HOME > EDICIONES > Año 2011, Volumen 61 - Número 4
Trabajos de Investigación
Clasificación de niños colombianos con desnutrición según la referencia NCHS o el estándar OMS
|Claudia Velásquez R., Juliana Bermúdez C., Claudia Echeverri V., Alejandro Estrada R.
Grupo Investigación Alimentación y Nutrición Humana.
Universidad de Antioquia. Universidad de Antioquia. Medellín, Colombia.
Classification of Colombian children with malnutrition according to NCHS reference or WHO standard
A descriptive study was conducted to evaluate the concordance of National Center for Health Statistics reference (NCHS) used to classify undernourished children from Colombia with the WHO Child Growth Standards. We used data from children aged 6 to 59 months with acute malnutrition (Z <-2) and severe (Z <-3) who were admitted to the “Unidad Vida Infantil” nutrition program in Colombia. Indicators height-for-age, weight for-height were analyzed when they were admitted to the hospital and weight for-height leaving the hospital. A statistical method used to compare means was T-student. Correlation coefficient intraclass (CCI) and Kappa index evaluated the concordance between NCHS and OMS; McNemar method evaluated the changes on the nutritional classification for children according to growth devices used. Of the total number of children classified as normal by NCHS, 10.4% were classified as stunted by WHO. 64% of the children admitted to the hospital presented acute malnutrition according to NCHS, of these 44,8% presented severe emaciation according to OMS, indeed severe emaciation increased of 36,0% to 63,3% using OMS. 5% of children leaving the hospital could need to stay more days if they had been evaluated with OMS. Growth devices shown high concordance in height-for-age (CCI=0,988; k=0,866) and weight for-height (CCI=0,901; k=0,578). Concluded that OMS growth standards classified more malnourished children and more severe states, in addition more malnourished children could be hospitalized and they could stay more days.
Key words: WHO growth standards, child malnutrition, wasting, Colombia
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ALAN-VE ISSN 0004-0622 - Depósito Legal: pp 199602DF83
Sociedad Latinoamericana de Nutrición
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