Prevalência e fatores associados à dupla carga da má nutrição em crianças de 0 a 36 meses na cidade de Lavras, Minas Gerais, Brasil
Palavras-chave:
Antropometria, Transtornos da nutrição infantil, Desnutrição, SobrepesoResumo
Objetivo
O objetivo foi estimar a prevalência e identificar fatores associados a distúrbios nutricionais antropométricos em
crianças de 0 a 36 meses.
Método
Estudo transversal com todas as 323 crianças acompanhadas em dez unidades de saúde do município de Lavras/MG, de janeiro a dezembro de 2022. A coleta de dados incluiu aplicação de questionário e realização da antropometria (peso e altura). Os distúrbios nutricionais foram agrupados e avaliados em conjuntos: failure to thrive (ZP/I<-2, ZP/E<-2, ZE/I<-2 ou ZIMC/I<-2) e double burden (ZP/I<-2, ZP/E<-2, ZE/I<-2 ou ZIMC/I>2). Foram realizadas análises descritivas e regressões logísticas simples e múltiplas, com estimativas de odds ratio e respectivos intervalos de confiança de 95%, para identificar os fatores associados aos desfechos estudados. As análises múltiplas foram ajustadas por sexo e idade da criança.
Resultados
A prevalência de crianças com pelo menos um distúrbio nutricional foi de 22.3%. A baixa estatura para a idade foi o distúrbio nutricional mais prevalente (10.5%) e o baixo peso para a estatura foi o menos prevalente (4.3%).
Conclusão
O baixo peso ao nascer foi fator de risco associado tanto ao conjunto failure to thrive quanto ao double burden.
A ausência da Caderneta de Saúde da Criança na consulta de rotina também se associou ao conjunto double burden e a ausência do consumo de “comida de sal” no dia anterior também se associou ao conjunto failure to thrive. Na presença desses fatores de risco, as crianças devem receber acompanhamento cuidadoso para prevenir distúrbios nutricionais.
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Copyright (c) 2026 Cynthia Francisca Xavier Costa de Assis Silva, Maysa Helena de Aguiar Toloni , Lilian Gonçalves Teixeira , Tulio Konstantyner

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