Efeito de ações em nutrição em uma creche pública sobre o estado nutricional de pré-escolares

• Autor(a) principal: Pereira, Alessandra da Silva
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/7325
• topic: Child day care center; Preschooler; Nutritional status; Pré-escolar; Estado nutricional; Nutrição - Avaliação; Creches; Crianças - Nutrição; CNPQ::CIENCIAS DA SAUDE::NUTRICAO::ANALISE NUTRICIONAL DE POPULACAO

Introduction: The pre-school is characterized by a phase in which there are numerous changes in dietary patterns. This is a period of intense learning. Through the contemporary style family, expressed mainly by the inclusion of women in the labor market, nurseries have been appearing as a good choice of institution for the care of children in preschool. Objective: To evaluate the effectiveness of a nutritional intervention in preschool children in a day care center. Metodology: It is a longitudinal study, before (t0) and six month after (t1) of the intervention, which 51 children of 2 to 4 years ago. The procedures were: anthropometric (W/A; W/H e W/H, WHO reference- 2006/2007, SISVAN -2008 classification); biochemical evaluation (cholesterol, HDL, LDL, triglycerides and glucose); hematological evaluation (hemoglobin); dietetic assessment (weigh food record methods and food register). The determination of energy, carbohydrates, total lipids, protein, food fiber, calcium, iron, vitamins A and C were made by Diet Pro version 4.0. The adequacy index (AI= intake average /EAR or AI) evaluated the adequacy of the food intake. It was searched social and demographic data and the health history. The nutrition actions were: the pedagogic activities, the culinary workshops and a visit at fruit and vegetable supermarket with the children; discussion about the nutritional diagnostic and others chat too. It was verified inadequate intake of lipids, in both moments, for 100% of the children. Results: The most important results were: reduction of the prevalence to deficits in indexs H/A and W/A, lipid profile with major risk after the intervention, reduction of anemia, increase of the energy, carbohydrates, iron, vitamins C and A and food fiber intakes. It was also discrete the reduction of the calcium intake. Energy, iron, calcium and vitamin C presented probability of adequacy index ≥ 50% (ID>1.00); the protein migrated of ID=3.96 to ID=5.04. It was verified inadequate intake of lipids, in both moments, for 100% of the children. It was concluded that the intervention was effective to reach nutritional adequate levels for the nutrients