Perfil nutricional e consumo dietético de crianças alérgicas à proteína do leite de vaca acompanhadas em um hospital infantil de Brasília/DF, Brasil / Nutritional profile and dietary intake of children allergic to cow’s milk protein accompanied by a children’s hospital, in Brasilia, Brazil

RESUMO

Objetivo: Investigar o perfil do estado nutricional e do consumo dietético de crianças com alergia à proteína do leite de vaca de até três anos de idade acompanhadas em um hospital infantil de Brasília/DF, Brasil.Métodos: Trata-se de um estudo transversal descritivo e prospectivo. Foram aferidos o peso e a estatura das crianças para classificação do estado nutricional por meio das curvas da OMS para escore z. A caracterização e consumo das fórmulas infantis específicas para APLV foram coletados através de questionário e recordatório 24h. Verificou-se a contribuição calórico-proteica, de cálcio, vitamina D e ácidos graxos essenciais em relação às DRIs.Resultados: 76,5% eram recém-nascidos a termo, de parto cesária (73,5%) e com peso adequado ao nascimento (85,3%). Foram encontradas adequações em relação aos indicadores E/I (91,2%), P/I (88,3%), P/E (88,2%) e IMC/I (85,3%). 17,6% da amostra tiveram AME até 6 meses e 94,1% das crianças não estavam em aleitamento materno...(AU)

ABSTRACT

Objective: Investigate the nutritional status and dietary intake ofchildren with allergy to cow ‘s milk protein of up to three years of ageaccompanied by a children’s hospital, in Brasilia, Brazil.Methods: This is a descriptive cross-sectional and prospective study.Weight and height of children were measured to determine nutritionalstatus through z-score of WHO’s curves. The characterization andconsumption of infant formulas specific to CMPA were collectedthrough questionnaire and 24h recall. There contribution of proteincalorie,calcium, vitamin D and essential fatty acids in relation to theDRIs was verrified.Results: 76.5% were term newborns, with cesarean section (73.5%)and with adequate birth weight (85.3%). E / I (91.2%), P / I (88.3%), P/ E (88.2%) and BMI / I (85.3%) were found to be adequate. 17.6% ofthe sample had EMA up to 6 months and 94.1% of the children werenot breastfed. The mean age of introduction of complementary feedingwas 5.16 ± 1.47 months and 54.5% received complementary feedingbefore 6 months. The percentage of children who transgressed the dietwas 11.8%. The widely hydrolyzed formula was the most used (64.7%)and 5.9% did not receive infant formula. The mean contributionpercentages of infant formulas in relation to DRIs were: 45.72% (EER),80.21% (protein), 76.9% (calcium), 176.64% (vitamin D), 34.77 %(w3) and 24.87% (w6)...(AU)