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[Infant day care centers, a space for nutritional surveillance]
Georgina Mayela Núñez-Rocha1, Mirna Amelia Meléndez-Buitrón, Ana María Salinas-Martínez
1Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social de Monterrey. mayela6591@hotmail.com
Insights
Implementing a nutrition and food surveillance system (SISVAN) in day care centers improved infant nutritional status. Malnutrition rates decreased significantly after one year of the SISVAN program.
Area of Science:
- Pediatric Nutrition
- Public Health Surveillance
- Nutritional Epidemiology
Background:
- Nutrition and food surveillance systems are crucial for evaluating the impact of food policies and programs.
- Predicting future nutritional trends is a key function of such systems.
Purpose of the Study:
- To assess the nutritional status of infants in day care centers.
- To evaluate the effectiveness of the nutritional and food surveillance system (SISVAN) after its implementation.
Main Methods:
- A study involving 988 children aged 45 days to 60 months in 18 day care centers.
- Analysis included descriptive statistics and paired t-tests comparing Z-score means (weight-for-height, height-for-age, weight-for-age) from 2006 to 2007.
- Prevalence rates of malnutrition, overweight, and obesity were calculated for both years.
Main Results:
- Significant improvements were observed in weight-for-height, height-for-age, and weight-for-age Z-scores from 2006 to 2007 (p < 0.05).
- Undernourishment prevalence decreased from 14.5-17.8% in 2006 to 10.0-11.6% in 2007.
- Overweight and obesity prevalence showed a slight decrease or remained stable between 2006 (8.8-14.3%) and 2007 (9.7-10.7%).
Conclusions:
- The implementation of the SISVAN in day care centers demonstrated positive outcomes.
- A reduction in malnutrition rates was observed in children after one year of the SISVAN program.
Background:
The goal of a nutrition and food surveillance system is to examine the nutritional effect of food policies and nutritional programs and predict future trends.
Purpose:
To assess nutritional status of infants after implementing a nutritional and food surveillance system (SISVAN) in day care centers.
Material And Methods:
Study population consisted of 988 children between 45 days and 60 months of age registered in the SISVAN from april 2006 to May 2007; users of 18 day care centers located in 11 counties of the state of Nuevo Leon. Analysis consisted of descriptive statistics and paired t tests for comparison of Z Score (ZS) means of nutritional indicators such as weight for height (W/H), height for age (H/A) and weight for age (W/A), between 2006 and 2007. Malnutrition prevalence rates were also estimated for both years.
Results:
Fifty-two percent of infants were male. In 2006, W/I H ZS mean was -0.32 +/- 0.99 and in 2007, 0.01 +/- 0.83 (p < 0.05); H/A was -0.05 +/- 0.98 and 0.46 +/- 0.89 in 2006 and 2007, respectively (p < 0.05); and W/A was -0.37 +/- 0.94 and 0.17 +/- 0.91, respectively (p < 0.05). In 2006, undernourishment prevalence varied from 14.5 to 17.8% depending of the anthropometric indicator; and in 2007, from 10.0 to 11.6%. In 2006, overweight and obesity prevalence was between 8.8 and 14.3%, also depending of the anthropometric indicator, while in 2007 between 9.7 and 10.7%.
Conclusions:
The present study showed a positive result in malnutrition rates after one year of SISVAN implementation in children in day care centers.
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