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Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program

BACKGROUND: Cow’s milk protein allergy (CMPA) is a common allergy in infants and can affect proper growth and development. This study verified factors associated with the evolution of the nutritional status (NS) among infants with CMPA fed with hypoallergenic formulas (HF). METHODS: This is a longit...

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Autores principales: Taveira, Giuliana Rizzo, Fernandes, Carolina Dadalto Rocha, Silva, Yasmin Franco Rodrigues, de Aquino, Maria Clara Barcelos, da Silva, Ana Carolina Menezes Vieira, de Faria, Carolina Perim, Barbosa, Míriam Carmo Rodrigues
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176834/
https://www.ncbi.nlm.nih.gov/pubmed/37173779
http://dx.doi.org/10.1186/s13690-023-01094-3
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author Taveira, Giuliana Rizzo
Fernandes, Carolina Dadalto Rocha
Silva, Yasmin Franco Rodrigues
de Aquino, Maria Clara Barcelos
da Silva, Ana Carolina Menezes Vieira
de Faria, Carolina Perim
Barbosa, Míriam Carmo Rodrigues
author_facet Taveira, Giuliana Rizzo
Fernandes, Carolina Dadalto Rocha
Silva, Yasmin Franco Rodrigues
de Aquino, Maria Clara Barcelos
da Silva, Ana Carolina Menezes Vieira
de Faria, Carolina Perim
Barbosa, Míriam Carmo Rodrigues
author_sort Taveira, Giuliana Rizzo
collection PubMed
description BACKGROUND: Cow’s milk protein allergy (CMPA) is a common allergy in infants and can affect proper growth and development. This study verified factors associated with the evolution of the nutritional status (NS) among infants with CMPA fed with hypoallergenic formulas (HF). METHODS: This is a longitudinal study of infants (n = 1036) participating on a governmental program in Brazil. Researchers assessed Nutritional status before HF treatment (T1) and after HF treatment (T2). The causality of exposure variables on the evolution of NS was verified by Multinomial Logistic Regression (MLR). RESULTS: We observed an increase in anthropometric indexes analyzed with statistically significant results (p < 0.01). The weight/age and height/age scores showed a significant reduction in infants with nutritional deficit. The Body Mass Index (BMI) showed a decrease in the number of infants with nutritional deficit (< -2 z-score). On the other hand, there was an increase in those classified as at risk of overweight, overweight and obese. MLR showed that those who remained < 12 months in the program had a lower odds ratio (95% CI = 0.355–0.906; p = 0.018) to have inadequate NS with increasing BMI. Preterm infants were 4 times more likely (CI 95% = 1.520–10.694; p = 0.005) to have their BMI decreased and those who received nutritional counseling had a lower odds ratio (CI 95% = 0.411–0.953; p = 0.029) to maintain adequate NS. CONCLUSION: The program has a significant impact on the NS of infants with CMPA. The constant management and implementation of differentiated criteria according to the evolution of NS for the supply of HF is fundamental in the continuity of this public policy.
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spelling pubmed-101768342023-05-13 Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program Taveira, Giuliana Rizzo Fernandes, Carolina Dadalto Rocha Silva, Yasmin Franco Rodrigues de Aquino, Maria Clara Barcelos da Silva, Ana Carolina Menezes Vieira de Faria, Carolina Perim Barbosa, Míriam Carmo Rodrigues Arch Public Health Research BACKGROUND: Cow’s milk protein allergy (CMPA) is a common allergy in infants and can affect proper growth and development. This study verified factors associated with the evolution of the nutritional status (NS) among infants with CMPA fed with hypoallergenic formulas (HF). METHODS: This is a longitudinal study of infants (n = 1036) participating on a governmental program in Brazil. Researchers assessed Nutritional status before HF treatment (T1) and after HF treatment (T2). The causality of exposure variables on the evolution of NS was verified by Multinomial Logistic Regression (MLR). RESULTS: We observed an increase in anthropometric indexes analyzed with statistically significant results (p < 0.01). The weight/age and height/age scores showed a significant reduction in infants with nutritional deficit. The Body Mass Index (BMI) showed a decrease in the number of infants with nutritional deficit (< -2 z-score). On the other hand, there was an increase in those classified as at risk of overweight, overweight and obese. MLR showed that those who remained < 12 months in the program had a lower odds ratio (95% CI = 0.355–0.906; p = 0.018) to have inadequate NS with increasing BMI. Preterm infants were 4 times more likely (CI 95% = 1.520–10.694; p = 0.005) to have their BMI decreased and those who received nutritional counseling had a lower odds ratio (CI 95% = 0.411–0.953; p = 0.029) to maintain adequate NS. CONCLUSION: The program has a significant impact on the NS of infants with CMPA. The constant management and implementation of differentiated criteria according to the evolution of NS for the supply of HF is fundamental in the continuity of this public policy. BioMed Central 2023-05-12 /pmc/articles/PMC10176834/ /pubmed/37173779 http://dx.doi.org/10.1186/s13690-023-01094-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Taveira, Giuliana Rizzo
Fernandes, Carolina Dadalto Rocha
Silva, Yasmin Franco Rodrigues
de Aquino, Maria Clara Barcelos
da Silva, Ana Carolina Menezes Vieira
de Faria, Carolina Perim
Barbosa, Míriam Carmo Rodrigues
Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title_full Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title_fullStr Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title_full_unstemmed Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title_short Evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
title_sort evolution of nutritional status and associated factors among formula-fed infants with cow’s milk protein allergy in a government program
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176834/
https://www.ncbi.nlm.nih.gov/pubmed/37173779
http://dx.doi.org/10.1186/s13690-023-01094-3
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