Martins S J, Menezes R C
Núcleo de Medicina Tropical da Universidade Federal do Pará-Belém, PA-Brasil.
Rev Saude Publica. 1994 Feb;28(1):1-8. doi: 10.1590/s0034-89101994000100001.
The evolution of the nutritional status of children under 5 years of age living in two Indian settlements of the Parakanã tribe, Maroxewara and Paratininga, situated in the southeast of Pará State (Brazil), with less than 20 years of direct contact with our society, was studied. The main purpose of this study was to register the effects of the preventive and curative health activities of the "Parakanã Program" (created by an agreement between the National Indian Foundation- FUNAI and Northern Hydroelectric Project- ELETRONORTE), undertaken with the technical cooperation of the Tropical Medicine Center (Federal University of Pará). Anthropometric data were obtained in there cross-sectional studies (April 89; January 90 and October 91) for the purpose of evaluating the prevalence of malnutrition by means of Gomez's, Waterlow's and WHO criteria. The evolution of nutritional status was evaluated in the light of the rate of growth and accepting weight increments superior to those expected among well-nourished children as a goal. Seventy children (87.5% of all the 0-5 years-olds living there) were followed through throughout the studies. Prevalence of malnutrition was greater in Paranatinga than in Maroxewara, possibly because the former was more populous and had had longer inter-racial contact. Paranatinga's anthropometric indices (wt/age, ht/age and wt/ht) were the lower. Most of the severe forms of malnutrition were found there too. Children between six months and 2 years old were the most affected.(ABSTRACT TRUNCATED AT 250 WORDS)
对居住在巴西帕拉州东南部、与我们的社会直接接触不到20年的帕拉卡纳部落的两个印第安定居点——马罗塞瓦拉和帕拉蒂宁加中5岁以下儿童的营养状况演变进行了研究。本研究的主要目的是记录在热带医学中心(帕拉联邦大学)的技术合作下开展的“帕拉卡纳项目”(由国家印第安基金会—— FUNAI与北方水电项目—— ELETRONORTE达成的一项协议创建)的预防和治疗性健康活动的效果。通过三次横断面研究(1989年4月;1990年1月和1991年10月)获取人体测量数据,以便根据戈麦斯、沃特洛和世界卫生组织的标准评估营养不良的患病率。根据生长速率评估营养状况的演变,并将体重增加超过营养良好儿童预期值作为目标。在整个研究过程中跟踪了70名儿童(占居住在那里的所有0至5岁儿童的87.5%)。帕拉蒂宁加的营养不良患病率高于马罗塞瓦拉,这可能是因为前者人口更多且种族间接触时间更长。帕拉蒂宁加的人体测量指数(体重/年龄、身高/年龄和体重/身高)较低。那里也发现了大多数严重形式的营养不良。6个月至2岁的儿童受影响最大。(摘要截选至250词)