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Medicine (Baltimore) ; 99(33): e21669, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32872032


BACKGROUND: Whether regional anesthesia (RA) offers better long-term neurodevelopment outcomes compared to general anesthesia (GA) to infants undergoing inguinal herniorrhaphy is still under heated debate. The aim of this meta-analysis is to compare the long-term neurodevelopment impact of RA with GA on infants undergoing inguinal herniorrhaphy. METHODS: A systematic search of MEDLINE, EMBASE, PubMed, the Cochrane Central Register of Controlled Trials, and will be performed. Published eligible randomized controlled trials (RCTs) or quasi-RCTs (including abstracts) through May 20, 2020 with language limit of English will be enrolled in the meta-analysis. Two reviewers will independently conduct the procedures of study selection, data extraction, methodological quality assessment, and risk of bias assessment. The primary outcome is long-term neurodevelopmental state (at 2- and 5-year follow-up) as reflected in the Bayley and the Wechsler Preschool and Primary Scale of Intelligence (WPPSI) scales of infants development following surgeries. The secondary outcomes consist of satisfactory intraoperative infants immobility, duration of surgery, any anesthetic failure, the supplement of postoperative analgesia, postoperative apnea, and postoperative bradycardia. The pooled weighted mean differences (WMDs) or odds ratios (ORs) of each outcome measurement and relative 95% confident intervals (CIs) will be calculated. EndNote X8 (Clarivate Analytics) software will be applied to manage all citations. The Cochrane Review Manager version 5.3 software (RevMan 5.3) will be employed for statistical analysis. DISCUSSION: This study will summarize scientific and practical evidence and provide evidence-based individualized decision-making guidance on anesthesia regimen for inguinal herniorrhaphy in infants. REGISTRATION: This protocol was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY) on 17 June 2020 (registration number INPLASY202060064).

Anestesia por Condução/efeitos adversos , Anestesia Geral/efeitos adversos , Cognição/efeitos dos fármacos , Herniorrafia/métodos , Desenvolvimento Infantil , Pré-Escolar , Hérnia Inguinal/cirurgia , Humanos , Lactente , Recém-Nascido , Metanálise como Assunto , Revisões Sistemáticas como Assunto
Zhongguo Dang Dai Er Ke Za Zhi ; 22(9): 931-935, 2020 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-32933621


OBJECTIVE: To study the effect of gestational age at birth on the neurobehavioral development of preschool children. METHODS: A total of 25 254 preschool children from Ma'anshan of Anhui Province, Taizhou of Zhejiang Province, and Yangzhou of Jiangsu Province were enrolled. The preschool children were divided into three groups based on their gestational ages at birth: preterm group (2 760 cases; 28-36+6 weeks), early term group (6 005 cases; 37-38+6 weeks), and full term group (16 489 cases; ≥39 weeks). The Ages and Stages Questionnaires-Third Edition (ASQ-3) was employed to evaluate the children's neurobehavioral development. RESULTS: The preterm group had significantly lower scores of the five domains of ASQ-3, communication, gross motor, fine motor, problem solving, and personal-social, than the full term group (P<0.05), and significantly lower scores of communication, gross motor, fine motor, and problem solving than the early term group (P<0.05). There were no significant differences in the scores of the five domains of ASQ-3 between the early term and full term groups (P>0.05). The multiple linear regression analysis indicated a significant positive correlation between gestational age and the five domains of ASQ-3 after adjustment for confounding factors including sex, age, body mass index, and parental education level (P<0.01). CONCLUSIONS: Children born preterm have poorer neurobehavioral development than those born full term and early term, whereas children born full term and early term have similar neurobehavioral development. Gestational age at birth is an independent influencing factor for neurobehavioral development in preschool children.

Desenvolvimento Infantil , Idade Gestacional , Comportamento Infantil , Pré-Escolar , China , Cidades , Humanos , Recém-Nascido , Inquéritos e Questionários
Artigo em Inglês | MEDLINE | ID: mdl-32992966


In Kenya, millions of children have limited access to nurturing care. With the Coronavirus disease 2019 (COVID-19) pandemic, it is anticipated that vulnerable children will bear the biggest brunt of the direct and indirect impacts of the pandemic. This review aimed to deepen understanding of the effects of COVID-19 on nurturing care from conception to four years of age, a period where the care of children is often delivered through caregivers or other informal platforms. The review has drawn upon the empirical evidence from previous pandemics and epidemics, and anecdotal and emerging evidence from the ongoing COVID-19 crisis. Multifactorial impacts fall into five key domains: direct health; health and nutrition systems; economic protection; social and child protection; and child development and early learning. The review proposes program and policy strategies to guide the reorientation of nurturing care, prevent the detrimental effects associated with deteriorating nurturing care environments, and support the optimal development of the youngest and most vulnerable children. These include the provision of cash transfers and essential supplies for vulnerable households and strengthening of community-based platforms for nurturing care. Further research on COVID-19 and the ability of children's ecology to provide nurturing care is needed, as is further testing of new ideas.

Desenvolvimento Infantil , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Betacoronavirus , Criança , Cuidado da Criança , Pré-Escolar , Humanos , Quênia , Pandemias , Políticas
Nat Commun ; 11(1): 4523, 2020 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-32908125


Thousands of functional magnetic resonance imaging (fMRI) studies have provided important insight into the human brain. However, only a handful of these studies tested infants while they were awake, because of the significant and unique methodological challenges involved. We report our efforts to address these challenges, with the goal of creating methods for awake infant fMRI that can reveal the inner workings of the developing, preverbal mind. We use these methods to collect and analyze two fMRI datasets obtained from infants during cognitive tasks, released publicly with this paper. In these datasets, we explore and evaluate data quantity and quality, task-evoked activity, and preprocessing decisions. We disseminate these methods by sharing two software packages that integrate infant-friendly cognitive tasks and eye-gaze monitoring with fMRI acquisition and analysis. These resources make fMRI a feasible and accessible technique for cognitive neuroscience in awake and behaving human infants.

Mapeamento Encefálico/métodos , Encéfalo/diagnóstico por imagem , Desenvolvimento Infantil/fisiologia , Imagem por Ressonância Magnética/métodos , Vigília/fisiologia , Técnicas de Observação do Comportamento , Encéfalo/crescimento & desenvolvimento , Pré-Escolar , Cognição/fisiologia , Estudos de Coortes , Estudos de Viabilidade , Feminino , Humanos , Lactente , Masculino
Hu Li Za Zhi ; 67(5): 82-88, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978769


Retinopathy of prematurity (ROP) is a disorder affecting the development of retinal blood vessels in preterm infants. Eye screening examinations are important to the early detection and treatment of ROP. However, several studies have associated eye examinations with pain, stress, and negative physiological effects. Developmental care has been provided as part of neonatal care in recent decades, and some studies indicate that this care positively affects pain scores, stress response, and recovery time during ROP eye screenings. In this article, five elements of developmental care that are applicable for preterm infants undergoing eye examinations for ROP are highlighted and described. These five elements include environmental modifications (e.g., provide a quite environment and dim room lighting), positioning (e.g., offer a nest or positing support and promote the infant to achieve neuromotor development), oxygen delivery (provide adequate oxygen support according to clinical conditions), approach and interaction (e.g., talk softly to infants and gently touch them before the eye examination), and cue-based individual care (e.g., soothe infants, give them a short break or soother based on observations of needs and cue-based behavior). Effectively addressing these five elements may minimize the pain, stress, and energy consumption during ROP eye screenings and provide individualized care that is comfortable, supportive, and promotes the healthy development of preterm infants.

Cuidado do Lactente/métodos , Exame Físico/métodos , Retinopatia da Prematuridade/diagnóstico , Desenvolvimento Infantil , Humanos , Recém-Nascido , Recém-Nascido Prematuro
An. psicol ; 36(2): 271-282, mayo 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192064


Un número considerable de estudiantes presenta dificultades de aprendizaje y bajo rendimiento académico, sin embargo su evaluación no siempre deriva en un diagnóstico concreto. Son categorizados como inmaduros, pero no se determinan ni la naturaleza ni las características de sus dificultades. El objetivo fue identificar los dominios evolutivos afectados en niños con retraso del desarrollo (RD) y valorar el concepto de dificultades neuroevolutivas como constructo comprensivo de las dificultades generalizadas de aprendizaje. Para ello, se realizó una revisión sistemática en las bases electrónicas Medline, PsycINFO, WOS, Eric, Dialnet y CSIC y, tras aplicar los criterios de inclusión, se seleccionaron 18 artículos. Los resultados confirman que RD se utiliza como etiqueta diagnóstica para caracterizar a niños con retrasos significativos en uno o varios ámbitos del desarrollo, pero no existe una definición de consenso ni criterios específicos para su diagnóstico, y solo sería de aplicación a niños de corta edad. Los dominios afectados coinciden con funciones neuroevolutivas y, en su etiología, destacan factores de riesgo biológico y ambiental. Se constata la persistencia en la niñez de las dificultades neuroevolutivas y su asociación con las dificultades generalizas en el aprendizaje de años escolares, apuntando a las primeras como constructo explicativo de las segundas

A considerable number of students have learning difficulties and low academic performance, yet their evaluation does not always lead to a concrete diagnosis. They are categorized as immature, but neither the nature nor the characteristics of their difficulties are determined. The aim of this study was to identify the developmental domains which are affected in children with developmental delay (DD) in order to assess the concept of neurodevelopmental difficulties as a comprehensive category and profile of generalized learning difficulties. To this end, a systematic review was carried out on the electronic databases Medline, PsycINFO, WOS, Eric, Dialnet and CSIC and, after applying the inclusion criteria, 18 articles were selected. The results confirm that DD is used as a diagnostic label to characterize children with significant delays in one or more developmental domains, but there is no definition of consensus nor specific criteria for its diagnosis, and it would only be applicable to young children. The affected domains coincide with neurodevelopmental functions, and biological and environmental risk factors stand out in their aetiology. Neurodevelopmental difficulties would encompass a wide spectrum of deficits with different levels of severity that, on interacting with each other, give rise to a variety of profiles

Humanos , Masculino , Feminino , Pré-Escolar , Criança , Deficiências do Desenvolvimento/diagnóstico , Deficiências da Aprendizagem/psicologia , Transtornos Neurocognitivos/psicologia , Baixo Rendimento Escolar , Deficiências do Desenvolvimento/psicologia , Testes Neuropsicológicos , Fatores de Risco , Desenvolvimento Infantil/fisiologia
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32887793


BACKGROUND AND OBJECTIVES: Children born preterm experience socioemotional difficulties, including increased risk of autism spectrum disorder (ASD). In this secondary analysis, we tested the effect of combined docosahexaenoic acid (DHA) and arachidonic acid (AA) supplementation during toddlerhood on caregiver-reported socioemotional outcomes of children born preterm. We hypothesized that children randomly assigned to DHA + AA would display better socioemotional outcomes compared with those randomly assigned to a placebo. METHODS: Omega Tots was a single-site randomized, fully masked, parallel-group, placebo-controlled trial. Children (N = 377) were 10 to 16 months at enrollment, born at <35 weeks' gestation, and assigned to 180 days of daily 200-mg DHA + 200-mg AA supplementation or a placebo (400 mg corn oil). Caregivers completed the Brief Infant-Toddler Social and Emotional Assessment and the Pervasive Developmental Disorders Screening Test-II, Stage 2 at the end of the trial. Liner mixed models and log-binomial regression compared socioemotional outcomes between the DHA + AA and placebo groups. RESULTS: Outcome data were available for 83% of children (n treatment = 161; n placebo = 153). Differences between DHA + AA and placebo groups on Brief Infant-Toddler Social and Emotional Assessment scores were of small magnitude (Cohen's d ≤ 0.15) and not statistically significant. Children randomly assigned to DHA + AA had a decreased risk of scoring at-risk for ASD on the Pervasive Developmental Disorders Screening Test-II, Stage 2 (21% vs 32%; risk ratio = 0.66 [95% confidence interval: 0.45 to 0.97]; risk difference = -0.11 [95% confidence interval: -0.21 to -0.01]) compared with children randomly assigned to a placebo. CONCLUSIONS: No evidence of benefit of DHA + AA supplementation on caregiver-reported outcomes of broad socioemotional development was observed. Supplementation resulted in decreased risk of clinical concern for ASD. Further exploration in larger samples of preterm children and continued follow-up of children who received DHA + AA supplementation as they approach school age is warranted.

Ácido Araquidônico/administração & dosagem , Transtorno do Espectro Autista/prevenção & controle , Desenvolvimento Infantil/efeitos dos fármacos , Suplementos Nutricionais , Ácidos Docosa-Hexaenoicos/administração & dosagem , Intervalos de Confiança , Feminino , Idade Gestacional , Humanos , Lactente , Recém-Nascido Prematuro , Masculino , Adesão à Medicação , Placebos/administração & dosagem , Fatores Sexuais , Resultado do Tratamento
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32900877


BACKGROUND: Children born preterm are at high risk for autism spectrum disorder (ASD). However, there is still a lack of appropriate developmental markers. In this study, we aim to examine whether early mental performance trajectory is related to ASD outcome in the preterm population. METHODS: The population-based cohort included 414 very preterm survivors born between 2008 and 2014. After excluding children with severe neurosensory impairment, 319 children with available records of developmental quotients before age 2 years were enrolled. The trajectory of mental performance evaluated by using the Bayley Scales of Infant Development across 6, 12, and 24 months of age was analyzed with group-based trajectory modeling. At 5 years of age, the ASD diagnosis was established by using the Autism Diagnostic Observation Schedule and the Autism Diagnostic Interview-Revised. RESULTS: There were 29 children with ASD and 290 children without ASD. The mental performances from age 6 to 24 months could be classified into 3 trajectory patterns: low declining, high declining, and high stable, which corresponded to ASD prevalence at age 5 years of 35%, 9%, and 3%, respectively. ASD odds was 15 times higher in the low-declining group than in the high-stable group (odds ratio 15; 95% confidence interval 3.8-59; P < .001). Through the analysis of multinomial logistic regression, we found that male infants with longer exposure to oxygen therapy whose mothers had lower maternal education levels tended to follow the low-declining trajectory. CONCLUSIONS: The early-life mental trajectory patterns, by using the Bayley Scales of Infant Development, may lead to identification of vulnerable children born preterm for early ASD diagnosis and targeted intervention.

Transtorno do Espectro Autista , Desenvolvimento Infantil , Lactente Extremamente Prematuro , Fatores Etários , Transtorno do Espectro Autista/classificação , Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/epidemiologia , Transtorno do Espectro Autista/fisiopatologia , Pré-Escolar , Intervalos de Confiança , Diagnóstico Precoce , Escolaridade , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Modelos Logísticos , Masculino , Razão de Chances , Oxigênio/uso terapêutico , Prevalência , Fatores Sexuais
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32973120


BACKGROUND: Low socioeconomic status (SES) has emerged as an important risk factor for higher short-term mortality and neurodevelopmental outcomes in children with hypoplastic left heart syndrome and related anomalies; yet little is known about how SES affects these outcomes over the long-term. METHODS: We linked data from the Single Ventricle Reconstruction trial to US Census Bureau data to analyze the relationship of neighborhood SES tertiles with mortality and transplantation, neurodevelopment, quality of life, and functional status at 5 and 6 years post-Norwood procedure (N = 525). Cox proportional hazards regression and linear regression were used to assess the association of SES with mortality and neurodevelopmental outcomes, respectively. RESULTS: Patients in the lowest SES tertile were more likely to be racial minorities, older at stage 2 and Fontan procedures, and to have more complications and fewer cardiac catheterizations over follow-up (all P < .05) compared with patients in higher SES tertiles. Unadjusted mortality was highest for patients in the lowest SES tertile and lowest in the highest tertile (41% vs 29%, respectively; log-rank P = .027). Adjustment for patient birth and Norwood factors attenuated these differences slightly (P = .055). Patients in the lowest SES tertile reported lower functional status and lower fine motor, problem-solving, adaptive behavior, and communication skills at 6 years (all P < .05). These differences persisted after adjustment for baseline and post-Norwood factors. Quality of life did not differ by SES. CONCLUSIONS: Among patients with hypoplastic left heart syndrome, those with low SES have worse neurodevelopmental and functional status outcomes at 6 years. These differences were not explained by other patient or clinical characteristics.

Técnica de Fontan/métodos , Síndrome do Coração Esquerdo Hipoplásico/cirurgia , Classe Social , Cateterismo Cardíaco/estatística & dados numéricos , Criança , Desenvolvimento Infantil , Pré-Escolar , Deficiências do Desenvolvimento/epidemiologia , Escolaridade , Feminino , Técnica de Fontan/mortalidade , Técnica de Fontan/estatística & dados numéricos , Transplante de Coração/estatística & dados numéricos , Humanos , Síndrome do Coração Esquerdo Hipoplásico/complicações , Síndrome do Coração Esquerdo Hipoplásico/etnologia , Síndrome do Coração Esquerdo Hipoplásico/mortalidade , Renda , Recém-Nascido , Masculino , Ocupações , Complicações Pós-Operatórias/epidemiologia , Modelos de Riscos Proporcionais , Qualidade de Vida , Características de Residência , Resultado do Tratamento , Coração Univentricular/mortalidade , Coração Univentricular/cirurgia
Rev Infirm ; 69(263): 28-29, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32993901


Body care and development of the premature infant. The observation of newborns' reactions to different stimulations enables their behaviour to be interpreted and the support provided to be adjusted. Developmental care such as swaddling, tucked posture and skin-to-skin contact favours the harmonious development of premature infants and encourages the parents to become involved in their care as early as possible.

Desenvolvimento Infantil , Recém-Nascido Prematuro , Pais , Criança , Corpo Humano , Humanos , Lactente , Recém-Nascido
Soins Pediatr Pueric ; 41(315): 17-19, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32951690


The representation that parents have of their child has an impact on their child's future. Similarly, what the therapist understands of his patient has an impact on the therapeutic process. Through the presentation of clinical situations put into perspective with theoretical elements, it is possible to propose a model of understanding of these effects via the concept of anticipatory illusion.

Antecipação Psicológica , Desenvolvimento Infantil , Ilusões/psicologia , Criança , Humanos , Modelos Psicológicos , Pais/psicologia , Relações Profissional-Paciente
Lima; Perú. Ministerio de Salud; 20200800. 45 p. tab, ilus.
Monografia em Espanhol | LILACS, MINSAPERU | ID: biblio-1005180


La norma técnica contiene: la finalidad, objetivos, ámbito de aplicación, base legal, disposiciones generales y específicas para el tamizaje neonatal de hipotiroidismo congénito, hiperplasia suprarrenal congénita, fenilcetonuria, fibrosis quística, hipoacusia congénita y catarata congénita.

Desenvolvimento Infantil , Triagem Neonatal , Normas Técnicas , Serviços de Saúde da Criança
Arch. argent. pediatr ; 118(4): e384-e391, agosto 2020. tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-1118509


Introducción. El abordaje del desarrollo en la primera infancia (DPI) y las dificultades del desarrollo (DD) en los países de ingresos bajos o medios (PIBM) requiere de programas aplicables y sostenibles. Se evaluó el programa de capacitación para las unidades de pediatría del desarrollo (UPD) en los centros de referencia tras siete años. Población y métodos. Diseño transversal con métodos cualicuantitativos para evaluar los servicios, la capacitación, la investigación y la promoción de las UPD. Resultados. Se mantuvieron los servicios clínicos, la capacitación, investigación y promoción. En total, 23710 niños fueron derivados. La motivación y resistencia del personal, el respaldo de los administradores y la satisfacción del paciente facilitaron el programa, aunque la invisibilidad dentro del sistema de salud fue un obstáculo. Conclusiones. En Turquía, y posiblemente otros PIBM, el programa de capacitación para las UPD es aplicable y sostenible si se abordan los obstáculos del sistema de salud.

Introduction. Addressing early childhood development (ECD) and developmental difficulties (DDs) in low and middle-income countries (LMICs) requires applicable and sustainable programs. Seven years after its implementation in 2010, we evaluated the Developmental Pediatrics Unit (DPU) Training Program in pediatric referral centers in Turkey. Population and methods. We applied crosssectional design and quantitative/qualitative methods to assess services, training, research and advocacy of the DPUs. Results. Five of six established DPUs sustained clinical services, training, research, and advocacy. A total of 23,710 children (9085 new cases in 2017) had been referred mainly for perinatal risks and chronic illness, all centers contributed with similar proportions of children. Staff motivation and endurance, hospital administrator support, and client satisfaction facilitated the program; whereas invisibility within the performance based healthcare system was a barrier. Conclusions. In Turkey and possibly other LMICs, the DPU Training Program is applicable and sustainable if health system barriers are addressed

Humanos , Masculino , Feminino , Desenvolvimento Infantil , Pediatria , Pobreza , Turquia , Estudos Transversais , Pessoal de Saúde/educação , Crianças com Deficiência , Educação , Tutoria
Arch. argent. pediatr ; 118(4): s118-s129, agosto 2020.
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1118605


En las últimas décadas, las enfermedades crónicas no transmisibles (ENT) se han convertido en la principal causa de mortalidad global y han aumentado en América Latina. La contribución de recursos de la ciencia del desarrollo, la epigenética, las neurociencias, las ciencias ambientales, la epidemiología y la investigación ha generado evidencia del origen de las ENT desde la programación fetal. Los resultados de salud y enfermedad devienen de una trayectoria dinámica en la que se agregan factores protectores para una vida saludable o factores de riesgo para enfermedades del individuo y las comunidades.El concepto de Developmental Origins of Health and Disease redimensiona el papel del equipo de salud materno-infantil y debe guiar las políticas públicas para priorizar los primeros mil días de vida para un desarrollo saludable y la prevención de ENT. Se presenta una actualización sobre las principales condiciones ambientales adversas que pueden alterar la programación del desarrollo y predisponer a ENT en el curso de la vida.

In recent decades, chronic non-communicable diseases (NCDs) have become the leading cause of global mortality and increased in Latin America. The contribution of the resources from development science, epigenetics, neurosciences, environmental sciences, epidemiology and research has generated evidence of the origin of NCDs since fetal programming. The healt and disease outcomes result from a dynamic trajectory where protective factors are added for a healthy life or risk factors for diseases of the individual and the communities. Developmental Origins of Health and Disease concept resizes the role of the maternal and child health team and should guide public policies by prioritizing the first 1000 days of life for healthy development and NCDs prevention. We present an update on principal adverse environmental conditions that may alter development programming and predispose NCDs in life course

Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Meio Ambiente , Doenças não Transmissíveis/epidemiologia , Desenvolvimento Infantil , Saúde Pública , Saúde Materno-Infantil , Exposição Ambiental , Epigenômica , Doenças não Transmissíveis/prevenção & controle
Arch. argent. pediatr ; 118(4): s130-s141, agosto 2020. tab
Artigo em Espanhol | LILACS, BINACIS | ID: biblio-1118606


Los padres que deciden cambiar la dieta habitual de sus hijos por otra más restrictiva deben conocer los riesgos y las ventajas de la alimentación escogida y recibir información que les ayude a ofrecerles una alimentación suficiente. Las dietas vegetarianas pueden realizarse siempre que sean planificadas por especialistas con la inclusión de una amplia variedad de alimentos vegetales y fortificados, y con el suplemento adecuado indicado en cada etapa.El objetivo de este documento es dar a conocer la postura del Comité de Nutrición de la Sociedad Argentina de Pediatría y brindar a los profesionales de la salud información adecuada que permita responder a las inquietudes de los padres y los pacientes que deciden escoger una dieta vegetariana como modalidad de alimentación. Se identifican los desafíos para tener en cuenta y se destaca que, sin dichas consideraciones y un seguimiento adecuado, estas dietas no pueden realizarse de manera segura en la infancia

Parents who decide to change the usual diet of their children for a more restrictive one should know the risks and advantages of the chosen diet and receive information that helps them to offer their children a sufficient diet. Vegetarian diets can be adopted as long as they are planned by specialists with the inclusion of a wide variety of plant foods and fortified foods with the appropriate supplementation indicated at each stage. The objective of this document is to present the position of the Nutrition Committee of the Argentine Society of Pediatrics and to provide health professionals with adequate information to respond to the concerns of parents and patients who decide to choose a vegetarian diet as a modality of feeding. The challenges to be taken into account are identified, highlighting that without these considerations and proper monitoring these diets cannot be carried out safely in childhood

Humanos , Masculino , Feminino , Criança , Adolescente , Dieta Vegetariana , Pediatria , Nutrientes/administração & dosagem , Desenvolvimento Infantil , Risco , Monitoramento , Desenvolvimento do Adolescente , Dietoterapia