Botelho Estefania C, Mataratzis Pilar S R, Lino Débora L, de Oliveira Andreia N, Bezerra Flávia F, Dos Santos Barbosa Brito Flávia, Citelli Marta, Cople-Rodrigues Cláudia Dos S
Rio de Janeiro State University (UERJ).
Pedro Ernesto University Hospital.
J Pediatr Hematol Oncol. 2019 Apr;41(3):e141-e145. doi: 10.1097/MPH.0000000000001377.
Children with sickle cell anemia (SCA) often exhibit nutritional deficiencies and are at high risk of dying before the age of 5 years. Ensuring adequate nutrition is a critical part of health care for such children. This study aimed to investigate the association between nutritional status, nutrient intake, and food diversity in children with SCA. A descriptive cross-sectional study was conducted on 74 children with SCA, between 24 and 71 months of age. Anthropometric measurements, food and nutrients consumption were determined. The prevalence of low weight, stunting, and overweight/obesity were 16.2%, 35.1%, and 16.2%, respectively. Mean folic acid intake was low (49.05%±51.22%), whereas the intakes of protein (426.71%±171.93%), retinol (292.97%±403.88%), phosphorus (204.55%±151.35%), magnesium (233.02%±151.14%), iron (250.76%±165.81%), and zinc (243.21%±148.40%) were high. The dietary phosphorus/protein ratio was high for 31.1% of the children, and 44.6% of the children had low dietary diversity score. No correlation was found between food diversity, nutrient adequacy, and nutritional status. Despite the adequacy of the intake of most micronutrients, diet quality was inadequate, constituting mainly ultraprocessed foods. Knowing the food consumption pattern of these children enables a more resolute nutritional intervention.
镰状细胞贫血(SCA)患儿常表现出营养缺乏,且在5岁前死亡风险很高。确保充足营养是此类儿童医疗保健的关键部分。本研究旨在调查SCA患儿的营养状况、营养素摄入量和食物多样性之间的关联。对74名年龄在24至71个月的SCA患儿进行了描述性横断面研究。测定了人体测量指标、食物和营养素摄入量。低体重、发育迟缓以及超重/肥胖的患病率分别为16.2%、35.1%和16.2%。叶酸平均摄入量较低(49.05%±51.22%),而蛋白质(426.71%±171.93%)、视黄醇(292.97%±403.88%)、磷(204.55%±151.35%)、镁(233.02%±151.14%)、铁(250.76%±165.81%)和锌(243.21%±148.40%)的摄入量较高。31.1%的儿童膳食磷/蛋白质比值较高,44.6%的儿童膳食多样性得分较低。未发现食物多样性、营养素充足性与营养状况之间存在相关性。尽管大多数微量营养素的摄入量充足,但饮食质量仍不达标,主要由超加工食品构成。了解这些儿童的食物消费模式有助于进行更果断的营养干预。