Evaluation of the quality of life of children with celiac disease and their parents: a case-control study.

PURPOSE: The purpose of the present study was to evaluate the quality of life (QoL) of children with CD and of their parents and to compare it with that of children without CD and of their parents. METHODS: A case-control study was conducted to evaluate the quality of life of children (5-12 years) with CD and one of their parents, compared to the QoL of children without CD (and their parents as their caregivers ). The QoL was assessed by applying the following questionnaires: AUQUEI (children) and WHOQOL-BREF (parents). RESULTS: QoL was evaluated in 33 children with CD, 63 children without CD, and of their respective parents as their parent caregivers (96 adults). QoL total scores were similar between the groups of children with and without CD. However, in the Leisure dimension, the scores of children with CD were significantly lower than those of the controls (P = 0.029). Similarly, when assessing the QoL of the parents, we found scores significantly lower in the social dimension (P = 0.0196) for parents of children with CD compared to parents of children without CD. Family income presented an impact on the QoL in adults, but did not affect children. In CD group, children of mothers who had lower educational levels presented better scores in the function dimension, regarding self-care and autonomy. CONCLUSIONS: There is an impairment of the QoL of children with CD and of their parents, with regard to social life, particularly in the leisure (children) and social (adults) dimensions.

Avaliação do estado nutricional das crianças menores de cinco anos em uma Creche no Município de Florianópolis segundo a curva de referência da OMS 2006 e comparação do diagnóstico nutricional com a curva de referência do CDC 2000 / Valuation of nutricional status of children under five years old at a daycare center according to OMS 2006 growth reference and comparison of the nutricional diagnostic with the CDC 2000 growth reference

Objetivo: Avaliar o estado nutricional das crianças menores de cinco anos cuidadas em uma creche segundoa curva de referência da Organização Mundial de Saúde (OMS) 2006 e comparar o diagnóstico nutricionalcom a curva de referência do Centers for Disease Control and Prevention (CDC) 2000. Metodologia: Estudo observacional, transversal com crianças menores de cinco anos, matriculadas em uma creche no município de Florianópolis-SC, no mês de Agosto de 2007. A amostra foi composta por 63 crianças obedecendo critérios de inclusão e exclusão. O estado nutricional foi analisado mediante indicadores antropométricos: peso e estatura para idade e peso para estatura utilizando-se o escore z. Resultados: Observou-se ausência de desnutrição aguda e de baixa estatura. O sobrepeso foi encontrado em 7,9% das crianças, o risco de baixa estatura em 19%.36,8% das crianças eutróficas pelo CDC encontravamse com risco de sobrepeso pela OMS (p=0,00) e 40% das com risco de sobrepeso pelo CDC já eram consideradas com sobrepeso pela atual curva (p=0,00); 33,3% das crianças com estatura adequada pelo CDC possuíam risco de baixa estatura pela OMS (p=0,00). Conclusão: Foi encontrado alta prevalência de sobrepeso e risco de baixa estatura. A curva da OMS comparada à curva do CDC superestima o diagnóstico derisco de sobrepeso e sobrepeso assim como o risco de baixa estatura.

Objectives: To evaluate the nutritional status of children under five years old at a daycare center according to the World Health Organization (WHO) 2006 growth reference and compare the nutritional diagnostic whith the Centers for Disease Control ad Prevention(CDC) 2000 growth reference.Methodology: A transversal descriptive study was carried out with children under five years old enrolled ata daycare center at the municipality of Florianópolis-SC in August of 2007. The sample was composed by 63 children according to inclusion and exclusion criteria. The nutritional status was analyzed by antropometric indicators:weight and heigth for age and weigth for heigth using the z score system. Results: The wasting and stunting were not observed in this study. Overweight was found in 7,9% of children and the risc of stunting in 19%. 36,5% of childrenconsidered eutrofic according to the CDC were at risc of overweigth according to the actual reference (p=0,00);33,3% of children with adequate heigth according to CDC were at risc of stunting according to OMS (p=0,00).Conclusion: High prevalence of overweight and risc of stunting were found. The OMS reference comparedwith the CDC increased the diagnostic of risc of overweigth, overweigth as well as the risc of stunting.

Avaliação nutricional de lactentes e pré-escolares hospitalizados no Hospital Universitário Polydoro Ernani de São Thiago em 1995 e 2005 / Nutritional evaluation of hospitalized suckling and preschool children in the University Hospital Polydoro Ernani of São Thiago in 1995 and 2005

Objetivos: Avaliar o estado nutricional de crianças menores de cinco anos internadas na enfermaria Pediátricado Hospital Universitário Polydoro Ernani de São Thiago, em Florianópolis, em 1995 e 2005 e a evolução do estado nutricional durante a internação. Métodos: Estudo retrospectivo, observacional e descritivo com 216 crianças que estiveram internadas no HU em 1995 e 2005. O estado nutricional foi determinado por meio do escore Z do peso para idade e pesopara estatura, para as crianças menores e maiores de dois anos, respectivamente. Foram considerados desnutridos graves os que apresentavam escore Z menor que–3, desnutridos moderados escore Z entre -2 e -3, eutróficos escore Z entre -2 e +2 e sobrepeso os com índicemaior que +2. Resultados: A prevalência de crianças com desnutrição grave na alta hospitalar em 1995 não se alterou, já em 2005, houve queda de 0,92 ponto percentual. Em 1995 também houve redução na prevalência de eutrofiade 75,93% para 72,22% e de sobrepeso de 4,63% para 3,70%. Em 2005, apesar das crianças apresentaremperda ponderal durante a hospitalização não houve redução na prevalência de eutrofia e de sobrepeso. Conclusões: A prevalência de desnutrição grave emoderada foi maior no ano de 1995. As crianças consideradas eutróficas prevaleceram em 2005. A prevalênciade sobrepeso na admissão foi a mesma nos dois anos. A desnutrição hospitalar continua sendo um importante problema clínico, entretanto pode-se observar uma melhora do estado nutricional das crianças internadas entre 1995 e 2005.

Objective: To evaluate the nutritional state of interned five year lesser children in the Unit of Pediatricsof the University hospital Polydoro Ernani of São Thiago, in Florianópolis, in 1995 and 2005 and evolution of the nutritional state during the internment.Method: Retrospective, observacional and descriptive study with 216 children who had been interned in the HU in 1995 and 2005. The nutricional state was determined through it Z-score of the weight for age and weight for stature, for the lesser and bigger children of two years, respectively. They had been considered unfed serious the ones that presented Z-score lesser that -3, unfed moderate Z-score between -2 and -3, eutrophic Z-score between -2 and +2 and overweight with bigger index that +2. Results: The prevalence of children with serious malnutrition in the high hospital in 1995 did not changed, already in 2005, had reduced of 0,92 percentile point. In 1995 also had reduction in the prevalence of eutrofia of 75,93% for 72,22% and overweight of 4,63% for 3,70%. In 2005, although the children to present ponderal loss during hospitalization did not have reduction in the prevalenceof eutrofia and overweight. Conclusions: The prevalence of serious and moderatemalnutrition was bigger in the year of 1995. The children considered euthrofics had prevailed in 2005. Theprevalence of overweight in the admission was the same one in the two years. The hospital malnutrition continues being an important clinical problem, however an improvementof the nutricional state of the children interned between 1995 and 2005 can be observed.