos maiores de 8 anos. Resultados: Destaca-se o alto percentual de desnutricao (21,7%) e risco de desnutricao (17,5%). Nas criancas, o peso/idade e estatura/idade apresentaram maior percentual de desnutricao, 21,6 e 16,2%, respectivamente, ao passo que o peso/estatura subestimou este diagnostico. Nos adolescentes, o indice de massa corporal demonstrou alto percentual de desnutricao (25%) e riscode desnutricao (20%). Na composicao corporal, 51% apresentaram baixa reserva muscular, e a maioria dos pacientes apresentou reserva de gordura dentro da normalidade. O prejuizo da funcao pulmonar associou-se com menor desempenho ao exercicio (r = 0,434; p = 0,024).Adesnutricao e/ou risco nutricional e baixa reservamuscular associaram-se significativamente com teste de caminhada de 6 minutos (p = 0,032; p = 0,030). Nao houve associacao entre a espirometria e variaveis nutricionais (p > 0,05). Conclusão: Estes resultados salientam a necessidade de intervencao nutricional. Na avaliacao nutricional, alem da utilizacao dos indicadores de peso e estatura, faz-se necessaria a associacao da analise da composicao corporal, para que um numero maior de pacientes com desnutricao e/ou com risco aumentado de desenvolve-la sejam identificados e adequadamente manejados.pt_BR
dc.description.abstractObjective: To assess the nutritional status of children and adolescentswith bronchiolitis obliterans and to analyze associations with clinical and nutritional factors. Methods: The study included 57 patients. Nutritional statuswas assessed using z scores for weight/age, stature/age, weight/stature in children, and stature/age and body mass index percentiles in adolescents. Body compositionwas assessed via tricipital skin folds, subscapular skin folds, and the sum of both plus the muscular circumference of the arm; pulmonary functionwas also investigated in subjects over 8 years old. Results: The high percentages of malnutrition and risk for malnutrition are noteworthy: 21.7 and 17.5%, respectively. Among children, weight/age and stature/age detected higher percentages of malnutrition (21.6 and 16.2%), while weight/stature underestimated this diagnosis.Amongadolescents, body mass index detected a high percentage of malnutrition (25%) and of risk for malnutrition (20%). Body composition analysis detected 51% of patients with low muscle reserves, and the majority of patients had normal fat reserves. Compromised pulmonary function was associatedwith poor performance at exercise (r=0.434; p=0.024). Malnutrition and/or nutritional risk and low muscle reserves were significantly associated with the 6-minute walk test (p = 0.032; p = 0.030). There was no association between spirometry and the nutritional variables (p > 0.05). Conclusions: These results emphasize the need for nutritional intervention, and suggest that, in addition to using weight and height indices for nutritional assessment, it is necessary to combine these with an analysis of body composition, so that a larger number of patients with malnutrition and/or at an increased risk of developing malnutrition may be identified and correctly managed.en
dc.format.mimetypeapplication/pdf
dc.language.isoporpt_BR
dc.relation.ispartofJornal de pediatria. Rio de Janeiro. Vol. 84, n. 4 (jul./ago. 2008), p. 323-330pt_BR
dc.rightsOpen Accessen
dc.subjectBronchiolitis obliteransen
dc.subjectEstado nutricionalpt_BR
dc.subjectCriançapt_BR
dc.subjectNutritional statusen
dc.subjectBody compositionen
dc.subjectAdolescentept_BR
dc.subjectAnthropometryen
dc.subjectBronquiolitept_BR
dc.subjectMalnutritionen
dc.subjectSpirometryen
dc.titleAvaliação do estado nutricional de crianças e adolescentes com bronquiolite obliterante pós-infecciosapt_BR
dc.title.alternativeAssessment of nutritional status in children and adolescents with post-infectious bronchiolitis obliterans en
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000715784pt_BR
dc.type.originNacionalpt_BR


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