Má Nutrição Infantil: Crescimento e Amadurecimento Esquelético
Keywords:Skeletal malnutrition, growth, pediatrics
Objective: To study longitudinal the growth and skeletal maturation (SM) in undernourished children compared with eutrophic children.
Material and Method: Samples of 68 children ages 0-2 were selected from patients, primary malnourished who attend the Nutritional Rehabilitation Unit of the Children's Hospital «SSM Ludovica» in La Plata. Anthropometric evaluation and a left hand x-ray was performed upon admission and two year follow-up.
The experimental population (EP) was paired by sex, age and social economic levei with an eutrophic control population (CP).
Skeletal maturation (SM) was evaluated with the Greulich and Pyle Atlas (GPA).
Results: First evaluation: A systematic retardation of the SM was detected in relation to the chronological ages (mean deficit 36,3%). The nutritional state was according to weight/age 46% undernourished DCP I degree, 49% DCP II degree and 5% DCP III degree; according to weight/height 13% eutrophic, 84% DCP I degree, 3% DCP II degree; according to heigth/age 14,7% eutrophic, 77,94% DCP I degree, 7,35 DCP II degree. Second evaluation: A significant difference was observed between SM and EP regarding the GPA (mean deficit 31,8%). However it showed a significant improvement between the first evaluation (mean deficit 36,3%) and the last (mean deficit 31,8%) (X2 = 149,422).
The nutritional state according to the weight/height indicator was 46% eutrophic, 40% DCP I degree, 14% DCP II degree.
According to the weight/height indicator 95% eutrophic and 5% DCP I degree. According to the height/age indicator 56,9% eutrophic, leaving 37,0% with a I degree deficit, 6,1% with a II degree deficit. The SM of the EP in relation to the CP showed significant differences in the first as well as in the Conclusions: The EP presents a deficit in height and systematic retardation of the SM which, in spite improved although significantly, it didn't reach normal leveis after two years follow-up. The EP although had recorverd weight for height.