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Published on: July 29, 2020
[Differences between the nutritional status of children in public preschools and nutritional transition]
1Universidade Federal de Mato Grosso, Cuiabá MT, Brazil.
Insights
Nutritional status varies among preschool children, with distinct patterns observed between genders and school locations. Obesity prevalence is high, even in non-downtown areas, necessitating tailored public health interventions.
Area of Science:
- Pediatric Nutrition
- Public Health
- Anthropometry
Background:
- Nutritional status is crucial for preschool children's development.
- Understanding variations in nutritional status can inform targeted interventions.
Purpose of the Study:
- To identify distinct nutritional status patterns in preschool children.
- To determine if these patterns require specific interventions.
Main Methods:
- Cross-sectional study of 1,200 children in public preschools.
- Analysis of z-score indices (height/age, weight/age, weight/height).
- Evaluation based on age, sex, school type, and location.
Main Results:
- Anthropometric indices were comparable to the NCHS reference population.
- Males exhibited lower indices than females.
- Significant differences in indices were found between schools, with non-downtown areas showing more deficits and downtown areas more obesity.
Conclusions:
- Distinct nutritional patterns exist within subgroups of preschool children, even in small, homogeneous populations.
- The high prevalence of obesity, surpassing malnutrition even in disadvantaged areas, highlights the need for differentiated public health strategies.
Abstract:
OBJECTIVE: To verify if there are different patterns of nutritional status among preschool children, and if these patterns deserve special interventions. METHODS: This cross-sectional study included 1,200 children from public preschools in Cosmópolis, a small town in the state of São Paulo. The z scores indices for height/age, weight/age, and weight/height were analyzed in terms of age, sex, type of school, and school location. RESULTS: Anthropometric indices were similar to those of the reference population (NCHS). Males had lower indices than females. Important differences in anthropometric indices were found among children from different schools. Higher prevalence of moderate deficits in height and weight was observed in children from non-downtown areas, while higher prevalence of obesity was found in children from downtown areas. However, the prevalence of obesity was higher than the prevalence of malnutrition even in schools located in non-downtown areas. CONCLUSIONS: We concluded that even in a small city and in a relatively homogeneous group, it is possible to detect different nutritional patterns in subgroups of the population. The differences related to nutritional status, and the high prevalence of obesity among children from public schools, point out the need for different approaches and interventions.
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