Cargando…

Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study

BACKGROUND: The aim of this study was to analyse the prevalence of undernutrition, overweight and associated factors, before and after the implementation of the Interoceanic Highway. METHODS: A population-based cross-sectional study on children under 5 years of age was conducted in the municipality...

Descripción completa

Detalles Bibliográficos
Autores principales: Ramalho, Alanderson A, Mantovani, Saulo AS, Delfino, Breno M, Pereira, Thasciany M, Martins, Antonio C, Oliart-Guzmán, Humberto, Brãna, Athos M, Branco, Fernando LCC, Campos, Rhanderson G, Guimarães, Andréia S, Araújo, Thiago S, Oliveira, Cristieli SM, Codeço, Cláudia T, Muniz, Pascoal T, da Silva-Nunes, Mônica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219516/
https://www.ncbi.nlm.nih.gov/pubmed/24283293
http://dx.doi.org/10.1186/1471-2458-13-1098
_version_ 1782342598012174336
author Ramalho, Alanderson A
Mantovani, Saulo AS
Delfino, Breno M
Pereira, Thasciany M
Martins, Antonio C
Oliart-Guzmán, Humberto
Brãna, Athos M
Branco, Fernando LCC
Campos, Rhanderson G
Guimarães, Andréia S
Araújo, Thiago S
Oliveira, Cristieli SM
Codeço, Cláudia T
Muniz, Pascoal T
da Silva-Nunes, Mônica
author_facet Ramalho, Alanderson A
Mantovani, Saulo AS
Delfino, Breno M
Pereira, Thasciany M
Martins, Antonio C
Oliart-Guzmán, Humberto
Brãna, Athos M
Branco, Fernando LCC
Campos, Rhanderson G
Guimarães, Andréia S
Araújo, Thiago S
Oliveira, Cristieli SM
Codeço, Cláudia T
Muniz, Pascoal T
da Silva-Nunes, Mônica
author_sort Ramalho, Alanderson A
collection PubMed
description BACKGROUND: The aim of this study was to analyse the prevalence of undernutrition, overweight and associated factors, before and after the implementation of the Interoceanic Highway. METHODS: A population-based cross-sectional study on children under 5 years of age was conducted in the municipality of Assis Brasil, AC, Brazil, in 2003 and 2010. Prevalence of undernutrition was observed by using height-for-age Z-scores (HAZ) and adopting a cut-off point equal to or lower than a -2 Z-score. Overweight prevalence was defined by a cut-off point equal to or greater than a +2 Z-score of the WHZ index. Z-scores were calculated relative to WHO 2006 reference data. Semi-structured questionnaires were applied to the children’s guardians, investigating family socio-economic and demographic characteristics, morbidities, access to services and child care. Associated factors were identified by hierarchical multiple logistic regression analysis. RESULTS: The prevalence of low HAZ (undernutrition) was 7.0% in 2003 and 12.2% in 2010. The prevalence of high WHZ (overweight) was 1.0% and 6.6% for 2003 and 2010, respectively. It was not possible to adjust the multiple model for the year 2003. The factors associated with low HAZ in 2010 were: wealth index, the situation of living with biological parents, maternal height and presence of open sewage, whereas the factors associated with a high WHZ in the same year were: child’s age, mother’s time of residence in the location, mother’s body mass index. CONCLUSIONS: Overweight increase within this undernutrition scenario reveals that the process of nutritional transition began in this Amazonian city only in the last decade, and therefore, it is delayed when compared to overweight in other parts of Brazil. Such nutritional transition in Assis Brasil may have been facilitated by the construction of the Interoceanic Highway.
format Online
Article
Text
id pubmed-4219516
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-42195162014-11-05 Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study Ramalho, Alanderson A Mantovani, Saulo AS Delfino, Breno M Pereira, Thasciany M Martins, Antonio C Oliart-Guzmán, Humberto Brãna, Athos M Branco, Fernando LCC Campos, Rhanderson G Guimarães, Andréia S Araújo, Thiago S Oliveira, Cristieli SM Codeço, Cláudia T Muniz, Pascoal T da Silva-Nunes, Mônica BMC Public Health Research Article BACKGROUND: The aim of this study was to analyse the prevalence of undernutrition, overweight and associated factors, before and after the implementation of the Interoceanic Highway. METHODS: A population-based cross-sectional study on children under 5 years of age was conducted in the municipality of Assis Brasil, AC, Brazil, in 2003 and 2010. Prevalence of undernutrition was observed by using height-for-age Z-scores (HAZ) and adopting a cut-off point equal to or lower than a -2 Z-score. Overweight prevalence was defined by a cut-off point equal to or greater than a +2 Z-score of the WHZ index. Z-scores were calculated relative to WHO 2006 reference data. Semi-structured questionnaires were applied to the children’s guardians, investigating family socio-economic and demographic characteristics, morbidities, access to services and child care. Associated factors were identified by hierarchical multiple logistic regression analysis. RESULTS: The prevalence of low HAZ (undernutrition) was 7.0% in 2003 and 12.2% in 2010. The prevalence of high WHZ (overweight) was 1.0% and 6.6% for 2003 and 2010, respectively. It was not possible to adjust the multiple model for the year 2003. The factors associated with low HAZ in 2010 were: wealth index, the situation of living with biological parents, maternal height and presence of open sewage, whereas the factors associated with a high WHZ in the same year were: child’s age, mother’s time of residence in the location, mother’s body mass index. CONCLUSIONS: Overweight increase within this undernutrition scenario reveals that the process of nutritional transition began in this Amazonian city only in the last decade, and therefore, it is delayed when compared to overweight in other parts of Brazil. Such nutritional transition in Assis Brasil may have been facilitated by the construction of the Interoceanic Highway. BioMed Central 2013-11-28 /pmc/articles/PMC4219516/ /pubmed/24283293 http://dx.doi.org/10.1186/1471-2458-13-1098 Text en Copyright © 2013 Ramalho et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ramalho, Alanderson A
Mantovani, Saulo AS
Delfino, Breno M
Pereira, Thasciany M
Martins, Antonio C
Oliart-Guzmán, Humberto
Brãna, Athos M
Branco, Fernando LCC
Campos, Rhanderson G
Guimarães, Andréia S
Araújo, Thiago S
Oliveira, Cristieli SM
Codeço, Cláudia T
Muniz, Pascoal T
da Silva-Nunes, Mônica
Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title_full Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title_fullStr Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title_full_unstemmed Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title_short Nutritional status of children under 5 years of age in the Brazilian Western Amazon before and after the Interoceanic highway paving: a population-based study
title_sort nutritional status of children under 5 years of age in the brazilian western amazon before and after the interoceanic highway paving: a population-based study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219516/
https://www.ncbi.nlm.nih.gov/pubmed/24283293
http://dx.doi.org/10.1186/1471-2458-13-1098
work_keys_str_mv AT ramalhoalandersona nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT mantovanisauloas nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT delfinobrenom nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT pereirathascianym nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT martinsantonioc nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT oliartguzmanhumberto nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT branaathosm nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT brancofernandolcc nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT camposrhandersong nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT guimaraesandreias nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT araujothiagos nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT oliveiracristielism nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT codecoclaudiat nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT munizpascoalt nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy
AT dasilvanunesmonica nutritionalstatusofchildrenunder5yearsofageinthebrazilianwesternamazonbeforeandaftertheinteroceanichighwaypavingapopulationbasedstudy