Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/51144 |
Resumo: | MCTI/CNPq/MS/SCTIE/Decit/Bill & Grandes Desafios Brasil da Fundação Melinda Gates – Desenvolvimento Saudável para Todas as Crianças Tendências e desigualdades na desnutrição infantil. Wellcome Trust. Secretaria de Vigilância Sanitária, Ministério da Saúde, Brasil, Estado da Bahia, Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB), a Pesquisa e Projeto Financiadora (FINEP) e Secretaria de Ciência e Tecnologia do Estado da Bahia (SECTI). |
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Silva, Rita de Cássia RibeiroSilva, Natanael de JesusMendes, Mariana Santos FelisbinoFalcão, Ila RochaAndrade, Rafaella da Costa Santin deSilva, Sara AraújoNilson, Eduardo Augusto FernandesSpaniol, Ana MariaFiaccone, Rosemeire LeovigildoPaixão, Enny Santos daIchihara, Maria Yury TravassosMelendez, Gustavo VelasquezBarreto, Maurício Lima2022-02-10T18:43:41Z2022-02-10T18:43:41Z2021Silva, Rita de Cássia Ribeiro et ai. Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017. Public Health Nutr. p. 1-11, 20211475-2727https://www.arca.fiocruz.br/handle/icict/5114410.1017/S1368980021004882MCTI/CNPq/MS/SCTIE/Decit/Bill & Grandes Desafios Brasil da Fundação Melinda Gates – Desenvolvimento Saudável para Todas as Crianças Tendências e desigualdades na desnutrição infantil. Wellcome Trust. Secretaria de Vigilância Sanitária, Ministério da Saúde, Brasil, Estado da Bahia, Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB), a Pesquisa e Projeto Financiadora (FINEP) e Secretaria de Ciência e Tecnologia do Estado da Bahia (SECTI).Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Escola de Enfermagem. Departamento de Enfermagem Materno Infantil e Saúde Pública. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil.Ministério da Saúde. Coordenação Geral de Políticas de Alimentação e Nutrição. Brasília, DF, Brasil.Ministério da Saúde. Coordenação Geral de Políticas de Alimentação e Nutrição. Brasília, DF, Brasil.Ministério da Saúde. Coordenação Geral de Políticas de Alimentação e Nutrição. Brasília, DF, Brasil.Ministério da Saúde. Coordenação Geral de Políticas de Alimentação e Nutrição. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Matemática e Estatística. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil / Epidemiology and Population Health. London School of Hygiene and Tropical Medicine. London, UK.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Escola de Enfermagem. Departamento de Enfermagem Materno Infantil e Saúde Pública. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos em Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Objective: In Brazil, national estimates of childhood malnutrition have not been updated since 2006. The use of health information systems is an important complementary data source for analysing time trends on health and nutrition. This study aimed to examine temporal trends and socio-demographic inequalities in the prevalence of malnutrition in children attending primary health care services between 2009 and 2017. Design: Time trends study based on data from Brazil’s Food and Nutrition Surveillance System. Malnutrition prevalence (stunting, wasting, overweight and double burden) was annually estimated by socio-demographic variables. Prais–Winsten regression models were used to analyse time trends. Annual percent change (APC) and 95 % CI were calculated. Setting: Primary health care services, Brazil. Participants: Children under 5 years old. Results: In total, 15,239,753 children were included. An increase in the prevalence of overweight (APC = 3·4 %; P = 0·015) and a decline in the prevalence of wasting (–6·2 %; P = 0·002) were observed. The prevalence of stunting (–3·2 %, P = 0·359) and double burden (–1·4 %, P = 0·630) had discrete and non-significant reductions. Despite the significant reduction in the prevalence of undernutrition among children in the most vulnerable subgroups (black, conditional cash transfer’s recipients and residents of poorest and less developed areas), high prevalence of stunting and wasting persist alongside a disproportionate increase in the prevalence of overweight in these groups. Conclusions: The observed pattern in stunting (high and persistent prevalence) and increase in overweight elucidate setbacks in advances already observed in previous periods and stresses the need for social and political strategies to address multiple forms of malnutrition.engCambridge University PressTranstornos da Nutrição InfantilDesenvolvimento InfantilBrasilChild Nutrition DisordersChild DevelopmentBrazilTrastornos de la Nutrición del NiñoDesarrollo InfantilBrasilTroubles nutritionnels de l'enfantDéveloppement de l'enfantBrésilTime trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/51144/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALRibeiro-Silva, C.R. 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dc.title.pt_BR.fl_str_mv |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
title |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
spellingShingle |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 Silva, Rita de Cássia Ribeiro Transtornos da Nutrição Infantil Desenvolvimento Infantil Brasil Child Nutrition Disorders Child Development Brazil Trastornos de la Nutrición del Niño Desarrollo Infantil Brasil Troubles nutritionnels de l'enfant Développement de l'enfant Brésil |
title_short |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
title_full |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
title_fullStr |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
title_full_unstemmed |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
title_sort |
Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017 |
author |
Silva, Rita de Cássia Ribeiro |
author_facet |
Silva, Rita de Cássia Ribeiro Silva, Natanael de Jesus Mendes, Mariana Santos Felisbino Falcão, Ila Rocha Andrade, Rafaella da Costa Santin de Silva, Sara Araújo Nilson, Eduardo Augusto Fernandes Spaniol, Ana Maria Fiaccone, Rosemeire Leovigildo Paixão, Enny Santos da Ichihara, Maria Yury Travassos Melendez, Gustavo Velasquez Barreto, Maurício Lima |
author_role |
author |
author2 |
Silva, Natanael de Jesus Mendes, Mariana Santos Felisbino Falcão, Ila Rocha Andrade, Rafaella da Costa Santin de Silva, Sara Araújo Nilson, Eduardo Augusto Fernandes Spaniol, Ana Maria Fiaccone, Rosemeire Leovigildo Paixão, Enny Santos da Ichihara, Maria Yury Travassos Melendez, Gustavo Velasquez Barreto, Maurício Lima |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Rita de Cássia Ribeiro Silva, Natanael de Jesus Mendes, Mariana Santos Felisbino Falcão, Ila Rocha Andrade, Rafaella da Costa Santin de Silva, Sara Araújo Nilson, Eduardo Augusto Fernandes Spaniol, Ana Maria Fiaccone, Rosemeire Leovigildo Paixão, Enny Santos da Ichihara, Maria Yury Travassos Melendez, Gustavo Velasquez Barreto, Maurício Lima |
dc.subject.other.pt_BR.fl_str_mv |
Transtornos da Nutrição Infantil Desenvolvimento Infantil Brasil |
topic |
Transtornos da Nutrição Infantil Desenvolvimento Infantil Brasil Child Nutrition Disorders Child Development Brazil Trastornos de la Nutrición del Niño Desarrollo Infantil Brasil Troubles nutritionnels de l'enfant Développement de l'enfant Brésil |
dc.subject.en.pt_BR.fl_str_mv |
Child Nutrition Disorders Child Development Brazil |
dc.subject.es.pt_BR.fl_str_mv |
Trastornos de la Nutrición del Niño Desarrollo Infantil Brasil |
dc.subject.fr.pt_BR.fl_str_mv |
Troubles nutritionnels de l'enfant Développement de l'enfant Brésil |
description |
MCTI/CNPq/MS/SCTIE/Decit/Bill & Grandes Desafios Brasil da Fundação Melinda Gates – Desenvolvimento Saudável para Todas as Crianças Tendências e desigualdades na desnutrição infantil. Wellcome Trust. Secretaria de Vigilância Sanitária, Ministério da Saúde, Brasil, Estado da Bahia, Fundação de Amparo à Pesquisa do Estado da Bahia (FAPESB), a Pesquisa e Projeto Financiadora (FINEP) e Secretaria de Ciência e Tecnologia do Estado da Bahia (SECTI). |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021 |
dc.date.accessioned.fl_str_mv |
2022-02-10T18:43:41Z |
dc.date.available.fl_str_mv |
2022-02-10T18:43:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Silva, Rita de Cássia Ribeiro et ai. Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017. Public Health Nutr. p. 1-11, 2021 |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/51144 |
dc.identifier.issn.pt_BR.fl_str_mv |
1475-2727 |
dc.identifier.doi.none.fl_str_mv |
10.1017/S1368980021004882 |
identifier_str_mv |
Silva, Rita de Cássia Ribeiro et ai. Time trends and social inequalities in child malnutrition: nationwide estimates from Brazil’s food and nutrition surveillance system, 2009–2017. Public Health Nutr. p. 1-11, 2021 1475-2727 10.1017/S1368980021004882 |
url |
https://www.arca.fiocruz.br/handle/icict/51144 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Cambridge University Press |
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Cambridge University Press |
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