Institution: Instituto Nacional de Saúde da Mulher, Criança e Adolescente Fernandes Figueira - Fundação Oswaldo Cruz (IFF- FIOCRUZ), Av. Rui Barbosa, 716, Rio de Janeiro, 22250-020, Brazil.
Nutr J. 2019 Jan 11;18(1):4. doi: 10.1186/s12937-019-0429-3.
Children with microcephaly due to vertical exposure to Zika virus are an interesting population for investigation. Highlighted among their unique aspects are those related to nutrition due to its impact on child growth and development. Knowledge about the nutrition of microcephalic infants can help mothers and caregivers provide better care. Thus, this study aimed to describe the nutritional status and feeding practices of infants with microcephaly due to Zika virus exposure at birth and 12-23 months of age.
This is a descriptive study developed from a cohort of patients attending a public institution of reference. A total of 65 infants attended outpatient nutrition clinics. The food practices were described using the 24-h food recall and food consumption indicators. Anthropometric measurements and consultations were made using the Child Health Handbook to obtain information on the nutritional status (weight, height and head circumference) at the time of consultation and birth.
There was a significant decrease in z-scores for weight, height and head circumference (HC) from birth to the time of the consultation. However, most infants did not show weight-for-height deficits. Additionally, HC was correlated with the anthropometric indices weight-for-age, height-for-age, body mass index-for-age and weight-for-height.
Infants exhibited a worsening of their nutritional status between birth and the time of their consultation, notably when we evaluated the indices of height and head circumference for age. The main inadequacies regarding dietary practices were low food diversity, use of ultra-processed products and low lipid intake.
因垂直暴露于寨卡病毒而患有小头症的儿童是一个有趣的研究对象。他们独特的方面之一是与营养相关的方面，因为它会影响儿童的生长和发育。了解小头症婴儿的营养状况可以帮助母亲和照顾者提供更好的护理。因此，本研究旨在描述因出生时暴露于寨卡病毒而患有小头症的婴儿的营养状况和喂养方式，并在 12-23 个月时进行评估。
这是一项描述性研究，来自一家公共参考机构的患者队列。共有 65 名婴儿参加了门诊营养诊所。通过 24 小时食物回忆和食物消耗指标来描述食物习惯。使用《儿童健康手册》进行体格测量和咨询，以获取咨询时和出生时的营养状况（体重、身高和头围）信息。
体重、身高和头围（HC）的 z 分数从出生到咨询时显著下降。然而，大多数婴儿并没有出现身高体重不足的情况。此外，HC 与体重年龄、身高年龄、身体质量指数年龄和身高体重比等指标相关。
婴儿在出生到咨询期间的营养状况恶化，尤其是在评估身高和头围年龄指数时。饮食实践方面的主要不足是食物多样性低、使用超加工产品和脂质摄入低。
