Luis M. Forte

Socioenvironmental Conditions and Nutritional Status in Urban and Rural Schoolchildren

We analyzed the nutritional status of urban and rural schoolchildren from Mendoza (Argentina), but avoided rural and urban categorization by generating subpopulations as a function of their socioenvironmental characteristics. We transformed weight and height data into z‐scores using the CDC/NCHS growth charts; defined underweight, stunting, and wasting by z‐scores of less than −2 SD; and calculated overweight and obesity, according to the cutoff proposed by the International Obesity Task Force. Socioenvironmental characteristics included housing, public services, parental resources, and farming practices; we processed these variables by categorical principal‐component analysis. The two first axes defined four subgroups of schoolchildren: three of these were associated with urban characteristics, while the remaining subgroup was considered rural. Nutritional status differed across groups, whereas overweight was similar among the groups and obesity higher in urban middle‐income children. Urban differences were manifested mainly as underweight, but rural children exhibited the greatest stunting and wasting. Thus, the negative effects of environment on nutritional status in children are not restricted to poor periurban and rural areas, though these are indeed unfavorable environments for growth: some urban families provide children with sufficient quantity and diversity of foods to expose them to obesity. By contrast, the more affluent urban families would appear to have greater possibilities for allowing their children to adopt a healthy life‐style. Although the causes of differences in nutritional status between middle‐ and high‐income urban groups are not clear, these determinants probably involve economic as well as educational influences. Am. J. Hum. Biol., 2008.

ESTADO NUTRICIONAL Y PARASITOSIS INTESTINALES EN NIÑOS RESIDENTES EN ZONAS URBANA, PERIURBANA Y RURAL DEL PARTIDO DE BRANDSEN (BUENOS AIRES, ARGENTINA)

Carta a los directores de la publicacion en referencia a algunos aspectos de la nota citada.

Growth of school children in different urban environments in Argentina

Background: Nutritional transition has been described in various countries, each showing inherent characteristics. Furthermore, different patterns also appear within the same country. Aim: To compare the nutritional status of schoolchildren, of both sexes, living in two Argentine cities with different urban and environment characteristics, from the perspective of nutritional transition. Subjects and methods: The sample comprised 5355 children (6–13 years) living in Puerto Madryn (Chubut) and General Alvear (Mendoza), Argentina. Weight and height were transformed into Z-scores according to NHANES I- II; underweight, stunting and wasting defined by − 2 SD and overweight and obesity calculated according the cut-off proposed by IOTF. Prevalences of nutritional status were estimated. Results: Comparison of the two cities revealed significant χ2 values for the indicators of nutritional status analysed. Puerto Madryn had higher prevalences of overweight and obesity. General Alvear exhibited higher stunting and underweight values. Conclusions: The cities studied are in different stages of nutritional transition. Puerto Madryn is undergoing growing industrialization and urbanization and thus exhibits characteristics typical of an ‘obesogenic’ environment. General Alvear, a less complex urban centre, where some cultural patterns related to an agrarian way of life appear to have been retained, is situated at a less advanced stage.

Weight and height percentiles calculated by the LMS method in Argentinean schoolchildren. A comparative references study

Abstract Background: The Argentinean population is characterized by ethnic, cultural and socio-economic diversity. Aim: To calculate the percentiles of weight-for-age (W/A) and height-for-age (H/A) of schoolchildren from Argentina employing the LMS method; and to compare the obtained percentiles with those of the international and national references. Subjects and methods: Anthropometric data of 18 698 students (8672 girls and 10 026 boys) of 3–13 years old were collected (2003–2008) from Buenos Aires, Catamarca, Chubut, Jujuy, La Pampa and Mendoza. Percentiles of W/A and H/A were obtained with the LMS method. Statistical and graphical comparisons were established with the WHO (international reference) and with that published by the Argentinean Paediatric Society (national reference). Results: Differences in W/A and H/A, regarding the references, were negative and greater at the highest percentiles and in most of the age groups. On average, the differences were greater for boys than girls and for national than international references. Conclusion: The distribution of weight and height of schoolchildren, coming from most regions of the country, differs from those of national and international references. It should be advisable to establish a new national reference based on internationally recognized methodological criteria that adequately reflect the biological and cultural diversity of the Argentinean populations.