María Florencia Cesani

Effect of Undernutrition on the Cranial Growth of the Rat

The cumulative effect of undernutrition on successive generations was tested. The cranial growth of three generations of undernourished rats (F1, F2, F3) was compared to that of the parental generation (P), in order to (1) measure the extent to which the growth of each facial and neurocranial functional component was retarded when animals were undernourished and (2) determine whether any cumulative effect between generations can be found. The P generation was fed ad libitum, and the undernourished generations were fed 50% (F1) and 75% (F2 and F3) of the parental diet. Nine radiographs were taken from the age of 20–100 days. The length, width and height of the neurocranial and facial components were measured on each radiograph. Neurocranial (VNI), facial (VFI), and neurofacial (NFI) indices were calculated. Data were processed by the Kruskal-Wallis and Kolmogorov-Smirnov tests. An impairment in neurocranial and facial growth was found, the latter being more affected than the former in F1. At variance, the neurocranium was more affected than the face in F2 and F3, resulting in variations of the shape of the skull. A cumulative effect of moderate transgenerational undernutrition was evident and points to the need for further analysis on this topic.

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 composición corporal de niños pobres residentes en barrios periféricos de La Plata, Argentina

OBJECTIVES: To evaluate nutritional status and body composition as indicators of quality of life among poor children served by neighborhood soup kitchens in La Plata, Argentina. METHODS: From April to November 2004, we conducted a cross-sectional study of 608 healthy children from 1-11 years of age who were being served by two neighborhood soup kitchens in the outlying areas of the city of La Plata. The sample was stratified by age and sex. Height-for-age, weight-for age, and weight-for-height, were measured, as well as BMI, muscle mass and adipose tissue. Z-scores were computed for the data. Odds ratios and the respective 95% confidence intervals were calculated. RESULTS: Prevalence of low weight-for-age was 9%; low weight-for-height, 3%; and low height-for-age, 15%. The prevalence of overweight and obesity were 12.5% and 7.1%, respectively. Among the study sample, 47.2% had low muscle mass and 20.4% had low adipose tissue. Among overweight and obese children, adipose tissue was 34.3% higher than that of the reference population, while muscle mass was 12.5% lower. CONCLUSIONS: Undernutrition and obesity are both found among the community of children studied. The high prevalence of delayed growth (i.e., low height-for-age), undernutrition (i.e., low weight-for-age), and the acute lack of muscle mass even among overweight and obese children, seem to be part of the consequences of an inevitable process that unfolds in the face of adverse living conditions.

Growth of functional cranial components in rats submitted to intergenerational undernutrition

The aim of the present study was to discover how intergenerational undernutrition affects the growth of major and minor functional cranial components in two generations of rats. Control animals constituted the parental generation (P). The undernourished generations (F1 and F2) were fed 75% of the control diet. Animals were X‐rayed every 10 days from 20 to 100 days of age. The length, width and height of the major (neurocranium and splanchnocranium) and minor (anterior‐neural, middle‐neural, posterior‐neural, otic, respiratory, masticatory and alveolar) cranial components were measured on each radiograph. Volumetric indices were calculated to estimate size variations of these components. Data were processed using the Kruskal–Wallis and Kolmogorov–Smirnov tests for two samples. Impairment in splanchnocranial and neurocranial growth was found, the latter being more affected than the former in F1. Comparison between F2 and F1 animals showed cumulative effects of undernutrition in both major and minor components (anterior‐neural, respiratory, masticatory and alveolar in males, and middle‐neural and respiratory in females). Such differential effects on minor components may reflect a residual mechanical strain resulting from the linkage between components. This phenomenon was clearly observed in the neurocranium and could be understood as an adaptive response to the demands of the associated functional matrices.

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.

A comparative study on nutritional status and body composition of urban and rural schoolchildren from Brandsen district (Argentina).

The purpose of this study was to analyze whether nutritional status and body composition varies according to the environment of residence (urban or rural) of children in the Brandsen district (Argentina). Weight, height, arm circumference and tricipital and subscapular skinfolds were performed in 1368 schoolchildren aged 3 to 14. NHANES III reference was used to estimate nutritional status -underweight, stunting, wasting, overweight, and obesity- and to evaluate body composition -deficit and excess of adipose (DA, EA) and muscular (DM, EM) tissues of the arm-. Central fat distribution (CFD) was estimated using the subscapular-tricipital index. A structured questionnaire was implemented to evaluate socio-environmental characteristics. Nutritional categories based on body size and body composition were compared between urban and rural areas of residence using Chi-squared tests (χ2). The results indicated for the total sample: 1.1% underweight, 6.9% stunting, 0.4% wasting, 12.1% overweight, 9.7% obesity, 22.0% DM, 2.5% EM, 0.1% DA, 17.6% EA, and 8.5% CFD. Significant differences between urban and rural areas were found only for CFD. The socio-environmental analysis showed that while access to public services and housing quality was significantly better in the urban area, a considerable number of city households lived under deficient conditions, lacked health insurance and had low socioeconomic level. Fifty-three percent of the undernourished children had DM without urban-rural significant differences, and none of them showed DA. In the overweight plus obesity group, 62.8% presented EA, 6.4% EM, 4.7% DM, and 22.8% CFD. The highest percentages of DM and CFD were recorded in rural areas (p = 0.00). We conclude that the child population shows the “double burden” of malnutrition. The environment of residence does not promote any differentiation in the nutritional status. Nevertheless, the increment of central adiposity and, in some cases of muscle deficit in rural children, suggests a consumption of unbalanced diet.

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.

Effect of Intergenerational Chronic Undernutrition on Ponderal, and Linear Growth

The aim of this paper was to analyze if intergenerational undernutrition causes growth retardation in weight and body length in two generations of rats and, if so, to assess whether the delay is cumulative. Male and female rats were assigned to one of the following groups: (1) control: they were fed ad libitum and constituted the parental generation (P), and (2) undernourished generations (F1 and F2): they were fed on 75% of the control diet. Animals were weighed and X-rayed every ten days from 20 to 100 days old in order to measure total body length. Also, body mass index was calculated. Data were processed by ANOVA and LSD post hoc tests. Impairment in weight, body length, and body mass index was found in both generations; nevertheless growth retardation was greater in F2, indicating a cumulative effect of nutritional stress. Sex differences were found, since the cumulative effect of generational undernutrition was greater and earlier in males than in females. It is concluded that when the undernutrition acts with constant intensity during several generations, the growth retardation is cumulative, indicating a negative secular trend.

Growth of functional cranial components in rats with intrauterine growth retardation after treatment with growth hormone

The goal of this study was to analyse the effect of growth hormone (GH) on catch-up growth of functional facial (splanchnocranial) and neurocranial components in rats with intrauterine growth retardation (IUGR). Wistar rats were divided into the following groups: control (C), sham-operated (SH), IUGR, and IUGR + GH. IUGR was surgically induced and GH was administered between 21 and 60 days of age. Radiographs were obtained at 1, 21, 42, 63, and 84 days of age in order to measure length, width, and height of neurocranium (NL, NW, and NH) and face length, width, and height (FL, FW, and FH). Analysis of variance was performed at 1 day of age and a principal components analysis (PCA) at 84 days of age. Neurocranial and facial volumetric indexes were calculated as NVI = (3)√NL × NW × NH and FVI = (3)√FL × FW × FH, respectively, and adjusted by non-linear regression analysis. On postnatal day 1, there were significant differences between SH and IUGR (P < 0.01). Also, in both genders, final neurocranial volume was similar between SH and IUGR + GH groups, while the IUGR group had the lower value (P < 0.01). Final facial volume was similar among the three groups. In both genders, facial growth rates were SH = IUGR > IUGR + GH (P < 0.01). The first axis of the PCA exhibited size effect and the second axis showed shape effect. Reductions of placental blood flow modify cranial growth. The functional neurocranial and facial components in rats with IUGR presented different recovery strategies through modular behaviour, mainly related to modifications of growth rate as response to GH administration.

Secular changes in body size and body composition in schoolchildren from La Plata City (Argentina)

AIM To analyze the secular changes in body size and composition of two cohorts of children from La Plata City, Argentina, with a 35-year follow-up. subjects and methods: Cohort 1 (C1) was measured in 1969-1970 and included 1772 children (889 boys, 883 girls), and Cohort 2 (C2), measured in 2004-2005, included 1059 children (542 boys, 517 girls). Both cohorts were obtained from matching geographical areas and comprised children from 4 to 12 years. Body weight (W); Height (H); Upper arm circumference (UAC); Tricipital (TS) and Subscapular skinfolds (SS) were measured, and Body Mass Index (BMI) and muscle (UMA) and fat (AFA) brachial areas were calculated. Prevalence of overweight and obesity was estimated by IOTF. To compare C1-C2 we used a generalized linear model with log-transformed variables, and chi square test. RESULTS There were significant and positive differences between C2-C1 in W, UAC, SS, TS, and AFA. In contrast, H was not significantly different and UMA was significantly different but with negative values. The prevalence of overweight and obesity was 14.5% and 3.8% in C1, and 17.0% and 6.8% in C2. Differences between cohorts were significant for obesity. CONCLUSION The shifts observed for soft tissues--positive trend for fat and negative for muscle area--occurring without changes in height lead us to suppose that in these three decades, La Platas population has experienced deterioration in living conditions and important changes in their lifestyle, such as an increased consumption of energy-dense foods and sedentary habits.