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1.
Recurso de Internet en Inglés | LIS - Localizador de Información en Salud | ID: lis-48099

RESUMEN

Documento fornece recomendações que visam ajudar os empregadores a estabelecer salas de amamentação e ambientes de trabalho de apoio para as trabalhadoras e suas famílias. Destaca os benefícios do apoio à amamentação para a empresa, para a mãe e o filho, para a sociedade e para o meio ambiente e orienta sobre como apoiar a amamentação durante o COVID-19.


Asunto(s)
Lactancia Materna , Lugar de Trabajo
2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48100

RESUMEN

Uma abundância de anticorpos de imunoglobulina e uma escassez de rna viral no leite materno oferecem evidências de que as mulheres podem continuar amamentando com segurança durante a pandemia.


Asunto(s)
Lactancia Materna , Infecciones por Coronavirus , Betacoronavirus , Leche Humana/inmunología
3.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48101

RESUMEN

Ministério da Saúde atualiza recomendações sobre vacinas em gestantes, puérperas e lactantes.


Asunto(s)
Lactancia Materna , Infecciones por Coronavirus , Betacoronavirus , Lactante , Leche Humana
4.
J Korean Acad Nurs ; 51(1): 119-132, 2021 Feb.
Artículo en Coreano | MEDLINE | ID: mdl-33706336

RESUMEN

PURPOSE: This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs). METHODS: This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ²-test and repeated measures ANOVA using an SPSS program. RESULTS: The experimental group showed a higher direct breastfeeding practice rate (χ² = 19.29, p < .001), breastfeeding continuation rate (χ² = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment. CONCLUSION: The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.


Asunto(s)
Lactancia Materna , Madres/psicología , Evaluación de Programas y Proyectos de Salud , Adulto , Femenino , Humanos , Recién Nacido , Recien Nacido Prematuro , Unidades de Cuidado Intensivo Neonatal , Masculino , Relaciones Madre-Hijo , Autoeficacia , Encuestas y Cuestionarios
5.
Medicine (Baltimore) ; 100(8): e24716, 2021 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-33663083

RESUMEN

BACKGROUND: This meta-analysis was to systematically investigate the effect of breastfeeding on metabolic-related outcomes in women with previous gestational diabetes mellitus (GDM). METHODS: We will search the online databases of Relevant studies were searched in Pubmed, Embase, Cochrane Library, Web of Science. Relative risk and weighted mean difference with 95% confidence interval will pooled using Stata14.0 software. CONCLUSION: Our meta-analysis will explore the effect of breastfeeding on metabolic-related outcomes in women with previous GDM and may provide effective treatment options of GDM. OSF REGISTRATION NUMBER: 10.17605/OSF.IO/HA5U8.


Asunto(s)
Lactancia Materna , Diabetes Gestacional/fisiopatología , Femenino , Humanos , Embarazo , Proyectos de Investigación
6.
An Pediatr (Barc) ; 94(4): 261.e1-261.e9, 2021 Apr.
Artículo en Español | MEDLINE | ID: mdl-33653657

RESUMEN

The pollution of the planet also reaches the breastfeeding ecosystem, one of the most intimate and inviolable that links us as an animal species to the rest of mammals. Nursing mothers may be concerned about whether the quality of their milk will be adequate for their baby and whether environmental pollutants through work, diet, and storing may adversely affect their child. Breast milk is a source of exposure to environmental pollutants, and at the same time it counteracts much of the effects of these exposures. An approach based on the principles of reality and precaution of environmental health to avoid, reduce or eliminate the production and use of harmful chemicals during pregnancy and lactation would improve the human and planetary health for the offspring.

8.
Braz J Med Biol Res ; 54(1): e11274, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33729311

RESUMEN

This thematic issue consists of 14 articles derived from studies of the BRISA birth cohort (Ribeirão Preto, State of São Paulo and São Luís, State of Maranhão, northeastern Brazil, a socially and economically less developed region). In these more than 40 years of existence, these cohorts have been able to document the increase in women's education, the improvement of health conditions, the creation of a public Unified Health System (SUS) that provides universal and free access to health care, eradication of hunger, and transition of the nutritional status characterized by a decrease in malnutrition rates and an increase in obesity in Brazil. Particularly in reproductive health, the country experienced a significant drop in fertility, a decrease in maternal and child mortality, and an increase in breastfeeding rates. Universal access to prenatal care and hospital delivery was accompanied by an excessive number of cesareans without clinical indication and early-term births and premature births, largely due to scheduled cesareans. Articles with a longitudinal and transversal methodological approach are presented, using structural equation analysis and propensity score, together with multivariate regressions, which gave a robust analytical treatment to articles in this thematic issue.


Asunto(s)
Lactancia Materna , Brasil/epidemiología , Niño , Estudios de Cohortes , Escolaridad , Femenino , Humanos , Embarazo , Factores Socioeconómicos
10.
Health Qual Life Outcomes ; 19(1): 66, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33648521

RESUMEN

BACKGROUND: The impact of COVID-19 pandemic on mental health of pregnant and lactating women is unclear. This study aimed to assess the impact of COVID-19 on psychological health, sexual function, and quality of life (QoL) in Iranian pregnant and lactating women and compare the results with non-pregnant/non-lactating women. METHOD: This comparative cross-sectional study was carried out on pregnant and lactating women, with non-pregnant/non-lactating women from May to Jun 2020. Patients were asked to complete three questionnaires: Hospital Anxiety and Depression Scale (HADS), Female Sexual Function Index (FSFI), and Short-Form Health Survey (SF-12). One-way ANOVA was used to reveal the statistical differences between the three groups. RESULT: The mean age of patients was 20.81 ± 5.92 years old. The mean (SD) score of HADS in pregnant, lactating and non-pregnant / non-lactating women were 12.11 (6.72), 11.98 (8.44) and 9.38 (6.2) respectively, and the results showed that the scores in pregnant, lactating women were higher than non-pregnant / non-lactating women (P < 0.001). Also the mean (SD) score of QOL and FSFI was 68.29 (9.47), 74.18 (12.65), 79.03 (10.48) and 22.71 (8.16), 22.72 (8.16), 26.19 (3.93) in three groups and the scores in pregnant, lactating women were lower than non-pregnant/non-lactating women (P < 0.001). CONCLUSION: The COVID-19 epidemic increases the risk of depression, anxiety, FSD, and lowers QoL in pregnant and lactating women, with the general population. This suggests the urgent need for psychological intervention in the maternal population during the epidemic.


Asunto(s)
/psicología , Lactancia/psicología , Salud Mental , Embarazo/psicología , Calidad de Vida , Adolescente , Adulto , Análisis de Varianza , Ansiedad/epidemiología , Lactancia Materna , Estudios Transversales , Depresión/epidemiología , Femenino , Humanos , Irán/epidemiología , Disfunciones Sexuales Psicológicas/epidemiología , Encuestas y Cuestionarios , Adulto Joven
12.
Nihon Yakurigaku Zasshi ; 156(2): 97-102, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33642539

RESUMEN

Midwives are responsible professionals who support the sexual and reproductive health, rights, and welfare of individuals, families, and communities. In particular, midwives work in partnership with women to provide the necessary support, care and advice needed during pregnancy, childbirth and the postpartum period. Midwives conduct normal births on her own responsibility, support breastfeeding, provide care for newborns and infants, and fully release mother-infant's latent strengths. Midwives also contribute in adopting appropriate preventative measures to promote normal birth and breastfeeding, detecting early signs of complications, and carrying out emergency measures or transferring the patient to other medical care or assistance as needed. In order to provide the best care to mother and infant, midwives should first learn the biological foundations of women's health, pregnancy, childbirth, postpartum, breastfeeding, and infant health. They must also understand the in vivo mechanisms and actions of the key hormones and neurotransmitters in play during the reproductive period. Additionally, midwives need to learn pharmaceutical treatments to complement and support biological function in cases of disorders or impairments occurring in women and infants. Midwives should also be competent in life support skills in obstetrics and neonatal cardiopulmonary resuscitation. The directors of Japanese Maternity Centers sign a contract with obstetricians that permits them to purchase and use emergency medicines. We facilitate midwifery students in their studies of medicine and pharmacology in order to train them to cope with such emergency situations. In this revision of the midwifery curriculum and the continuing education, we hope to create a new midwifery educational program focusing on personalized, client-centered pharmacology, with the ultimate objective to support and maintain the health of women, mothers, infants, child-rearing families, and communities.


Asunto(s)
Partería , Lactancia Materna , Niño , Femenino , Humanos , Lactante , Recién Nacido , Aprendizaje , Madres , Embarazo , Salud de la Mujer
13.
Niger Postgrad Med J ; 28(1): 62-67, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33642327

RESUMEN

Background: In the first 6 months of life, non-exclusive breastfeeding (NEBF) is estimated to be the cause of 1.4 million deaths worldwide and contributes to 10% of the disease burden in under-five children. Aims and Objectives: The objective of the study was to determine the prevalence of NEBF amongst the high-risk children and the factors associated with NEBF. Methods: This cross-sectional study was conducted amongst high-risk babies admitted between August 2016 and February 2018 who also attended the high-risk follow-up clinic at the neonatology department. Data were collected using a pre-tested structured questionnaire. Chi-square test was used to determine the factors associated with NEBF and prevalence ratios (PR) with 95% confidence interval (CI) were calculated. Results: Amongst 304 children, 56.3% were male and 87% had birth weight <2500 g. Nearly three-fourth of the mothers were <30 years of age. The prevalence of NEBF was 49.3% (95% CI: 43.7-55.0). There was a significant association of NEBF with employment status of the mother (PR = 1.45; 95% CI: 1.1-1.9), NEBF in previous child (PR = 2.3; 95% CI: 1.4-3.9) and EBF at the point of discharge (PR = 2.3; 95% CI: 2-2.6). The barriers reported by the mothers leading to NEBF were insufficient or less milk secretion, poor breastfeeding attachment, perceived thirst and poor maternal health. Conclusion: One out of every two children admitted in neonatal intensive care unit were non-exclusively breastfed before 6 months of age. The employment status of mother, practice of exclusively breastfeeding the previous child and EBF at the time of discharge were significantly associated with NEBF.


Asunto(s)
Lactancia Materna , Niño , Estudios Transversales , Femenino , Humanos , India/epidemiología , Lactante , Masculino , Nigeria , Centros de Atención Terciaria
14.
Rev Infirm ; 70(269): 31-32, 2021 Mar.
Artículo en Francés | MEDLINE | ID: mdl-33742590

RESUMEN

As an individual choice of the mother to feed her newborn and to weave a special bond with him, breastfeeding, whose benefits are multiple, is strongly encouraged by paediatricians and midwives. The return to work at the end of maternity leave is often an obstacle to the continuation of this method of infant feeding. However, adjustments are possible, even for salaried carers who, as one young woman acting as a health executive testifies, wish to combine professional practice with continued breastfeeding in order to remain in line with their choices.


Asunto(s)
Lactancia Materna , Conducta de Elección , Madres , Mujeres Trabajadoras , Lactancia Materna/psicología , Femenino , Humanos , Recién Nacido , Madres/psicología , Reinserción al Trabajo , Mujeres Trabajadoras/psicología
15.
Harefuah ; 160(3): 161-166, 2021 Mar.
Artículo en Hebreo | MEDLINE | ID: mdl-33749178

RESUMEN

INTRODUCTION: The effect of the pregnant mother's nutrition and the effect of the baby's nutrition during the first-year on the development of allergy and atopic disease in the baby have been studied extensively in recent years. Key recommendations for healthcare bodies in Europe and the United States include: • Allergy prevention in at-risk infants (parent or sibling with allergy): Currently, there is a consensus of healthcare organizations around the world that the recommended exclusive breastfeeding duration is the first 6 months of life for the overall health benefit of the baby. Allergy prevention in non-breastfed infants at risk: There are studies showing that fully hydrolyzed formula can reduce the risk of allergic reactions, especially atopic dermatitis, in high-risk non-breastfed babies. Some recommendations for high-risk non-breastfed infants support feeding up to 4 to 6 months with hydrolyzed formulas. Further research is needed on this subject. Soy formulas failed to prevent allergy in high-risk infants. • In case of cow's milk allergy symptoms in breastfed babies: Although a small amount of food allergens may be present in the milk, mothers should be encouraged to continue breastfeeding while avoiding consumption of cow's milk and products. • In case of cow's milk allergy symptoms in non-breastfed babies: Under six months of age, extensively hydrolyzed formula is suitable for most cases of cow's milk allergy, except for severe clinical conditions, which require amino acid formulas. Over six months, soy formulas can be considered. Exposure to solid foods: The current recommendations are to start on solids at the age of 4-6 months and there is no recommendation for avoiding known allergens, despite family history. Later introduction of peanut, fish or egg does not prevent, and may even increase, the risk of developing food allergy. In order to provide a professional and appropriate response to infants and parents, it is important to know the latest guidelines, based on research from recent years as clinical recommendations have changed over the past few decades.


Asunto(s)
Hipersensibilidad a los Alimentos , Hipersensibilidad a la Leche , Alérgenos , Animales , Lactancia Materna , Bovinos , Europa (Continente) , Femenino , Hipersensibilidad a los Alimentos/prevención & control , Humanos , Lactante , Fórmulas Infantiles , Embarazo
16.
Artículo en Inglés | MEDLINE | ID: mdl-33753426

RESUMEN

BACKGROUND: The impact of COVID-19 on pregnant inflammatory bowel disease (IBD) patients is currently unknown. Reconfiguration of services during the pandemic may negatively affect medical and obstetric care. We aimed to examine the impacts on IBD antenatal care and pregnancy outcomes. METHODS: Retrospective data were recorded in consecutive patients attending for IBD antenatal care including outpatient appointments, infusion unit visits and advice line encounters. RESULTS: We included 244 pregnant women with IBD, of which 75 (30.7%) were on biologics in whom the treatment was stopped in 29.3% at a median 28 weeks gestation. In addition, 9% of patients were on corticosteroids and 21.5% continued on thiopurines. The care provided during 460 patient encounters was not affected by the pandemic in 94.1% but 68.2% were performed via telephone (compared with 3% prepandemic practice; p<0.0001). One-hundred-ten women delivered 111 alive babies (mean 38.2 weeks gestation, mean birth weight 3324 g) with 12 (11.0%) giving birth before week 37. Birth occurred by vaginal delivery in 72 (56.4%) and by caesarean section in 48 (43.6%) cases. Thirty-three were elective (12 for IBD indications) and 15 emergency caesarean sections. Breast feeding rates were low (38.6%). Among 244 pregnant women with IBD, 1 suspected COVID-19 infection was recorded. CONCLUSION: IBD antenatal care adjustments during the COVID-19 pandemic have not negatively affected patient care. Despite high levels of immunosuppression, only a single COVID-19 infection occurred. Adverse pregnancy outcomes were infrequent.


Asunto(s)
/complicaciones , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Enfermedades Inflamatorias del Intestino/epidemiología , Atención Prenatal/estadística & datos numéricos , Corticoesteroides/uso terapéutico , Adulto , Alopurinol/análogos & derivados , Alopurinol/uso terapéutico , Productos Biológicos/uso terapéutico , Lactancia Materna/estadística & datos numéricos , /epidemiología , Cesárea/estadística & datos numéricos , Parto Obstétrico/estadística & datos numéricos , Femenino , Edad Gestacional , Humanos , Enfermedades Inflamatorias del Intestino/virología , Embarazo , Resultado del Embarazo/epidemiología , Estudios Retrospectivos , Reino Unido/epidemiología , Privación de Tratamiento
17.
Nutr. hosp ; 38(1): 36-42, ene.-feb. 2021. tab, graf
Artículo en Inglés | IBECS | ID: ibc-198838

RESUMEN

INTRODUCTION: human growth is the result of an interaction between genetic, hormonal, nutritional, and environmental factors. It is not yet fully understood what is predominant and decisive in determining an individual's weight and height. OBJECTIVE: the aim of this study was to evaluate the cardiometabolic profile of exclusively breastfed children born small for gestational age (SGA). METHODS: this is a prospective cohort study of children born at term who were classified as SGA, and as appropiate for gestational age (AGA), who were followed up to pre-school age. Anthropometric measures and body composition parameters were obtained. Breastfeeding duration was calculated in days, and achievement of catch up of weight was considered an increase in Z-score ≥ 0.67. The cardiometabolic profile was evaluated in the first month of life and repeated at pre-school age. At pre-school age, fasting blood glucose, insulin, HOMA-IR, and blood pressure were measured. RESULTS: twenty SGA and 12 AGA children were studied. The mean duration of exclusive breastfeeding (EBF) was 180 days in both groups. Of SGA children, 85 % had recovery anthropometric parameters for age within the first six months, with a speed of weight gain significantly higher than the that of AGAs (p < 0.001). SGAs continued to be thinner and smaller than AGAs at pre-school age. There was no diagnosis of overweight or obesity in the studied sample, and no differences were foun between groups in laboratory tests. CONCLUSION: these findings suggest that EBF may confer protection until pre-school age in children born SGA, who are considered at higher risk for chronic non-communicable diseases


INTRODUCCIÓN: el crecimiento humano es el resultado de la interacción de factores genéticos, hormonales, nutricionales y ambientales. Todavía no se comprende completamente lo que es predominante y decisivo para determinar el peso y la altura del individuo. OBJETIVO: el objetivo de este estudio fue evaluar el perfil cardiometabólico de niños alimentados con lactancia materna exclusivamente y que nacieron pequeños para la edad gestacional (PEG). MÉTODOS: este es un estudio de cohortes prospectivo con niños nacidos a término, unos clasificados como PEG y otros como apropiados para la edad gestacional (AEG). Se hizo un seguimiento de estos niños hasta la edad preescolar. Se realizaron medidas antropométricas y de la composición corporal. La duración de la lactancia materna se calculó en días y el éxito en la recuperación del peso se consideró como un aumento de la puntuación Z ≥ 0,67. El perfil cardiometabólico se evaluó en el primer mes de vida y se repitió en la edad preescolar. En la edad preescolar se midieron la glucosa en sangre en ayunas, la insulina, el HOMA-IR y la presión arterial. RESULTADOS: el grupo del estudio estaba formado por veinte niños PEG y doce niños AEG. La duración media de la lactancia materna exclusiva (LME) fue de 180 días en ambos grupos. De los niños PEG, el 85 % tenían parámetros antropométricos de recuperación para la edad en los primeros seis meses, siendo la velocidad del aumento de peso significativamente mayor que en los AEG (p < 0,001). Aun así, los niños PEG continuaron siendo más delgados y pequeños que los AEG en la edad preescolar. No hubo diagnóstico de sobrepeso u obesidad en la muestra estudiada, y no hay diferencia entre los grupos relativos a las pruebas de laboratorio. CONCLUSIÓN: estos hallazgos sugieren que la LME puede conferir protección hasta la edad preescolar en los niños nacidos PEG, que se consideran en mayor riesgo de contraer enfermedades crónicas no transmisibles


Asunto(s)
Humanos , Masculino , Femenino , Preescolar , Edad Gestacional , Leche Humana/metabolismo , Recién Nacido Pequeño para la Edad Gestacional/metabolismo , Recién Nacido Pequeño para la Edad Gestacional/fisiología , Síndrome Metabólico/prevención & control , Estudios de Cohortes , Recién Nacido Pequeño para la Edad Gestacional/crecimiento & desarrollo , Sobrepeso/prevención & control , Estudios Prospectivos , Presión Sanguínea , Enfermedades Cardiovasculares/prevención & control
18.
Nutr. hosp ; 38(1): 50-59, ene.-feb. 2021. tab, graf
Artículo en Español | IBECS | ID: ibc-198840

RESUMEN

INTRODUCCIÓN Y OBJETIVOS: la lactancia materna (LM) es un método de alimentación infantil que aporta múltiples beneficios para la salud de los lactantes y las madres. Este estudio pretende determinar la prevalencia de la LM durante el primer año de vida de los hijos/as de una serie de mujeres que dan a luz en una clínica privada de Bizkaia, e identificar los determinantes facilitadores y los motivos de abandono. MÉTODO: estudio observacional, descriptivo, longitudinal y prospectivo de una muestra aleatoria de 453 recién nacidos (RN), reclutada entre 2016 y 2017. RESULTADOS: en total, 366 mujeres aceptaron participar en todas las fases de estudio. La prevalencia de la lactancia materna exclusiva (LME) fue del 51,7 % al inicio, del 77,1 % al alta y del 21,6 % al sexto mes; y la de la LM, del 87,1 % al inicio, del 48,4 % al sexto mes y del 20,6 % al año. Los factores facilitadores de la LME fueron: al inicio, no utilizar nido ni sacaleches; 15 días satisfacción con la LM y no utilizar chupete ni sacaleches; 4 meses satisfacción con la LM; 6 meses acudir a Grupos de Apoyo a la Lactancia (GAL) y no introducir alimentación complementaria (AC); los de la LM al año, acudir a GAL. Los principales motivos de abandono fueron: la iniciativa propia, la incorporación al trabajo y la escasa ganancia de peso del RN. CONCLUSIONES: uno de cada 5 RN recibieron LME hasta los 6 meses y LM hasta el año. Sería necesario promover estrategias que favorezcan el amamantamiento, como: suprimir el nido, desaconsejar el sacaleches y el chupete al inicio, iniciar la AC a partir del sexto mes y organizar GAL durante el primer año


INTRODUCTION AND OBJECTIVES: breastfeeding (BF) is a feeding method that provides multiple benefits for the health of infants and their mothers. This study aimed to determine the prevalence of BF during the first year of life of children of women who gave birth in a private clinic in Biscay, Basque Country, Spain, and to identify the facilitating determinants and reasons for abandonment. METHOD: an observational, descriptive, longitudinal and prospective study in a random sample of 453 newborns (NBs) recruited between 2016 and 2017. RESULTS: in all, 366 women agreed to participate in all the study phases. The prevalence of exclusive breastfeeding (EBF) was 51.7 % at baseline, 77.1 % at discharge, and 21.6 % after sixth months; and that of BF, 87.1 % at the beginning, 48.4 % at month six, and 20.6 % at one year. The facilitating factors of EBF were: at the beginning, not using a nest or breast pump; 15 days satisfaction with LM and not using a pacifier or breast pump; 4 months satisfaction with LM; 6 months attending Lactation Support Groups (GAL) and not introducing complementary feeding (CA); and those of LM at 1 year, attending GAL. The main reasons for abandonment were: own initiative, incorporation to work, and little weight gain by the NB. CONCLUSIONS: one in 5 newborns received EBF up to 6 months and BF up to one year. It would be necessary to promote strategies that favor breastfeeding, such as eliminating the nest, advising against breast pumps and pacifiers at the beginning, starting CA from the sixth month, and organizing GALs during the first year


Asunto(s)
Humanos , Femenino , Adulto , Lactancia Materna/métodos , Nutrición del Lactante , Causalidad , Salud del Niño , Salud Materna , Estudios Longitudinales , Estudios Prospectivos , Análisis Estadístico
19.
São Paulo; s.n; 20210219. 122 p.
Tesis en Portugués | LILACS, BBO - Odontología | ID: biblio-1147702

RESUMEN

Os distúrbios que ocorrem durante a formação do esmalte de dentes decíduos que se apresentam como Defeitos do Desenvolvimento do Esmalte (DDE) possuem importante significado clínico, pois podem causar problemas estéticos, alteração na oclusão, sensibilidade dentária e podem atuar como fator predisponente à cárie dentária, bem como ser preditor da Hipomineralização Molar - Incisivo. Estas possíveis implicações clínicas podem impactar negativamente na qualidade de vida relacionada a saúde bucal (QVRSB) das crianças com DDE. Os objetivos do presente estudo foram conhecer a prevalência e gravidade dos DDE em dentes decíduos, identificar os fatores etiológicos associados aos DDE e avaliar o impacto dos DDE na QVRSB. O estudo avaliou 336 crianças de 2 a 4 anos de idade do município de Santa Isabel, São Paulo durante a campanha nacional de vacinação. Para o diagnóstico dos DDE foi avaliada a extensão, localização, cor do defeito e o tipo de defeito, através do índice DDE modificado preconizado pela Federação Dentária Internacional. As mães ou cuidadores legais responderam a um questionário sobre variáveis sociodemográficas e condições pré, peri e pós-natal. Para avaliar o impacto dos DDE na QVRSB, foram coletados dados utilizando a versão brasileira do questionário ECOHIS. Foram realizadas análises descritivas, teste Kappa, teste qui-quadrado, teste de normalidade Kolgomorov Smirnov, teste Wilcoxon, análises não ajustadas e ajustadas de regressão de Poisson (? = 0.05). A prevalência de DDE foi 50,6%. As opacidades demarcadas (45,0%) e difusas (36,0%) de coloração branco/creme foram os defeitos mais frequentes. Molares foram os dentes mais afetados, e dentre as superfícies examinadas, as faces vestibulares foram as mais acometidas. Houve associação dos DDE com o consumo de álcool na gestação (RP 1.26; IC 95%=1.03- 1.55; p=0.022), hospitalização da criança no primeiro ano de vida por doenças infecciosas (RP=1.36; IC 95%=1.07-1.65; p=0.010) e cárie dentária (RP=1.31; IC 95%=1.03-1.65; p=0.022). Crianças que foram amamentadas por 12 meses tiveram menor risco de desenvolver DDE (RP=0.54; IC 95%=0.44-0.68; p=0.001). As opacidades de cor amarelo-marrons apresentaram maior chance de causarem impacto negativo nos domínios sintoma e limitação (p<0,05) e no domínio angústia dos pais (p<0,05). Pode-se concluir que os DDE apresentam alta prevalência e gravidade leve. Consumo de álcool durante a gravidez e hospitalização da criança por doenças infecciosas no primeiro ano de vida são fatores de risco para DDE na dentição decídua. A amamentação por um período de 12 meses é um fator de proteção ao desenvolvimento de DDE na dentição decídua. As opacidades demarcadas amarela-marrons causam impacto negativo na QVRSB de crianças de 2 a 4 anos conforme os relatos dos pais.


Asunto(s)
Calidad de Vida , Diente Primario , Lactancia Materna , Epidemiología
20.
Arch. argent. pediatr ; 119(1): 56-61, feb. 2021.
Artículo en Inglés, Español | LILACS, BINACIS | ID: biblio-1147089

RESUMEN

La leche materna provee microorganismos que colonizan el intestino y programan el sistema inmunológico para desarrollar tolerancia oral. Entre los 6 meses de lactancia materna exclusiva y los 2 años de lactancia prolongada recomendada, la alimentación complementaria conlleva una reducción progresiva en el ingreso de microorganismos vivos al ecosistema intestinal. Esto se debe a que los alimentos en general -a diferencia de la leche materna- o se encuentran desprovistos de microorganismos o, si los poseen, suelen inactivarse durante la cocción. Los alimentos fermentados y los probióticos podrían constituir una estrategia nutricional valiosa, dado que garantizarían la provisión de microorganismos vivos ante la reducción o interrupción anticipada de la lactancia. Los términos "alimentos fermentados" y "probióticos" no son sinónimos. La identidad microbiológica, la inocuidad y la existencia de estudios clínicos de eficacia para unos y otros son claves para entender sus diferencias y decidir una eventual recomendación alimentaria


Breast milk provides microorganisms that colonize the gut and program the immune system to develop oral tolerance. Between the 6 months of exclusive breastfeeding and the recommended 2 years of prolonged breastfeeding, complementary feeding leads to a progressive reduction in the entry of live microorganisms into the gut ecosystem. This is because foods in general -unlike breast milk- are devoid of microorganisms or, if present, they are often inactivated during cooking. Fermented foods and probiotics could be a valuable nutritional strategy, as they would ensure the supply of live microorganisms in the face of a reduction or early cessation of breastfeeding. The terms "fermented foods" and "probiotics" are not synonymous. Microbiological identity, safety, and the existence of clinical efficacy studies supporting both are key to understand their differences and decide on an eventual dietary recommendation


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Alimentos y Bebidas Fermentados , Yogur , Probióticos , Microbiota , Inmunidad , Fenómenos Fisiológicos Nutricionales del Lactante
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