Follow-up of children with moderate or severe malnutrition in the peripheral population (Brazil)

• Published in: Revista de saúde pública 1992-08, Vol.26 (4), p.223-228
• Main Authors: Carvalho, N M, Giugliani, E R, Seffrin, C F, Hartmann, R M
• Format: Article
• Language: Portuguese
• Subjects: Body Weight; Brazil - epidemiology; Child Nutrition Disorders - epidemiology; Child, Preschool; Family Health; Female; Follow-Up Studies; Humans; Infant; Male; Nutritional Status; Population Surveillance; Severity of Illness Index; Socioeconomic Factors; Urban Population
• ISSN: 0034-8910

What happens to children who develop moderate or severe malnutrition? What is done for them? Keeping in mind these questions, the present research was undertaken with the following objectives: to assess the nutritional status of children who develop moderate or severe malnutrition before the age of 5 years, after a period from 2 to 4 years after diagnosis; to assess the nutritional status of the under 5-year old siblings of these children; to study the influence of nutritional programs available in the community for the improvement of the nutritional status of the malnourished children; and to identify factors interfering with nutrition of these children during the study period. After a period of 2 to 4 years from the time of diagnosis of moderate or severe malnutrition the authors tried to locate the families of 61 malnourished children of Porto Alegre, RS (Brazil). The mothers their substitutes were interviewed and the children and siblings under 5 years of age were weighed and measured. Thirty-nine children were located. Of these, 4 (10%) died and 22 (56%) presented an increase of at least 10% in weight for age. Of the 35 children who survived, 29 (82%) still presented some degree of malnutrition (weight/age < or = 90% of the standard), 25 (71%) were stunted (height/age < or = 95%), and 5 (14%) were wasted (weight/height < or = 90%). The nutritional status of the 5-year old siblings was similar to that of the malnourished children.