Saúde mental materna e estado nutricional de crianças aos seis meses de vida

Detalhes bibliográficos
Autor(a) principal: Hassan, Bruna Kulik
Data de Publicação: 2016
Outros Autores: Werneck, Guilherme Loureiro, Hasselmann, Maria Helena
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/126492
Resumo: OBJECTIVE To analyze if maternal mental health is associated with infant nutritional status at six month of age. METHODS A cross-sectional study with 228 six-month-old infants who used primary health care units of the city of Rio de Janeiro, Southeastern Brazil. Mean weight-for-length and mean weight-for-age were expressed in z-scores considering the 2006 World Health Organization reference curves. Maternal mental health was measured by the 12-item General Health Questionnaire. The following cutoff points were used: ≥ 3 for common mental disorders, ≥ 5 for more severe mental disorders, and ≥ 9 for depression. The statistical analysis employed adjusted linear regression models. RESULTS The prevalence of common mental disorders, more severe mental disorders and depression was 39.9%, 23.7%, and 8.3%, respectively. Children of women with more severe mental disorders had, on average, a weight-for-length 0.37 z-scores lower than children of women without this health harm (p = 0.026). We also observed that the weight-for-length indicator of children of depressed mothers was, on average, 0.67 z-scores lower than that of children of nondepressed women (p = 0.010). Maternal depression was associated with lower mean values of weight-for-age z-scores (p = 0.041). CONCLUSIONS Maternal mental health is positively related to the inadequacy of the nutritional status of infants at six months.
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spelling Saúde mental materna e estado nutricional de crianças aos seis meses de vida Maternal mental health and nutritional status of six-month-old infants OBJECTIVE To analyze if maternal mental health is associated with infant nutritional status at six month of age. METHODS A cross-sectional study with 228 six-month-old infants who used primary health care units of the city of Rio de Janeiro, Southeastern Brazil. Mean weight-for-length and mean weight-for-age were expressed in z-scores considering the 2006 World Health Organization reference curves. Maternal mental health was measured by the 12-item General Health Questionnaire. The following cutoff points were used: ≥ 3 for common mental disorders, ≥ 5 for more severe mental disorders, and ≥ 9 for depression. The statistical analysis employed adjusted linear regression models. RESULTS The prevalence of common mental disorders, more severe mental disorders and depression was 39.9%, 23.7%, and 8.3%, respectively. Children of women with more severe mental disorders had, on average, a weight-for-length 0.37 z-scores lower than children of women without this health harm (p = 0.026). We also observed that the weight-for-length indicator of children of depressed mothers was, on average, 0.67 z-scores lower than that of children of nondepressed women (p = 0.010). Maternal depression was associated with lower mean values of weight-for-age z-scores (p = 0.041). CONCLUSIONS Maternal mental health is positively related to the inadequacy of the nutritional status of infants at six months. OBJETIVO Analisar se saúde mental materna associa-se ao estado nutricional infantil no sexto mês de vida. MÉTODOS Estudo seccional com 228 crianças aos seis meses atendidas em unidades básicas de saúde do município do Rio de Janeiro. Médias de peso-para-comprimento e peso-para-idade foram expressas em escores z considerando as curvas de referência do World Health Organization 2006. A saúde mental materna foi aferida pelo General Health Questionnaire com 12 itens. Foram empregados os pontos de corte ≥ 3 para transtornos mentais comuns, ≥ 5 para transtornos mentais mais graves e ≥ 9 para depressão. Na análise estatística empregaram-se modelos de regressão linear ajustados. RESULTADOS As prevalências de transtornos mentais comuns, transtornos mentais mais graves e depressão foram de 39,9%, 23,7% e 8,3%, respectivamente. Para peso-para-comprimento, filhos de mulheres com transtornos mentais mais graves tinham, em média, 0,37 escores z mais baixos do que filhos de mulheres sem este agravo (p = 0,026). Também para o indicador peso-para-comprimento observou-se que, em relação aos filhos de mulheres não deprimidas, crianças de mães deprimidas apresentaram, em média, 0,67 escores z mais baixos (p = 0,010). Depressão materna esteve associada com valores médios mais baixos de escore z de peso-para-idade (p = 0,041). CONCLUSÕES A saúde mental materna está positivamente relacionada à inadequação do estado nutricional de crianças aos seis meses. Universidade de São Paulo. Faculdade de Saúde Pública2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/12649210.1590/S1518-8787.2016050006237Revista de Saúde Pública; Vol. 50 (2016); 7Revista de Saúde Pública; Vol. 50 (2016); 7Revista de Saúde Pública; v. 50 (2016); 71518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/126492/123441https://www.revistas.usp.br/rsp/article/view/126492/123442Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessHassan, Bruna KulikWerneck, Guilherme LoureiroHasselmann, Maria Helena2018-02-26T17:09:51Zoai:revistas.usp.br:article/126492Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-02-26T17:09:51Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Saúde mental materna e estado nutricional de crianças aos seis meses de vida
Maternal mental health and nutritional status of six-month-old infants
title Saúde mental materna e estado nutricional de crianças aos seis meses de vida
spellingShingle Saúde mental materna e estado nutricional de crianças aos seis meses de vida
Hassan, Bruna Kulik
title_short Saúde mental materna e estado nutricional de crianças aos seis meses de vida
title_full Saúde mental materna e estado nutricional de crianças aos seis meses de vida
title_fullStr Saúde mental materna e estado nutricional de crianças aos seis meses de vida
title_full_unstemmed Saúde mental materna e estado nutricional de crianças aos seis meses de vida
title_sort Saúde mental materna e estado nutricional de crianças aos seis meses de vida
author Hassan, Bruna Kulik
author_facet Hassan, Bruna Kulik
Werneck, Guilherme Loureiro
Hasselmann, Maria Helena
author_role author
author2 Werneck, Guilherme Loureiro
Hasselmann, Maria Helena
author2_role author
author
dc.contributor.author.fl_str_mv Hassan, Bruna Kulik
Werneck, Guilherme Loureiro
Hasselmann, Maria Helena
description OBJECTIVE To analyze if maternal mental health is associated with infant nutritional status at six month of age. METHODS A cross-sectional study with 228 six-month-old infants who used primary health care units of the city of Rio de Janeiro, Southeastern Brazil. Mean weight-for-length and mean weight-for-age were expressed in z-scores considering the 2006 World Health Organization reference curves. Maternal mental health was measured by the 12-item General Health Questionnaire. The following cutoff points were used: ≥ 3 for common mental disorders, ≥ 5 for more severe mental disorders, and ≥ 9 for depression. The statistical analysis employed adjusted linear regression models. RESULTS The prevalence of common mental disorders, more severe mental disorders and depression was 39.9%, 23.7%, and 8.3%, respectively. Children of women with more severe mental disorders had, on average, a weight-for-length 0.37 z-scores lower than children of women without this health harm (p = 0.026). We also observed that the weight-for-length indicator of children of depressed mothers was, on average, 0.67 z-scores lower than that of children of nondepressed women (p = 0.010). Maternal depression was associated with lower mean values of weight-for-age z-scores (p = 0.041). CONCLUSIONS Maternal mental health is positively related to the inadequacy of the nutritional status of infants at six months.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/126492
10.1590/S1518-8787.2016050006237
url https://www.revistas.usp.br/rsp/article/view/126492
identifier_str_mv 10.1590/S1518-8787.2016050006237
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/126492/123441
https://www.revistas.usp.br/rsp/article/view/126492/123442
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 50 (2016); 7
Revista de Saúde Pública; Vol. 50 (2016); 7
Revista de Saúde Pública; v. 50 (2016); 7
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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