Catarina Bertaso Andreatta Gottschall

Avaliação antropométrica em idosos: estimativas de peso e altura e concordância entre classificações de IMC

OBJECTIVE: Assessing the concordance between different classifications of body mass index (BMI) and verify if the formulas to estimate weight and height, that can be applied to the elderly population in Southern Brazil. METHOD: Cross-sectional analysis was applied to 131 elders from three long-stay institutions in Southern Brazil. They were evaluated through anthropometric assessment, considering weight, knee height, sub-scapular skin fold, as well as, calf, arm and waist circumferences and anthropometry. RESULTS: The average age of the samples was 78.9 (41.2% males and 58% females). According to the WHO scale, only two elders (1.5), were considered underweight; 63 of them (48.1) were classified as eutrophic and 66 (50.4%) were classified as being overweight, obesity degrees I and II. On the other hand, cut-off points set by Lipschitz considered 21 elders (16%) as being underweight, 69 ( 52.7%) eutrophic and 41 (31%) as overweight. By comparing standard weight and height measurement to the same estimated measures, it was clear that Rabitos formula for estimated height and weight showed no significant difference. CONCLUSION: The cut-off points showed moderate concordance. Lischitz emphasizes a higher range of risk for malnutrition. Comparing weight and height standard measurements to the estimated ones, it was concluded that just Rabitos formula can be applied to this population.

NUTRITIONAL ASSESSMENT OF CHILDREN AND TEENAGERS WITH DOWN SYNDROME AND CONGENITAL CARDIOPATHY

El objetivo del esto estudio fue analizar el perfil nutricional de las pacientes con sindrome de Down (SD) y cardiopatia congenita (CC). Se trata de un estudio transversal de avaluacion del estado nutricional en 98 pacientes con SD y CC, 56% mujeres entre 0 y 18 anos de edad. La prevalencia de bajo peso, sobrepeso y baja estatura fue de 30%, 22% y 17%, respectivamente. Hubo diferencia entre la desnutricion al nacer y la que se refiere a los actuales datos antropometricos (p = 0,01). Una asociacion mostro un incremento significativo en el peso (p = 0,049) y hubo recuperacion del estatura (p< 0,001). En conclusion, el nacimiento hay deficit de estatura y peso. Al aumentar la edad hay una mejoria en la estatura, pero no asi en el peso. Se observo una predisposicion al sobrepeso en estos pacientes.