To analyze the total energy expenditure (TEE) and resting energy expenditure (REE) in children wi... more To analyze the total energy expenditure (TEE) and resting energy expenditure (REE) in children with cerebral palsy (CP) and moderate or severe malnutrition during nutritional recovery. In an intervention study, thirteen subjects with CP (10 females and 3 males with a mean age of 9y11m ± 2y3m), level V of the Gross Motor Function Classification System and moderate or severe malnutrition were included. Eight were fed by nasogastric tube and five by gastrostomy. They were compared with 57 healthy participants (31 females and 26 males with mean age of 8y7m ± 10m). Anthropometric measurements, body composition and energy expenditure by bioelectrical impedance analysis (BIA) and indirect calorimetry (IC) were performed in both groups. TEE and REE were higher in healthy children than in children with CP in kcal/d and kcal/cm/d but were lower in kcal/kg/d (p <0.001). Intensive nutritional support for four weeks in children with CP produced a significant increase in energy expenditure. TE...
Anthropometric indicators are difficult to interpret in very low birth weight (VLBW) premature in... more Anthropometric indicators are difficult to interpret in very low birth weight (VLBW) premature infants, including both appropriate for gestational age (AGA) and small for gestational age (SGA) infants. Therefore, the purpose was to describe the anthropometric indicators of growth and nutritional status in VLBW premature infants AGA and SGA, hospitalized in a neonatal intensive care unit (NICU). The descriptive and prospective study design included 114 preterm infants, adequate for gestational age/small for gestational age hospitalized in the intensive care unit. Head, thigh, mid upper arm circumference, skin-fold measurements and weight/age, length/ age, and weight/length indices were obtained. Correlations were made among the anthropometric indices, and a multivariate regression analysis with weight/age as dependent variable was performed. Weight/age in AGA premature infants had high number of significant anthropometric correlations. The SGA premature infants had few and weak corre...
To assess the risk of dislypidemia associated with obesity in children and adolescents. A cross s... more To assess the risk of dislypidemia associated with obesity in children and adolescents. A cross sectional study was conducted with 62 obese children (BMI > 95 centile and tricipital skinfold thickness > 90 centile) and 70 non-obese children (BMI 5-85 centile) ages 5-15 years, without chronic diseases. Subjects' characteristics and family background of chronic diseases were collected and a lipid profile was determined. The risk of lipid alterations in the obese children was calculated using odds ratio (OR) and multivariate analysis. Mean age was 9.8 +/- 2.7 years in both groups; 63 girls and 69 boys were included. Obesity was associated with abnormal values for cholesterol, triglycerides, LDL, HDL and dislypidemia (> 1 abnormal value) (OR 4.47-15.0). In obese children and adolescents the multivariate analysis showed that female gender was associated with dislypidemia. Obesity in children and adolescents is associated with high risk of dislypidemia; the risk is higher amo...
Introduction. Objective. To compare the dietary habits/energy intake of overweight and nonoverwe... more Introduction. Objective. To compare the dietary habits/energy intake of overweight and nonoverweight children and adolescents.
Revista medica del Instituto Mexicano del Seguro Social
it has been demonstrated that children obesity is a multifactorial disease and probably, the alte... more it has been demonstrated that children obesity is a multifactorial disease and probably, the alteration of the family dynamic is another potential risk factor. The objective was to identify the association between obesity and family dysfunction in school children who attend to a family medicine unit. case and control study at Mexican Social Security Institute in Guadalajara, Jalisco, Mexico. Sociodemographic factors and family dynamic of obese and non-obese subjects (n = 452) of six to nine years old from nuclear families were achieved. the association between family dysfunction and obesity was [OR = 1.63 (1.08-2.46), p = 0.01]. Area II, Identity formation, and area VI, Discipline and methods, showed a lower score in cases of children with obesity (p < 0.001 and p = 0.005, respectively). In a logistic regression model family dysfunction [RM 1.79 (1.19, 2.71), p = 0.005] and low literacy of mothers [RM 1.61 (1.06, 2.45), p = 0.02)] were risk factors for obesity in school children....
Journal of health, population, and nutrition, 2003
This cross-sectional study was carried out in Guadalajara, Mexico, during 1998-1999 to identify f... more This cross-sectional study was carried out in Guadalajara, Mexico, during 1998-1999 to identify food taboos among nursing mothers who participated in a breast-feeding support programme. The study included 493 nursing mothers who were interviewed 10-45 days after delivery. A chi-square test was used for finding an association among food taboos, mother's characteristics, and demographic variables. 50.3% of the mothers avoided at least one food in their diet after childbirth due to beliefs that it was harmful during breast-feeding. Forty-seven percent avoided three or more foods. Fruits and vegetables (62%) and legumes (20%) were the most-avoided foods. These food taboos were associated with living more than 10 years in Guadalajara city (odds ratio [OR] 1.95 [1.25-3.09], p = 0.002), breast-feeding experience (OR 1.91 [1.18-3.12], p = 0.005), no-prenatal information about breast-feeding (OR 1.59 [1.08-2.34], (p = 0.01), and other people's suggestion to complement breast-feeding ...
International Journal of Pediatric Otorhinolaryngology, 2012
Caustic substance ingestion is a public health issue in some underdeveloped countries. Published ... more Caustic substance ingestion is a public health issue in some underdeveloped countries. Published information on socio-demographic factors related to this problem is scarce. The aim of this study was to evaluate the association of socio-demographic factors with caustic ingestion in children. case-control study. Cases were children with caustic substance ingestion who were attended to during 2006 (n=94) at a pediatric referral hospital in Guadalajara, Mexico; the controls were a random sample of children who were hospitalized or seen as outpatients in the same pediatric referral hospital (n=641). The socio-demographic variables were studied using a validated questionnaire (Children Nutrition Organization Survey). OR, 95% CI and logistic regression. Mean age of the cases was 3.2 years (SD 2.4) and 37.2% of cases were girls. Caustic ingestion occurred at home in 63.8% of cases and at a relative&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s home in 23.4% of cases. Alkaline products were ingested by 85.1%; containers had no warning labels in 72.3% of cases and no childproof safety caps in 92.6% of cases. The socio-demographic variables associated with caustic ingestion included higher family income, lower educational level of the mother, higher proportion of fathers working as independent professionals, extended family, mother&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s age &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;30 years, and mother working outside the home. The observed family risk profile for caustic ingestion was higher family income, young working mother with low educational level, father working as independent professional, and extended family.
The aim of this study was to assess the effects of chronic iron deficiency on neuropsychological ... more The aim of this study was to assess the effects of chronic iron deficiency on neuropsychological traits in infants. We established the nutritional iron status and assessed the neuropsychological characteristics of 58 Mexican 14- to 18-month-old infants. The Bayley Scales of Infant Development, preschool language scales and an environmental sound perception task designed expressly for the study, were used. The
to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associa... more to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associated with the early introduction of pasteurized/raw cow's milk in the second semester of life. this non-probabilistic study included 150 subjects (75 patients and 75 controls), divided according to sex and age (range, 6 to 16 years). T1DM was considered to be a dependent variable, and pasteurized/ raw cow's milk (P/RCM) was considered to be an independent variable in the study. The statistical analyses included chi-squared test, odds ratio and 95% confidence intervals. the subjects were 51% male, age 11 ± 3.2 years, and 80% were breastfed, 18% were exclusively breastfed, and 13% received pasteurized/raw cow's milk. The children receiving P/RCM had a higher risk of T1DM [OR, 3.9 (1.2-12.8)]. The presence of T1DM was three times higher in those consuming P/RCM vs. those receiving follow-up formula [RM, 3.2 (1.03-10.07)]. introducing pasteurized/raw cow's milk in the second s...
Revista médica del Instituto Mexicano del Seguro Social
To identify the association between family dysfunction and obesity in children six to nine year-o... more To identify the association between family dysfunction and obesity in children six to nine year-old. A case-control study that included children with obesity (cases, n = 64) with body mass index (BMI) > 95th percentile and triceps skinfold (TSF) > 90th percentile; and a control group (n = 120) with BMI < 85th percentile and TSF < 90th percentile was performed. Anthropometric measurements were made and a questionnaire assessing eight areas of family dynamics was applied. We compared the frequency of family dysfunction among cases and controls with the χ² test and its association with obesity through the odds ratio. The average score of the questionnaire was 80.8 ± 11.3 with no differences between groups. The categories "probably dysfunctional" and "dysfunctional" were more common in the obese group but the differences were not significant. The score of the areas "dynamics of parents as a couple" (p = 0.053) and "structure of authority in...
The purpose was to evaluate the association between calcium (Ca) intake and adiposity in adolesce... more The purpose was to evaluate the association between calcium (Ca) intake and adiposity in adolescents. A cross-sectional study of 125 adolescents 12 to 16 years. Ca intake was evaluated by 24-hour recall dietary surveys and food frequency consumption. Adiposity was measured by anthropometric methods and bioelectrical impedance (BIA). The association between Ca intake and adiposity was identified by simple correlation and multivariate models adjusted to energy consumption, age, sex and menarche. Mean age of adolescents was 13.5 +/- 0.8 years. A negative correlation was identified between Ca intake and anthropometric indicators weight, skinfolds, body mass index, fat mass and percentage of fat (the latter two by BIA and only in women). Multivariate analysis, including energy consumption showed no association between Ca intake and adiposity. In conclusion, Ca consumption does not associate with adiposity in adolescents; multivariate models showed that energy intake and menarche are the ...
To explore food habits, demographic and socioeconomic factors associated to calcium intake of pre... more To explore food habits, demographic and socioeconomic factors associated to calcium intake of pregnant adolescents. In a cross sectional study 321 participants of 13 to 19 years old attending to the division of gynecology- obstetrics of the Civil Hospital of Guadalajara were included. All participants were healthy, in any moment of pregnancy and belonging to the low and middle-low socioeconomic status. The calcium intake was obtained through a food frequency questionnaire and a 24-hour dietary recall. Demographic and socioeconomic data were also included. A chi square test, an odds ratio (95% CI) and a regression logistic model for the identification of the epidemiologic meaning of the associated variables to the calcium intake were obtained. Sixty one percent of adolescents consumed less that 80% of the diary recommended intake of calcium. The domestic labor occupation of adolescents [OR 2.66 (1.28-5.53)], low milk [OR 2.54 (1.37-4.0)] and dairy intake [OR 2.75 (1.09-7.0)], excess ...
To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrost... more To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia. Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used. During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01). The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%). Intensive nutritional support for four weeks had a significant effect on the nutritional status and bod...
Revista médica del Instituto Mexicano del Seguro Social, 2014
If obesity results from the interaction of variables that involve the subject and his environment... more If obesity results from the interaction of variables that involve the subject and his environment, the alternatives to face the problem could be very diverse. The objective of this study was to seek for the best predictive model of childhood obesity from energy ingestion, dietary habits and physical activity. Case control study of 99 obese and 100 healthy weight children (Center for Diseases Control criteria). Energy ingestion was estimated by means of a 24-hour recall, dietary and physical activity habits by validated questionnaires. A logistic regression analysis was made. Variables independently associated to obesity were higher energy ingestion; lower frequency in mealtimes; having the afternoon lunch outside home; higher frequency of consumption of fat, junk food and sweetened beverages; lower time of moderate physical activity at school and at home; and increased time for homework and watching TV. The variables included in the regression model were energy intake; frequency of ...
Revista médica del Instituto Mexicano del Seguro Social, 2014
There are few articles that document the association between growth and obesity. The objective of... more There are few articles that document the association between growth and obesity. The objective of this study was to compare height between obese schoolchildren and healthy weight schoolchildren. Cross-sectional study performed in 369 healthy weight schoolchildren and 162 obese schoolchildren of an elementary school; 49.4 % were females. Subjects were classified by body mass index percentiles in healthy weight (5-84), and obese (> 95), and grouped by gender and one-year class intervals. It was used Mann-Whitney U test for statistical analysis. In all class intervals, height was higher in obese schoolgirls when we compared them with healthy weight schoolgirls; we did not identify an increasing or decreasing trend related to age. No height difference was observed in 6 and 7 years old obese/healthy weight schoolboys; however, from 8 to 11 years, height increased progressively in obese schoolchildren with a difference of 8.8 cm at the age of 10. The association of obesity with periods...
The severely malnourished child has dysfunction of the immune response that may increase the risk... more The severely malnourished child has dysfunction of the immune response that may increase the risk of morbidity or mortality due to infectious diseases, therefore, the purpose of this study was to demonstrate the effect of intensive nutritional support on the cellular and serum concentration of IL-2 and CD4+, as well as CD8+ T cells in children with severe protein energy malnutrition. A clinical assay was carried out in a tertiary care hospital. 10 severely malnourished children < 48 months of age who received formula without lactose via enteral feeding for two weeks and ad libitum for an additional two weeks were included. Cellular and serum concentrations of IL-2 and the subpopulation of CD4+ and CD8+ were obtained. A control group (n = 13) was included. A paired student t test for initial-final determinations and the Mann-Whitney Test for comparison with control group were used, and null hypothesis was rejected with a p value < 0.05. There was a noteworthy increase in the co...
Iron deficiency (ID) is prevalent among infants world-wide and may be more likely among infants b... more Iron deficiency (ID) is prevalent among infants world-wide and may be more likely among infants born to women living in disadvantaged environments. A strategy to address ID in this context is to feed iron-fortified formula, but this may create risk for gastrointestinal (GI) infection. Our objective was to investigate the relationship between infant feeding practices, iron status, and likelihood of a GI infection in the first 6 mo of life. We conducted a prospective study at a public hospital in Guadalajara, Mexico. Healthy women who gave birth to a healthy term infant were eligible to participate. Each month, mothers (n = 154) provided information on infant feeding methods and symptoms of GI infection. At 6 mo of age, infants' iron status was assessed [hemoglobin (Hb) and serum ferritin concentration]. When compared with nonpredominantly breast-fed [partially breast-feeding (PBF) and formula feeding (FF) combined], predominantly breast-fed (PRBF) infants to 6 mo had a lower inci...
To analyze the total energy expenditure (TEE) and resting energy expenditure (REE) in children wi... more To analyze the total energy expenditure (TEE) and resting energy expenditure (REE) in children with cerebral palsy (CP) and moderate or severe malnutrition during nutritional recovery. In an intervention study, thirteen subjects with CP (10 females and 3 males with a mean age of 9y11m ± 2y3m), level V of the Gross Motor Function Classification System and moderate or severe malnutrition were included. Eight were fed by nasogastric tube and five by gastrostomy. They were compared with 57 healthy participants (31 females and 26 males with mean age of 8y7m ± 10m). Anthropometric measurements, body composition and energy expenditure by bioelectrical impedance analysis (BIA) and indirect calorimetry (IC) were performed in both groups. TEE and REE were higher in healthy children than in children with CP in kcal/d and kcal/cm/d but were lower in kcal/kg/d (p <0.001). Intensive nutritional support for four weeks in children with CP produced a significant increase in energy expenditure. TE...
Anthropometric indicators are difficult to interpret in very low birth weight (VLBW) premature in... more Anthropometric indicators are difficult to interpret in very low birth weight (VLBW) premature infants, including both appropriate for gestational age (AGA) and small for gestational age (SGA) infants. Therefore, the purpose was to describe the anthropometric indicators of growth and nutritional status in VLBW premature infants AGA and SGA, hospitalized in a neonatal intensive care unit (NICU). The descriptive and prospective study design included 114 preterm infants, adequate for gestational age/small for gestational age hospitalized in the intensive care unit. Head, thigh, mid upper arm circumference, skin-fold measurements and weight/age, length/ age, and weight/length indices were obtained. Correlations were made among the anthropometric indices, and a multivariate regression analysis with weight/age as dependent variable was performed. Weight/age in AGA premature infants had high number of significant anthropometric correlations. The SGA premature infants had few and weak corre...
To assess the risk of dislypidemia associated with obesity in children and adolescents. A cross s... more To assess the risk of dislypidemia associated with obesity in children and adolescents. A cross sectional study was conducted with 62 obese children (BMI > 95 centile and tricipital skinfold thickness > 90 centile) and 70 non-obese children (BMI 5-85 centile) ages 5-15 years, without chronic diseases. Subjects' characteristics and family background of chronic diseases were collected and a lipid profile was determined. The risk of lipid alterations in the obese children was calculated using odds ratio (OR) and multivariate analysis. Mean age was 9.8 +/- 2.7 years in both groups; 63 girls and 69 boys were included. Obesity was associated with abnormal values for cholesterol, triglycerides, LDL, HDL and dislypidemia (> 1 abnormal value) (OR 4.47-15.0). In obese children and adolescents the multivariate analysis showed that female gender was associated with dislypidemia. Obesity in children and adolescents is associated with high risk of dislypidemia; the risk is higher amo...
Introduction. Objective. To compare the dietary habits/energy intake of overweight and nonoverwe... more Introduction. Objective. To compare the dietary habits/energy intake of overweight and nonoverweight children and adolescents.
Revista medica del Instituto Mexicano del Seguro Social
it has been demonstrated that children obesity is a multifactorial disease and probably, the alte... more it has been demonstrated that children obesity is a multifactorial disease and probably, the alteration of the family dynamic is another potential risk factor. The objective was to identify the association between obesity and family dysfunction in school children who attend to a family medicine unit. case and control study at Mexican Social Security Institute in Guadalajara, Jalisco, Mexico. Sociodemographic factors and family dynamic of obese and non-obese subjects (n = 452) of six to nine years old from nuclear families were achieved. the association between family dysfunction and obesity was [OR = 1.63 (1.08-2.46), p = 0.01]. Area II, Identity formation, and area VI, Discipline and methods, showed a lower score in cases of children with obesity (p < 0.001 and p = 0.005, respectively). In a logistic regression model family dysfunction [RM 1.79 (1.19, 2.71), p = 0.005] and low literacy of mothers [RM 1.61 (1.06, 2.45), p = 0.02)] were risk factors for obesity in school children....
Journal of health, population, and nutrition, 2003
This cross-sectional study was carried out in Guadalajara, Mexico, during 1998-1999 to identify f... more This cross-sectional study was carried out in Guadalajara, Mexico, during 1998-1999 to identify food taboos among nursing mothers who participated in a breast-feeding support programme. The study included 493 nursing mothers who were interviewed 10-45 days after delivery. A chi-square test was used for finding an association among food taboos, mother's characteristics, and demographic variables. 50.3% of the mothers avoided at least one food in their diet after childbirth due to beliefs that it was harmful during breast-feeding. Forty-seven percent avoided three or more foods. Fruits and vegetables (62%) and legumes (20%) were the most-avoided foods. These food taboos were associated with living more than 10 years in Guadalajara city (odds ratio [OR] 1.95 [1.25-3.09], p = 0.002), breast-feeding experience (OR 1.91 [1.18-3.12], p = 0.005), no-prenatal information about breast-feeding (OR 1.59 [1.08-2.34], (p = 0.01), and other people's suggestion to complement breast-feeding ...
International Journal of Pediatric Otorhinolaryngology, 2012
Caustic substance ingestion is a public health issue in some underdeveloped countries. Published ... more Caustic substance ingestion is a public health issue in some underdeveloped countries. Published information on socio-demographic factors related to this problem is scarce. The aim of this study was to evaluate the association of socio-demographic factors with caustic ingestion in children. case-control study. Cases were children with caustic substance ingestion who were attended to during 2006 (n=94) at a pediatric referral hospital in Guadalajara, Mexico; the controls were a random sample of children who were hospitalized or seen as outpatients in the same pediatric referral hospital (n=641). The socio-demographic variables were studied using a validated questionnaire (Children Nutrition Organization Survey). OR, 95% CI and logistic regression. Mean age of the cases was 3.2 years (SD 2.4) and 37.2% of cases were girls. Caustic ingestion occurred at home in 63.8% of cases and at a relative&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s home in 23.4% of cases. Alkaline products were ingested by 85.1%; containers had no warning labels in 72.3% of cases and no childproof safety caps in 92.6% of cases. The socio-demographic variables associated with caustic ingestion included higher family income, lower educational level of the mother, higher proportion of fathers working as independent professionals, extended family, mother&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s age &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;30 years, and mother working outside the home. The observed family risk profile for caustic ingestion was higher family income, young working mother with low educational level, father working as independent professional, and extended family.
The aim of this study was to assess the effects of chronic iron deficiency on neuropsychological ... more The aim of this study was to assess the effects of chronic iron deficiency on neuropsychological traits in infants. We established the nutritional iron status and assessed the neuropsychological characteristics of 58 Mexican 14- to 18-month-old infants. The Bayley Scales of Infant Development, preschool language scales and an environmental sound perception task designed expressly for the study, were used. The
to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associa... more to demonstrate that type 1 diabetes mellitus (T1DM) in school children and adolescents is associated with the early introduction of pasteurized/raw cow's milk in the second semester of life. this non-probabilistic study included 150 subjects (75 patients and 75 controls), divided according to sex and age (range, 6 to 16 years). T1DM was considered to be a dependent variable, and pasteurized/ raw cow's milk (P/RCM) was considered to be an independent variable in the study. The statistical analyses included chi-squared test, odds ratio and 95% confidence intervals. the subjects were 51% male, age 11 ± 3.2 years, and 80% were breastfed, 18% were exclusively breastfed, and 13% received pasteurized/raw cow's milk. The children receiving P/RCM had a higher risk of T1DM [OR, 3.9 (1.2-12.8)]. The presence of T1DM was three times higher in those consuming P/RCM vs. those receiving follow-up formula [RM, 3.2 (1.03-10.07)]. introducing pasteurized/raw cow's milk in the second s...
Revista médica del Instituto Mexicano del Seguro Social
To identify the association between family dysfunction and obesity in children six to nine year-o... more To identify the association between family dysfunction and obesity in children six to nine year-old. A case-control study that included children with obesity (cases, n = 64) with body mass index (BMI) > 95th percentile and triceps skinfold (TSF) > 90th percentile; and a control group (n = 120) with BMI < 85th percentile and TSF < 90th percentile was performed. Anthropometric measurements were made and a questionnaire assessing eight areas of family dynamics was applied. We compared the frequency of family dysfunction among cases and controls with the χ² test and its association with obesity through the odds ratio. The average score of the questionnaire was 80.8 ± 11.3 with no differences between groups. The categories "probably dysfunctional" and "dysfunctional" were more common in the obese group but the differences were not significant. The score of the areas "dynamics of parents as a couple" (p = 0.053) and "structure of authority in...
The purpose was to evaluate the association between calcium (Ca) intake and adiposity in adolesce... more The purpose was to evaluate the association between calcium (Ca) intake and adiposity in adolescents. A cross-sectional study of 125 adolescents 12 to 16 years. Ca intake was evaluated by 24-hour recall dietary surveys and food frequency consumption. Adiposity was measured by anthropometric methods and bioelectrical impedance (BIA). The association between Ca intake and adiposity was identified by simple correlation and multivariate models adjusted to energy consumption, age, sex and menarche. Mean age of adolescents was 13.5 +/- 0.8 years. A negative correlation was identified between Ca intake and anthropometric indicators weight, skinfolds, body mass index, fat mass and percentage of fat (the latter two by BIA and only in women). Multivariate analysis, including energy consumption showed no association between Ca intake and adiposity. In conclusion, Ca consumption does not associate with adiposity in adolescents; multivariate models showed that energy intake and menarche are the ...
To explore food habits, demographic and socioeconomic factors associated to calcium intake of pre... more To explore food habits, demographic and socioeconomic factors associated to calcium intake of pregnant adolescents. In a cross sectional study 321 participants of 13 to 19 years old attending to the division of gynecology- obstetrics of the Civil Hospital of Guadalajara were included. All participants were healthy, in any moment of pregnancy and belonging to the low and middle-low socioeconomic status. The calcium intake was obtained through a food frequency questionnaire and a 24-hour dietary recall. Demographic and socioeconomic data were also included. A chi square test, an odds ratio (95% CI) and a regression logistic model for the identification of the epidemiologic meaning of the associated variables to the calcium intake were obtained. Sixty one percent of adolescents consumed less that 80% of the diary recommended intake of calcium. The domestic labor occupation of adolescents [OR 2.66 (1.28-5.53)], low milk [OR 2.54 (1.37-4.0)] and dairy intake [OR 2.75 (1.09-7.0)], excess ...
To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrost... more To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia. Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated body composition by bioelectric impedance analysis were obtained. ANOVA and Wilcoxon tests were used. During the four weeks of nutritional recovery, an average weight increase of 2700 g was achieved. There were significant increases in anthropometric indicators, including BMI and weight/length (p < 0.01). The increase in arm fat area was significantly higher than the increase in arm muscle area (104.5 vs 17.5%). Intensive nutritional support for four weeks had a significant effect on the nutritional status and bod...
Revista médica del Instituto Mexicano del Seguro Social, 2014
If obesity results from the interaction of variables that involve the subject and his environment... more If obesity results from the interaction of variables that involve the subject and his environment, the alternatives to face the problem could be very diverse. The objective of this study was to seek for the best predictive model of childhood obesity from energy ingestion, dietary habits and physical activity. Case control study of 99 obese and 100 healthy weight children (Center for Diseases Control criteria). Energy ingestion was estimated by means of a 24-hour recall, dietary and physical activity habits by validated questionnaires. A logistic regression analysis was made. Variables independently associated to obesity were higher energy ingestion; lower frequency in mealtimes; having the afternoon lunch outside home; higher frequency of consumption of fat, junk food and sweetened beverages; lower time of moderate physical activity at school and at home; and increased time for homework and watching TV. The variables included in the regression model were energy intake; frequency of ...
Revista médica del Instituto Mexicano del Seguro Social, 2014
There are few articles that document the association between growth and obesity. The objective of... more There are few articles that document the association between growth and obesity. The objective of this study was to compare height between obese schoolchildren and healthy weight schoolchildren. Cross-sectional study performed in 369 healthy weight schoolchildren and 162 obese schoolchildren of an elementary school; 49.4 % were females. Subjects were classified by body mass index percentiles in healthy weight (5-84), and obese (> 95), and grouped by gender and one-year class intervals. It was used Mann-Whitney U test for statistical analysis. In all class intervals, height was higher in obese schoolgirls when we compared them with healthy weight schoolgirls; we did not identify an increasing or decreasing trend related to age. No height difference was observed in 6 and 7 years old obese/healthy weight schoolboys; however, from 8 to 11 years, height increased progressively in obese schoolchildren with a difference of 8.8 cm at the age of 10. The association of obesity with periods...
The severely malnourished child has dysfunction of the immune response that may increase the risk... more The severely malnourished child has dysfunction of the immune response that may increase the risk of morbidity or mortality due to infectious diseases, therefore, the purpose of this study was to demonstrate the effect of intensive nutritional support on the cellular and serum concentration of IL-2 and CD4+, as well as CD8+ T cells in children with severe protein energy malnutrition. A clinical assay was carried out in a tertiary care hospital. 10 severely malnourished children < 48 months of age who received formula without lactose via enteral feeding for two weeks and ad libitum for an additional two weeks were included. Cellular and serum concentrations of IL-2 and the subpopulation of CD4+ and CD8+ were obtained. A control group (n = 13) was included. A paired student t test for initial-final determinations and the Mann-Whitney Test for comparison with control group were used, and null hypothesis was rejected with a p value < 0.05. There was a noteworthy increase in the co...
Iron deficiency (ID) is prevalent among infants world-wide and may be more likely among infants b... more Iron deficiency (ID) is prevalent among infants world-wide and may be more likely among infants born to women living in disadvantaged environments. A strategy to address ID in this context is to feed iron-fortified formula, but this may create risk for gastrointestinal (GI) infection. Our objective was to investigate the relationship between infant feeding practices, iron status, and likelihood of a GI infection in the first 6 mo of life. We conducted a prospective study at a public hospital in Guadalajara, Mexico. Healthy women who gave birth to a healthy term infant were eligible to participate. Each month, mothers (n = 154) provided information on infant feeding methods and symptoms of GI infection. At 6 mo of age, infants' iron status was assessed [hemoglobin (Hb) and serum ferritin concentration]. When compared with nonpredominantly breast-fed [partially breast-feeding (PBF) and formula feeding (FF) combined], predominantly breast-fed (PRBF) infants to 6 mo had a lower inci...
Uploads
Papers by Edgar Vasquez-garibay