Doenças orgânicas, parâmetros bioquímicos e antropométricos em crianças com dificuldades alimentares

Authors

  • Nathália Gioia de Paula Instituto PENSI http://orcid.org/0000-0002-3101-9009
  • Priscila Maximino Instituto PENSI
  • Luana Romão Nogueira Instituto PENSI e Universidade Presbiteriana Mackenzie
  • Ana Carolina Barco Leme Universidade de Guelph http://orcid.org/0000-0003-2782-4301
  • Raquel Ricci Instituto PENSI
  • Camila Fussi Instituto PENSI
  • Mauro Fisberg Instituto PENSI e Universidade Federal de São Paulo

DOI:

https://doi.org/10.18316/sdh.v12i1.10631

Keywords:

seletividade alimentar, exames médicos, antropometria, criança

Abstract

Objetivos: descrever parâmetros bioquímicos e antropométricos de acordo com a presença e ausência de doenças orgânicas em crianças com dificuldades alimentares. Materiais e métodos: Estudo transversal com dados retrospectivos de um ambulatório de dificuldades alimentares. Doença orgânica foi definida como qualquer condição de saúde na qual há um processo de doença observável e mensurável. Características sociodemográficas, peso e parâmetros bioquímicos foram extraídos da anamnese da criança relatada pelos pais/cuidadores. Parâmetros bioquímicos incluíram dados hematológicos, micronutrientes, índices inflamatórios, perfis lipídicos e glicêmicos. Estatística descritiva, teste de Wilcoxon foram utilizadas para verificar possíveis diferenças. Valores significativos de 5% (p<0,05) foram estabelecidos. Resultados: A média de idade foi de 3,97 (IC95% 3,60, 4,33) anos, 39,85% relataram apresentar doença orgânica e 70,12% eram seletivos. Crianças com doença orgânica apresentaram menores valores de peso e altura. A hemoglobina foi o único parâmetro bioquímico que apresentou associações significativas, onde 52,5% das crianças com doença orgânica apresentaram valores abaixo de 12,6mg/dL. Conclusão: Crianças com e sem doenças orgânicas apresentam poucas variações clínicas e bioquímicas. Isso pode ser devido ao papel secundário da doença orgânica no desenvolvimento de dificuldades alimentares durante a infância.

References

Babik K, Patro-Golab B, Zalewski BM, Wojtyniak K, Ostaszewski P, Horvath A. Infant feeding practices and later parent-reported feeding difficulties: a systematic review. Nutr Rev. 2021. doi: 10.1093/nutrit/nuaa135.

Milano K, Chatoor I, Kerzner B. A Functional Approach to Feeding Difficulties in Children. Curr Gastroenterol Rep. 2019;21(10):51. doi: 10.1007/s11894-019-0719-0.

Walton K, Kuczynski L, Haycraft E, Breen A, Haines J. Time to re-think picky eating?: a relational approach to understanding picky eating. The international journal of behavioral nutrition and physical activity. 2017;14(1):62. doi: 10.1186/s12966-017-0520-0.

Maximino P, Malzyner G, Leme AC, B,, Ricci R, Gioia N, Fussi C, et al. Time to reconsider feeding difficulties in healthy children: a narrative synthesis of definitions and associated factors Nutrire. 2021 46:20. Doi: 10.1186/s41110-021-00151-7

Taylor CM, Emmett PM. Picky eating in children: causes and consequences. Proc Nutr Soc. 2019;78(2):161-9. doi: 10.1017/S0029665118002586.

Haines J, Haycraft E, Lytle L, Nicklaus S, Kok FJ, Merdji M, et al. Nurturing Children's Healthy Eating: Position statement. Appetite. 2019;137:124-33. doi: 10.1016/j.appet.2019.02.007.

Leme AC, Muszynski D, Mirotta JA, Caroll N, Hogan JL, Jewell K, et al. Diet Quality of Canadian Preschool Children: Associations with Socio-demographic Characteristics. Canadian Journal of Dietetic Practice and Research. 2021:1-5. doi: 10.3148/cjdpr-2021-009.

Fuls N, Kruger E, van der Linde J. Feeding characteristics of infants in a lower-middle-income country. J Paediatr Child Health. 2020;56(7):1083-9. doi: 10.1111/jpc.14823.

Antiporta DA, Ambikapathi R, Bose A, Maciel B, Mahopo TC, Patil C, et al. Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study. Public Health Nutr. 2021;24(9):2592-602. doi: 10.1017/S1368980020000877.

Maciel BLL, Costa PN, Filho JQ, Ribeiro SA, Rodrigues FAP, Soares AM, et al. Higher Energy and Zinc Intakes from Complementary Feeding Are Associated with Decreased Risk of Undernutrition in Children from South America, Africa, and Asia. J Nutr. 2021;151(1):170-8. doi: 10.1093/jn/nxaa271.

Todendi PF, Martinez JA, Reuter CP, Matos WL, Franke SIR, Razquin C, et al. Biochemical profile, eating habits, and telomere length among Brazilian children and adolescents. Nutrition. 2020;71:110645. doi: 10.1016/j.nut.2019.110645

de Melo JMM, Dourado B, de Menezes RCE, Longo-Silva G, da Silveira JAC. Early onset of overweight among children from low-income families: The role of exclusive breastfeeding and maternal intake of ultra-processed food. Pediatr Obes. 2021:e12825. doi: 10.1111/ijpo.12825.

Oliveira T, Ribeiro I, Jurema-Santos G, Nobre I, Santos R, Rodrigues C, et al. Can the Consumption of Ultra-Processed Food Be Associated with Anthropometric Indicators of Obesity and Blood Pressure in Children 7 to 10 Years Old? Foods. 2020;9(11). doi: 10.3390/foods9111567.

Fissinger A, Mages KC, Solomon AB. Vitamin deficiencies in pediatric eosinophilic esophagitis: A systematic review. Pediatr Allergy Immunol. 2020;31(7):835-40. doi: 10.1111/pai.13297.

Kalmpourtzidou A, Xinias I, Agakidis C, Mavroudi A, Mouselimis D, Tsarouchas A, et al. Diet Quality: A Neglected Parameter in Children With Food Allergies. A Cross-Sectional Study. Front Pediatr. 2021;9:658778. doi: 10.3389/fped.2021.658778.

Bolen B, Burakoff R. How an Organic Disease Differs From a Functional Disorder. United States 2020.

de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. doi: 10.2471/blt.07.043497.

Gravetter F, Wallnau L. Essentials of statistics for the behavioral sciences. Belmont, CA: Wadsworth; 2014.

Trochim WM, Donnelly JP. The research methods knowledge base. 3rd ed. Cincinnati, OH: Atomic Dog; 2006.

Soares JS, Maximino P, Machado RHV, Bozzini AB, Tosatti AM, Ramos CC, et al. Feeding difficulties are not associated with higher rates of iron deficiency anemia in

Brazilian children and adolescents—cross-sectional study. Nutrire. 2017;42:4. Doi: 10.1186/s41110-016-0027-5

Silva DLF, Hofelmann DA, Taconeli CA, Lang RMF, Dallazen C, Tietzmann DC, et al. Individual and contextual predictors of children's hemoglobin levels from Southern Brazilian municipalities in social vulnerability. Cad Saúde Pública. 2021;36(12):e00166619. doi: 10.1590/0102-311X00166619.

Lee WS, Tee CW, Tan AG, Wong SY, Chew KS, Cheang HK, et al. Parental concern of feeding difficulty predicts poor growth status in their child. Pediatr Neonatol. 2019;60(6):676-83. doi: 10.1016/j.pedneo.2019.04.004.

Levy Y, Levy A, Zangen T, Kornfeld L, Dalal I, Samuel E, et al. Diagnostic Clues for Identification of Nonorganic vs Organic Causes of Food Refusal and Poor Feeding. Journal of Pediatric Gastroenterology and Nutrition. 2009;48(3).

Cardona Cano S, Hoek HW, van Hoeken D, de Barse LM, Jaddoe VWV, Verhulst FC, et al. Behavioral outcomes of picky eating in childhood: a prospective study in the general population. Journal of Child Psychology and Psychiatry. 2016;57(11):1239-46. doi: https://doi.org/10.1111/jcpp.12530.

Larsson E, Mawkin M, Taylor-Robinson SD, Harrington P, Gondwe H, Watson C, et al. Implementing Innovative Approaches to Healthcare in a Lower-Middle Income Country: Perspectives from Malawi. Int J Gen Med. 2020;13:1723-30. doi: 10.2147/IJGM.S285130.

Published

2024-06-21

Issue

Section

Artigos Originais