Mariela Garraza

Asociación entre geohelmintos y condiciones socioambientales en diferentes poblaciones humanas de Argentina

OBJETIVOS: Analizar la relacion entre las especies de geohelmintos identificadas en poblaciones urbanas, suburbanas y rurales de las Provincias de Buenos Aires y Misiones, Argentina, y los aspectos socioambientales que favorecen la infestacion por estos parasitos. METODOS: Estudio transversal. Se analizaron 700 muestras fecales humanas provenientes de 319 familias residentes en una poblacion urbana (LPU) y dos suburbanas (LPS, LPN) de la Provincia de Buenos Aires, y una poblacion rural de la provincia de Misiones (MR), en Argentina. Se colectaron 35 muestras fecales de perros y 205 de tierra, y se completaron encuestas sobre las caracteristicas socioambientales de las localidades estudiadas. Se utilizaron las tecnicas de analisis parasitologicos de Ritchie, Carles Barthelemy, Fulleborn y Kato Katz. RESULTADOS: La frecuencia de parasitosis fue mayor en MR (78,4%), seguida de las areas suburbanas LPN (35,0%) y LPS (25,8%), y fue menor en la zona urbana LPU (5,7%). Los ancilostomideos (71,1%) y Strongyloides stercoralis (22,2%) se detectaron solamente en MR y Ascaris lumbricoides, Hymenolepis nana y Trichuris trichiura fueron mas frecuentes en LPN. Las muestras de heces de perros de Misiones presentaron una mayor frecuencia de parasitos (100%) que las de las localidades de Buenos Aires, pero el suelo del sector urbano bonaerense resulto mas contaminado. Las practicas de alimentacion y defecacion poco higienicas, el hacinamiento, el habito de no usar calzado y el piso de tierra en las viviendas se asociaron significativamente con una mayor frecuencia de geohelmintos y pseudogeohelmintos intestinales (P < 0,05). CONCLUSIONES: El alto numero de casos con infestacion multiple observado tanto en las poblaciones suburbanas como en la rural merece una atencion especial y plantea la necesidad de profundizar estudios epidemiologicos que integren los diversos aspectos de este complejo problema a fin de implementar acciones y programas sanitarios eficaces.

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.

Estudio comparativo del estado nutricional de niños y niñas residentes en cuatro partidos de la provincia de Buenos Aires (Argentina), en el marco de la transición nutricional

The aim of this study was to evaluate and compare the nutritional status of child populations living in four counties of the province of Buenos Aires to observe differences related to particular environmental and socioeconomic contexts in the framework of the nutrition transition. During the school years corresponding to the 2008-2012 period, weight and height were measured and body mass index was calculated for 7,873 school children between the ages of 4 and 12 years from the counties of La Plata, Brandsen, Magdalena and Punta Indio. Information about the contexts of residence was obtained using self-administered structured surveys. About 40% of schoolchildren presented malnutrition, with a prevalence of overweight in La Plata, obesity in Punta Indio and undernutrition in Magdalena. The nutritional status of the study populations was associated with the socioenvironmental conditions of residence, indicating that these populations are at different stages of the nutrition transition process.

Sobrepeso y obesidad en relación a condiciones socio-ambientales de Niños residentes en San Rafael, Mendoza/Overweight and obesity in relation to socio-environmental conditions of children residents in San Rafael, Mendoza

RESUMEN Este trabajo se centra en el analisis de cambios osteoartrosicos observados en esqueletos del cementerio de Rincon Chico 21 (Santa Maria, Catamarca), con el objeto de intentar la reconstruccion de los habitos corporales mas probables y explorar su vinculacion con eventuales divisiones del trabajo en la poblacion que genero este cementerio precolombino. Las manifestaciones osteoartrosicas en los principales sistemas articulares de 56 individuos adultos de ambos sexos fueron registradas, analizadas y comparadas. Los resultados sugieren que en esta comunidad con una economia de subsistencia principalmente basada en la practica de agricultura de regadio y pastoreo de camelidos (Desarrollos Regionales), habria existido una division de tareas y/o actividades potencialmente relacionadas con el sexo de los individuos. Asimismo, los analisis estadisticos aplicados entre los grupos etarios considerados estarian indicando que la edad constituiria un factor determinante en la expresion final de la enfermedad degenerativa articular tanto en las articulaciones de los miembros inferiores como en las del esqueleto axial. ABSTRACT This research is centered on the skeletal analysis of osteoarthritic changes observed in individuals from Rincon Chico 21, a prehistoric burial site at Santa Maria, Catamarca, Argentina. The aim was to try the reconstruction of the most probable corporal behaviours, as well as the possible relationships with labour divisions among individuals from the population that generated the prehistoric cemetery. Osteoarthritic manifestations on the main articular systems of 56 systematically excavated adult skeletons of both sexes were registered, analyzed and compared. Results suggested that in this prehistoric community, with subsistence economy based on agriculture and pastoralism (Regional Developments Period), there may have existed a sexual division of the daily activities. In addition, the results of the statistical analysis applied among the age groups indicate that the age would be an important factor for determining the final expression of the degenerative joint disease, both in the joints of the lower extremities and in the axial skeleton.RESUMEN El estudio de las poblaciones humanas antiguas es complejo y requiere de un enfoque interdisciplinario. La arqueologia argentina esta promoviendo el desarrollo de nuevas lineas de evidencias que incluyen espacios muy activos de interaccion con la biologia. Numerosos estudios biologicos se efectuan sobre los depositos sedimentarios asociados al contexto arqueologico. Los sedimentos asociados a los restos humanos constituyen un recurso de informacion poco explorado y en general, escasamente contemplado en el diseno previo de la excavacion. El presente trabajo aborda el examen de sedimentos de foramenes sacrales de esqueletos humanos pertenecientes al Museo Regional Monsenor Fagnano, Tierra del Fuego, una clase de material arqueologico poco estudiado. La recuperacion de rotiferos, artropodos y parasitos justifica el esfuerzo de muestreo sobre materiales sin asignacion temporal y con escasa referencia espacial. Se puede concluir que el estudio de microfosiles presentes en este tipo de deposito permite maximizar la informacion obtenida del registro bioarqueologico debido a que albergan valiosa informacion paleoambiental, bioantropologica y tafonomica. Asi, el estudio exhaustivo y no destructivo de las muestras arqueologicas resulta un punto crucial en la estrategia de investigacion. ABSTRACT The study of ancient human populations is complex and requires an interdisciplinary approach. The Argentinean archaeology is promoting the development of new research fields, including areas of active interaction with biology. Numerous biological studies are conducted on the sedimentary deposits in association to the archaeological context. The sediments associated to human remains constitute an unexplored source of information. Nevertheless, this material is frequently overlook during excavations and/or insufficient number of samples are taken. The present study analyzes the sediments found in sacral foramina of human skeletons belonging to the Monsenor Fagnano Regional Museum, Tierra del Fuego this is a kind of archaeological material rarely studied. The recovery of rotifers, arthropods and parasites justified the sampling effort on this unusual sediments characterized by a low temporary and spatial reference. It can be concluded that the study of microfossils found in this type of deposit maximized the information obtained from the bioarchaeological registry because it harbors valuable palaeoenvironmental, bioanthropological and taphonomic data. Therefore, the exhaustive and non-destructive study of the archaeological samples is a crucial point in the research strategy