Rodrigues E M, Taddei J A, Sigulem D M
Universidade Federal de São Paulo/Escola Paulista de Medicina, Brazil.
Sao Paulo Med J. 1998 Jul-Aug;116(4):1766-73. doi: 10.1590/s1516-31801998000400005.
To evaluate the relationship between the nutritional status of the youngest child under 48 months of age (in families with the biological mother present) and their mothers among 3906 children selected from a sample of a national survey in 1989 (PNSN).
Malnutrition was present in 5.8% of the children. From these, 21.8%, 60.9% and 17.3% had overweight/obese, eutrophic and malnourished mothers, respectively. Stratified analyses taking into account the regions, situation, income distribution and mother's educational level demonstrated that a lower proportion of malnourished children was concurrent with a higher proportion of overweight/obese mothers. The Kappa test evidenced a poor agreement between the nutritional conditions of the child-mother pairs (K < = 0.048).
When the proportion of malnourished children decreased within the analyzed groups, the proportion of overweight/obese mothers increased. Such an epidemiological pattern indicates that within groups in which malnutrition is less prevalent, the proportion of children for whom a lack of food in the household is the main determinant factor for malnutrition is lower.
在1989年全国调查样本(PNSN)中选取的3906名儿童中,评估48个月以下最年幼子女(生母健在家庭)的营养状况与其母亲营养状况之间的关系。
5.8%的儿童存在营养不良。其中,分别有21.8%、60.9%和17.3%的儿童母亲超重/肥胖、营养正常和营养不良。考虑地区、状况、收入分布和母亲教育水平的分层分析表明,营养不良儿童比例较低的同时,超重/肥胖母亲的比例较高。Kappa检验表明儿童-母亲对的营养状况之间一致性较差(K <= 0.048)。
在所分析的群体中,营养不良儿童比例下降时,超重/肥胖母亲的比例上升。这种流行病学模式表明,在营养不良不太普遍的群体中,家庭食物短缺作为营养不良主要决定因素的儿童比例较低。