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Type: Artigo de periódico
Title: [factors Impacting The Growth And Nutritional Status Of Cystic Fibrosis Patients Younger Than 10 Years Of Age Who Did Not Undergo Neonatal Screening].
Author: Hortencio, Taís Daiene Russo
Nogueira, Roberto José Negrão
Marson, Fernando Augusto de Lima
Hessel, Gabriel
Ribeiro, José Dirceu
Ribeiro, Antônio Fernando
Abstract: The aim of this study was to evaluate by clinical and laboratory parameters how cystic fibrosis (CF) affects growth and nutritional status of children who were undergoing CF treatment but did not receive newborn screening. A historical cohort study of 52 CF patients younger than 10 years of age were followed in a reference center in Campinas, Southeast Brazil. Anthropometric measurements were abstracted from medical records until March/2010, when neonatal screening program was implemented. Between September/2009 and March/2010, parental height of the 52 CF patients were also measured. Regarding nutritional status, four patients had Z-scores ≤ -2 for height/age (H/A) and body mass index/age (BMI/A). The following variables were associated with improved H/A ratio: fewer hospitalizations, longer time from first appointment to diagnosis, longer time from birth to diagnosis and later onset of respiratory disease. Forced vital capacity [FVC(%)], forced expiratory flow between 25-75% of FVC [FEF25-75(%)], forced expiratory volume in the first second [FEV1(%)], gestational age, birth weight and early respiratory symptoms were associated with IMC/A. Greater number of hospitalizations, diagnosis delay and early onset of respiratory disease had a negative impact on growth. Lower spirometric values, lower gestational age, lower birth weight, and early onset of respiratory symptoms had negative impact on nutritional status. Malnutrition was observed in 7.7% of cases, but 23% of children had nutritional risk.
Subject: Anthropometry
Cystic Fibrosis/complications
Estado Nutricional
Fibrose Cística/complicações
Neonatal Screening
Nutritional Status
Triagem Neonatal
Citation: Revista Paulista De Pediatria : Orgão Oficial Da Sociedade De Pediatria De São Paulo. v. 33, n. 1, p. 3-11
Rights: fechado
Identifier DOI: 10.1016/j.rpped.2014.11.004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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