[Determinants of weight and linear growth deficits in children under two years of age]

Valterlinda Alves de Oliveira1, Ana Marlúcia Oliveira Assis, Sandra Maria Conceição Pinheiro

  • 1Escola de Nutrição, Universidade Federal da Bahia, Rua Araújo Pino 32, Canela, 40110-150 Salvador, BA, Brasil. valterlinda@terra.com.br

Revista De Saude Publica
|February 16, 2007
PubMed

Insights

Poor living conditions and limited healthcare access contribute to child malnutrition in Brazil. Interventions improving these areas are crucial for children's health and nutrition equity.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Context:

  • Protein-energy malnutrition (PEM) is a significant global health issue affecting child development.
  • Northeastern Brazil faces persistent challenges in child nutrition and health outcomes.
  • Understanding the multifactorial determinants of PEM is critical for effective interventions.

Purpose:

  • To identify key determinants of protein-energy malnutrition (PEM) leading to weight and linear growth deficits in children under two years old.
  • To analyze the association between socioeconomic factors, healthcare access, and child anthropometric measures.
  • To explore basic, underlying, and immediate factors contributing to malnutrition.

Summary:

  • A cross-sectional study of 1,041 children in Bahia, Brazil, identified significant determinants of growth deficits.
  • Linear growth retardation was linked to limited household appliances, lack of prenatal care, low birth weight, and prior hospitalization.
  • Weight deficits were associated with low per capita income, lack of prenatal care, and low birth weight.

Impact:

  • Findings highlight the interplay of poor living conditions, inadequate healthcare access, and disease burden on child malnutrition.
  • Interventions focusing on improving living standards and healthcare access are essential for promoting child health equity.
  • The study provides evidence for targeted public health strategies to combat childhood malnutrition in vulnerable populations.
Abstract

Related Concept Videos

Nature and Nurture01:10

Nature and Nurture

Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience, such as differences...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Derivatives: Problem Solving01:26

Derivatives: Problem Solving

Temperature-Dependent Growth of Brook TroutThe growth of brook trout is closely influenced by water temperature. Experimental data demonstrate how trout weight changes over a 24-day period in response to varying water temperatures. At lower temperatures, such as 15.5 degrees Celsius, brook trout show significant weight gain. However, as the temperature increases, the amount of weight gained steadily decreases. At the highest temperature measured, 24.4 degrees Celsius, trout experience a net...
Modeling with Differential Equations01:25

Modeling with Differential Equations

Population dynamics can be described mathematically by considering the population size P(t) as a function of time. The rate of change of the population is then represented by the derivative of P(t). A simple assumption is that the rate of growth is proportional to the size of the population itself. This leads to an exponential growth model, where the population increases rapidly without bound. While this is a useful first approximation, it does not reflect realistic long-term...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...