Nutritional status in children with cancer: comparison of deuterium oxide dilution with bioelectric impedance analysis and anthropometry
Conclusions: Patients with hematologic tumors had an increase in body weight, height, and fat mass, which was not identified in the solid tumor group. The positive correlation between anthropometry (triceps skinfold thickness and arm muscle circumference), deuterium oxide dilution, and bioelectric impedance analysis shows the applicability of anthropometry in clinical practice.RESUMO Objetivo: Verificar mudan ças no estado nutricional de crianças com câncer antes e após o tratamento quimioterápico e avaliar a correlação entre diluição de óxido de deut&eac...
Source: Revista Paulista de Pediatria - August 4, 2020 Category: Pediatrics Source Type: research

Pediatricians after residency: a survey of personal/professional data and issues
ABSTRACT Objective: To assess personal, professional, medical, and scientific educational characteristics and issues reported by pediatricians. Methods: Cross-sectional study based on an online survey including 614 pediatricians who graduated in the last 15 years at a University Pediatric Department in Brazil. Results: The response rate was 331/614(54%). The majority were females (82%), the median age was 33 years (27-40) and median years of pediatric practice was 5 (1-13). High workload (>60 hours/week) occurred in 25% and 47% earned ≥ 15 minimum wages/month. The most work-related issues reported were long working h...
Source: Revista Paulista de Pediatria - August 4, 2020 Category: Pediatrics Source Type: research

Assessment of knowledge and self efficacy before and after teaching basic life support to schoolchildren
Conclusions: Medical students provided adequate basic life support training to a group of Portuguese schoolchildren, with effects in the knowledge and self-efficacy lasting for at least six months.RESUMO Objetivo: O ensino de suporte b ásico de vida a crianças em idade escolar esta ́ bem estabelecido como uma das estrat égias mais eficazes no aumento das taxas de reanimação cardiorrespiratória. No entanto, ha ́ uma falta de valida ção científica para a população pediátrica portuguesa. Este estudo pretende avaliar o resultado de uma sess&a...
Source: Revista Paulista de Pediatria - August 4, 2020 Category: Pediatrics Source Type: research

New reference parameters for body mass index in children aged six to ten years
Conclusions: For the studied children, the use of traditional BMI references may result in the overestimation of underweight and underestimation of overweight and obesity. Studies should be carried out with periodic updates, respecting the characteristics of each location in order to use BMI reference values to classify the nutritional status of children and adolescents.RESUMO Objetivo: Determinar novos valores de refer ência do índice de massa corporal (IMC) para a classificação do estado nutricional de crianças de seis a 10 anos da cidade de Montes Claros (MG) Brasil. Métodos: Foi...
Source: Revista Paulista de Pediatria - August 4, 2020 Category: Pediatrics Source Type: research

Hemophagocytosis by blasts in a child with acute monocytic leukemia after chemotherapy
ABSTRACT Objective: To describe the case of a child who presented hemophagocytic lymphohistiocytosis (HLH) associated with acute monocytic leukemia after chemotherapy, with hemophagocytosis caused by leukemic cells. Case description: In a university hospital in Southern Brazil, a 3-year-old female was diagnosed with acute monocytic leukemia with normal karyotype. The chemotherapy regimen was initiated, and she achieved complete remission six months later, relapsing after four months with a complex karyotype involving chromosomes 8p and 16q. The bone marrow showed vacuolated blasts with a monocytic aspect and evidence of he...
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Internet addiction among adolescents in a western brazilian amazonian city
Conclusions: The present study showed a high prevalence of Internet dependence, with female adolescents being more susceptible. Behavioral aspects were associated with internet dependence in a sample of adolescents from Rio Branco, Acre.RESUMO Objetivo: Analisar a preval ência e os fatores associados à dependência de internet em uma amostra de adolescentes do ensino médio no Acre. Métodos: Estudo transversal de base populacional realizado com 1.387 adolescentes entre 14 e 18 anos regularmente matriculados em instituições de ensino médio no município de Ri o Branc...
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Severe acute toxic exposures in children and adolescents: case series
ABSTRACT Objective: To describe a case series of severe acute toxic exposures (SATE) in individuals
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Incidence of small for gestational age neonates, according to the fenton and intergrowth-21st curves in a level ii maternity
ABSTRACT Objective: To compare the incidence of small for gestational age infants among late preterm and term newborns, using the Fenton and Intergrowth-21st curves. Methods: Observational and retrospective study with newborns in a level II maternity. The study was approved by the Institution ’ s Ethics Committee. Live births from July 2007 to February 2009 with a gestational age from 34 to 41 weeks and seven days were included. Neonates with incomplete data were excluded. Appropriate weight for gestational age was assessed by the Fenton and Intergrowth-21st intrauterine growth curves, considering birth weight
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Number of cases of varicella and hospitalization in a pediatric reference hospital in brazil after introducing the vaccine
ABSTRACT Objective: To assess the number of cases and the profile of hospitalizations from varicella after the introduction of the measles, mumps, rubella and varicella combination vaccine in the public health system. Methods: Retrospective study in an infectious diseases pediatric hospital of reference in Southeast Brazil. The cases with a clinical diagnosis of varicella, from January 2011 to June 2016, were assessed from pediatricians ’ medical records. The hospitalizations were classified into a pre-vaccine group and post-vaccine group, based on the date the vaccine was introduced (September 2013). Both groups wer...
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Relationship between the diet quality index in nursing mothers and the fatty acid profile of mature breast milk
Conclusions: The results of this study suggest that maternal diet quality affects the fatty acid composition of breast milk.RESUMO Objetivo: Avaliar a rela ção entre a qualidade da dieta materna e a composição do leite humano em ácidos graxos no primeiro trimestre de lactação. Métodos: Trata-se de um estudo epidemiológico observacional e transversal com nutrizes. Os instrumentos de coleta dos dados foram questionário semiestruturado para ca racterização da amostra e o recordatório de ingestão habitual. A qualidade da dieta foi...
Source: Revista Paulista de Pediatria - July 3, 2020 Category: Pediatrics Source Type: research

Relationship between schoolchildren’s levels of physical activity, anthropometric indices and pulmonary function
This study was conducted in two phases with schoolchildren aged between eight and 16 years old in Porto Alegre/RS. In the first phase (cross sectional), the sample was classified as asthmatic if a physician had ever diagnosed them with asthma and if they reported symptoms and treatment for the disease in the past 12 months. In the second phase (control-case), the following were measured: anthropometry, physical activity levels, time spent in front of screens, and lung function (spirometry). Data are presented in mean and standard deviation or median and interquartile interval and by absolute and relative values. Chi-square...
Source: Revista Paulista de Pediatria - June 22, 2020 Category: Pediatrics Source Type: research

Macronutrients of mothers’ milk of very low birth weight infants: analysis according to gestational age and maternal variables
Conclusions: There was a significant decrease in the levels of protein during the first eight weeks after birth. CA may be an important factor in the composition of human milk.RESUMO Objetivo: Analisar a composi ção dos macronutrientes presentes no leite de mães de recém-nascidos pré-termo (RNPT) - gorduras, carboidratos e calorias - por idade gestacional (IG), idade cronológica (IC) e variáveis maternos. Métodos: Estudo longitudinal para analisar 215 amostras de leite de 51 mães de RNPT admitido s em três unidades neonatais do Rio de Janeiro de maio/2013...
Source: Revista Paulista de Pediatria - June 22, 2020 Category: Pediatrics Source Type: research

Frequency of meals consumed by brazilian adolescents and associated habits: systematic review
Conclusions: Breakfast was the most omitted meal for adolescents, and dinner was replaced with snacks. Among the between meal snacks, the afternoon snack was the most consumed.RESUMO Objetivo: Analisar os estudos que identificaram a frequ ência de refeições ingeridas por adolescentes brasileiros e hábitos associados. Fonte de dados: Efetuou-se uma busca sistemática nos bancos e nas bases de dados eletrônicos MEDLINE/PubMed, The Latin American and Caribbean Center of Information in Health Sciences (BIREME), Scopus, Web of Scie nce e Embase, com artigos publicados entre janeiro de 2007...
Source: Revista Paulista de Pediatria - June 19, 2020 Category: Pediatrics Source Type: research

Factors associated to quality of life in children and adolescents with cystic fibrosis
Conclusions: The study participants had good clinical conditions and satisfactory values of functional capacity and quality of life. The findings reinforce that the assessment of quality of life may be important for clinical practice in the management of treatment.RESUMO Objetivo: Verificar associa ção entre qualidade de vida (QV), capacidade funcional e estados clínico e nutricional em crianças e adolescentes com fibrose cística (FC). Métodos: Estudo transversal incluindo pacientes de oito a 18 anos de idade com FC. A QV, a capacidade funcional, o estado nutricional e o estado cl&...
Source: Revista Paulista de Pediatria - June 19, 2020 Category: Pediatrics Source Type: research

Correlates of physical activity in adolescents of public schools in curitiba, paranÁ, brazil
Conclusions: Nutritional status, early somatic maturation, social support of parents and friends were correlates of physical activity. Overweight girls with moderate and high parental support and boys with greater social support from parents and friends were more active. Girls with early somatic maturation were less active.RESUMO Objetivo: Verificar a associa ção do estado nutricional, da maturação biológica, do apoio social e da autoeficácia com o nível de atividade física de 2.347 escolares, de ambos os sexos, com idades entre 11 e 15 anos, de escolas estaduais da c...
Source: Revista Paulista de Pediatria - June 12, 2020 Category: Pediatrics Source Type: research

Tyrosinemia type iii: a case report of siblings and literature review
We report the case of two siblings diagnosed with HT III at different ages. Case description: The index case was diagnosed by newborn screening for endocrine and metabolic disorders, starting a low-protein diet immediately, with a consistent decrease in tyrosine levels. By the age of three, the child displayed a hyperactive behavior, starting treatment for ADHD two years later. At seven years of age, he shows a slight improvement in terms of behavior and attention span and has a cognitive performance slightly lower than his peers, despite maintaining acceptable tyrosine levels. His sister, who had a history of ADHD since a...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Oral and enteral nutrition therapy in inflammatory bowel diseases among the pediatric population: a literature review
Conclusions: Exclusive enteral nutrition has proven to be effective in inducing remission of Crohn ’ s Disease, and the use of partial enteral nutrition for maintenance treatment has shown promising results. Other modified oral diets are inconclusive concerning their effectiveness, requiring further randomized controlled clinical trials.RESUMO Objetivos: Revisar a literatura quanto à terapia nutricional oral e enteral e verificar evidências de sua eficácia tanto para tratamento quanto para prevenção de recidivas e redução de sintomas das doenças inflamatór...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Association between the screen time and the cardiorespiratory fitness with the presence of metabolic risk in schoolchildren
Conclusions: The presence of metabolic risk in children and adolescents was associated with low levels of cardiorespiratory fitness, independent of screen time, in an isolated or clustered manner.RESUMO Objetivo: Verificar a associa ção entre tempo de tela e aptidão cardiorrespiratória, de forma isolada e agrupada, e a presença de risco metabólico em escolares. Métodos: Estudo transversal com 1.200 escolares de Santa Cruz do Sul (RS). Foram avaliados o tempo de tela e a aptidão cardiorrespiratória. Foi calculado o es core de risco metabólico por meio da ...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Breaking bad news in a neonatal intensive care: the parent’s evaluation
Conclusions: The communication of bad news was considered adequate by the parents, although this perception was not unanimous. This study, therefore, indicates that it is necessary to improve the communication of bad news in this NICU. Training professionals can assist in this process.RESUMO Objetivo: Descrever os relatos dos pais de rec ém-nascidos (RNs) com malformações congênitas internados em uma Unidade de Terapia Intensiva Neonatal (UTIN) a respeito de como receberam as más notícias, buscando identificar as questões relacionadas à percepção de uma m...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Participation of ultra-processed foods in brazilian school children’s diet and associated factors
Conclusions: The contribution of UPF was expressive in the feeding of the students and it was positively associated with the excess of wei ght and with the habit of eating while watching television. These findings indicate the importance of nutritional interventions to promote healthy habits, thus preventing overweight during childhood.RESUMO Objetivo: Avaliar a contribui ção dos alimentos ultraprocessados (AUP) na dieta de escolares e seus fatores associados. Métodos: Estudo transversal realizado com crianças entre oito e 12 anos de idade em escolas públicas de uma capital brasileira. Fo...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Iron deficiency anemia and its relationship with socioeconomic vulnerability
ABSTRACT Objective: To analyze the association of anemia with the socioeconomic vulnerability of preschoolers in public day care centers, in the city of Taubat é, SP, Brazil. Methods: This is a cross-sectional study with a probabilistic sample that analyzed 363 children assisted in public day care centres in low-income and high-income areas of Taubaté, SP, Brazil. The hemoglobin concentration (Hb), dependent variable, was obtained by digital puncture, considering anemic children with Hb concentration
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Treatment adherence among children and adolescents in a cystic fibrosis reference center
Conclusions: The TAI was high particularly among children younger than 14 years. There was a positive correlation between the self-referenced TA and the one presumed by the Psychology (p=0.032) and the nutrition (p=0.012) professionals.RESUMO Objetivo: Avaliar o grau de ades ão ao tratamento (AT) autorreferida e pesquisar sua associação com variáveis clínicas e sociodemográficas em pacientes com fibrose cística (FC) de um centro de referência e comparar o grau de AT autorreferida com o presumido pela equipe multidisciplinar. Métodos: Estudo transversal, inclu in...
Source: Revista Paulista de Pediatria - June 5, 2020 Category: Pediatrics Source Type: research

Psycho-emotional care in a neonatal unit during the covid-19 pandemic
(Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - May 29, 2020 Category: Pediatrics Source Type: research

Erratum
ABSTRACT Objective: To report the case of a child who developed acute respiratory distress syndrome (ARDS) from a pulmonary infection by adenovirus. Case description: A female patient aged 2 years and 6 months, weighting 10,295 grams developed fever, productive cough and vomiting, later on progressing to ARDS despite initial therapy in accordance with the institutional protocol for ARDS treatment. The child evolved to refractory hypoxemia and hypercapnia, requiring high parameters of mechanical pulmonary ventilation and use of vasoactive agents. In the treatment escalation, the patient received steroids, inhaled nitric oxi...
Source: Revista Paulista de Pediatria - May 12, 2020 Category: Pediatrics Source Type: research

Assessment of nutritional status and frequency of complications associated to feeding in patients with spastic quadriplegic cerebral palsy
ABSTRACT Objective: To correlate the nutritional status with variables associated to the type of diet and feeding route of children and adolescents with spastic quadriplegic cerebral palsy (CP). Methods: This cross-sectional study included 28 patients aged ≤ 13 years old who presented a diagnosis of spastic quadriplegic CP and were followed by the nutrition team of the Outpatient Clinic for Special Patients of Hospital de Cl ínicas de Uberlândia - Universidade Federal de Uberlândia (HC-UFU), between July/2016 and January/2017. Consent forms were signed by the legal guardians. The nutritional status wa...
Source: Revista Paulista de Pediatria - May 12, 2020 Category: Pediatrics Source Type: research

Attachment style in children with chronic diseases: a comprehensive review
Conclusions: The type of attachment between child and primary caregiver may be considered a protective or risk factor for child development. Considering this premise, it is important to equip/inform families based on dialogic educational practices, in which professionals create opportunities and means for families to develop their skills and competencies, and acquire resources which meet the child ’ s needs. It is important that this professional helps the family to build secure bases for their child with chronic disease, understanding that the main focus for promoting child development is in the family unit.RESUMO O...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Predictive value of the general movements assessment in preterm infants: a meta-analysis
Conclusions: Despite the high predictive values of the tool to identify neurological disorders, research on the subject is required due to the heterogeneity of the current studies.RESUMO Objetivo: Analisar o valor preditivo da General Movements Assessment para o diagn óstico de alterações do neurodesenvolvimento em recém-nascidos pré-termo. Fonte de dados: Foi realizada uma revisão sistemática da literatura utilizando as bases de dados: Scientific Electronic Library Online (SciELO), National Library of Medicine, National Institutes of Health (PubMed) e E xcerpta Medica Datab...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Analysis of fine motor control in institutionalized sheltered children and adolescents through performance in computer software
ABSTRACT Objective: To analyze the psychomotor development and the fine motor control of institutionalized and non-institutionalized sheltered children and adolescents. Methods: A cross-sectional study in which 54 subjects participated and were divided into two groups: 27 institutionalized sheltered children and adolescents (SG) and 27 non-institutionalized sheltered children and adolescents (CG). The psychomotor battery and the Learning and Motor Control software were used to evaluate development and motor control. The analysis of variance was performed for both groups with repetitive measurements for the last factor. Res...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Clinical profile of children with and without comorbidities hospitalized with community-acquired pneumonia
Conclusions: Most patients with community-acquired pneumonia and comorbidities were aged>60 months, were malnourished, had used antibiotics and had been hospitalized for community-acquired pneumonia. Comorbidities were associated with a higher chance of malnutrition and hospitalizations for community-acquired pneumonia in an older age group, compared to children without comorbidities. Knowledge of this clinical profile may contribute to better assist pediatric patients with community-acquired pneumonia hospitalized in referral centers.RESUMO Objetivo: Descrever o perfil cl ínico de crianças e adolescentes ...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Associated factors with the isolated and simultaneous presence of overweight and abdominal obesity in adolescents
ABSTRACT Objective: To analyze the sociodemographic and lifestyle factors associated with excessive weight (EW), abdominal obesity (AO) and the simultaneous presence of EW and AO in adolescents from Southern Brazil. Methods: Cross-sectional study with 583 adolescents (11 to 17 years old) of Crici úma, Santa Catarina, Brazil. EW was assessed by body mass index (BMI) and AO by waist circumference (WC). The independent variables analyzed were gender, age, maternal schooling, balanced diet, physical activity, cigarette use, excessive alcohol use and screen time. Binary logistic regression was u sed to estimate Odds Rati...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Bathing, make-up, and sunscreen: which products do children use?
Conclusions: The children studied used unsuitable products for their skin, such as those intended for adults, used sunscreen inadequately, and started wearing make-up early, evidencing the need for medical orientation.RESUMO Objetivo: Avaliar os h ábitos de higiene e a frequência do uso de produtos de higiene pessoal, cosméticos e protetor solar nas crianças e adolescentes. Métodos: Estudo transversal com entrevistas para cuidadores sobre cuidados com a pele, por meio de perguntas fechadas. Incluídos pacientes de até 14 anos que cons ultavam nos ambulatórios pedi&aacut...
Source: Revista Paulista de Pediatria - May 9, 2020 Category: Pediatrics Source Type: research

Erratum
ABSTRACT Objective: To report the case of a child who developed acute respiratory distress syndrome (ARDS) from a pulmonary infection by adenovirus. Case description: A female patient aged 2 years and 6 months, weighting 10,295 grams developed fever, productive cough and vomiting, later on progressing to ARDS despite initial therapy in accordance with the institutional protocol for ARDS treatment. The child evolved to refractory hypoxemia and hypercapnia, requiring high parameters of mechanical pulmonary ventilation and use of vasoactive agents. In the treatment escalation, the patient received steroids, inhaled nitric oxi...
Source: Revista Paulista de Pediatria - May 1, 2020 Category: Pediatrics Source Type: research

Brazilian version of the shriners hospital upper extremity evaluation (shuee): translation, cultural adaptation, and evaluation of psychometric properties
Conclusions: The results revealed that the Brazilian version of the SHUEE demonstrated good reliability and convergent validity, suggesting that it is an adequate and reliable tool for individuals with hemiplegic cerebral palsy in the Brazilian population.RESUMO Objetivo: Validar o instrumento de avalia ção do membro superior, Shriners Hospital Upper Extremity Evaluation (SHUEE), para indivíduos com paralisia cerebral hemiplégica da população brasileira. Métodos: Estudo de validação no qual foi realizada tradução e adaptação cultural...
Source: Revista Paulista de Pediatria - May 1, 2020 Category: Pediatrics Source Type: research

Challenges in the fight against the covid-19 pandemic in university hospitals
(Source: Revista Paulista de Pediatria)
Source: Revista Paulista de Pediatria - April 23, 2020 Category: Pediatrics Source Type: research

Excess weight and gastrointestinal symptoms in a group of autistic children
Conclusions: The high prevalence of being overweight should be considered during the follow-up visits of children with ASD. The influence of gluten consumption on the presence of gastrointestinal symptoms was observed in this study, and the causes involved in these alterations need to be further investigated.RESUMO Objetivo: Avaliar o estado nutricional e a presen ça de alterações gastrintestinais em crianças com transtorno do espectro autista. Métodos: Estudo transversal, descritivo, composto por 39 crianças autistas com idades entre três e dez anos, cadastradas na associa&c...
Source: Revista Paulista de Pediatria - March 20, 2020 Category: Pediatrics Source Type: research

Management of acute respiratory distress syndrome in a child with adenovirus pneumonia: case report and literature review
ABSTRACT Objective: To report the case of a child who developed acute respiratory distress syndrome (ARDS) from a pulmonary infection by adenovirus. Case description: A female patient aged 2 years and 6 months, weighting 10,295 grams developed fever, productive cough and vomiting, later on progressing to ARDS despite initial therapy in accordance with the institutional protocol for ARDS treatment. The child evolved to refractory hypoxemia and hypercapnia, requiring high parameters of mechanical pulmonary ventilation and use of vasoactive agents. In the treatment escalation, the patient received steroids, inhaled nitric oxi...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Autism spectrum disorder: a systematic review about nutritional interventions
Conclusions: Although some authors report progress in the symptoms associated with autism in individuals with Autistic Spectrum Disorder undergoing nutritional interventions, there is little scientific evidence to suppor t the use of nutritional supplements or dietary therapies in children and adolescents with autism.RESUMO Objetivo: Identificar e analisar as evid ências científicas de intervenções nutricionais realizadas em crianças e adolescentes com Transtorno do Espectro Autista. Fontes de dados: Realizou-se uma revisão sistemática nas bases de dados MEDLINE, Cochrane Lib...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Hypertriglyceridemic waist and associated factors in children and adolescents with type 1 diabetes mellitus
ABSTRACT Objective: To assess the frequency of the hypertriglyceridemic waist phenotype and its associated factors in children and adolescents with type 1 diabetes mellitus. Methods: This is an observational analytical study with individuals with type 1 diabetes mellitus, aged 5 to 18 years, of both genders, followed in a university hospital in the Brazilian Northeast. Weight, height, and waist circumference were measured, and the lipid profile and glycated hemoglobin were analyzed. The hypertriglyceridemic waist phenotype was defined by the simultaneous presence of increased waist circumference ( ≥ 90th percentile for ...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Tri-ponderal mass index is useful for screening children and adolescents with insulin resistance
ABSTRACT Objective: To investigate whether tri-ponderal mass index and body mass index Z scores are equivalent for screening children and adolescents with insulin resistance. Methods: Cross-sectional study with 296 children and adolescents enrolled at public schools of Vit ória, Espírito Santo, Brazil, aged eight to 14 years. The tri-ponderal mass index was calculated as the ratio between weight and height cubed. The body mass index was calculated as the ratio between weight and height squared. Insulin resistance was defined with the homeostatic model assessment (HO MA-IR). Results: The HOMA-IR was higher in ...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Charcterization of feeding of children under 24 months in units cared by the family health strategy
Conclusions: Food introduced and consumed on a regular basis was mainly in natura, at all ages. Processed and ultra-processed food presented a higher frequency of consumption after 12 months old.RESUMO Objetivo: Descrever a idade mediana de introdu ção e consumo regular de alimentos por crianças menores de 24 meses em unidades da Estratégia Saúde da Família. Métodos: Estudo transversal realizado com 283 crianças selecionadas por amostragem por conglomerado estratificada uniforme. Foram coletados dados sociodemográficos da mãe e do consumo alimentar da cr...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Indicators of adiposity associated with low body esteem in adolescents
Conclusions: Indicators of adiposity were associated with low body esteem. These findings underscore the fact that considering adolescents ’ feelings concerning their body and appearance is important to promote a healthy control of weight.RESUMO Objetivo: Investigar a associa ção entre a condição de peso e os indicadores antropométricos de adiposidade com a estima corporal. Métodos: Estudo transversal com 305 adolescentes de uma escola pública do Rio de Janeiro, Brasil. Os dados foram coletados utilizando um questionário autoaplicado e por meio de medidas antro ...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Prevalence of insulin resistance and association with metabolic risk factors and food consumption in adolescents - recife/brazil
Conclusions: Insulin resistance was prevalent in the adolescents analyzed and was significantly associated with metabolic variables and saturated fat intake.RESUMO Objetivo: Identificar a preval ência de resistência à insulina em adolescentes e verificar sua associação com variáveis metabólicas e com o consumo alimentar. Métodos: Estudo transversal, de base escolar, com amostra do tipo estratificada e complexa. Os indivíduos analisados foram adolescentes (n=1.081) participantes d o Estudo de Riscos Cardiovasculares em Adolescentes (ERICA) na cidade de Recife (Per...
Source: Revista Paulista de Pediatria - March 17, 2020 Category: Pediatrics Source Type: research

Complicated pneumonia with empyema caused by streptococcus anginosus in a child
ABSTRACT Objective: To highlight the pathogenicity of Streptococcus anginosus, which is rare in pediatric patients, but can cause severe infections that are known to have a better outcome when treated early with interventional procedures and prolonged antibiotic therapy. Case description: The patient is a 6-year-old boy with global developmental delay, examined in the emergency room due to fever and respiratory distress. The physical examination and diagnostic workout revealed complicated pneumonia with empyema of the left hemithorax; he started antibiotic therapy and underwent thoracic drainage. Pleural fluid cultures gre...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Neuromuscular fitness in early life and its impact on bone health in adulthood: a systematic review
ABSTRACT Objective: To systematically review the literature to verify the relationship between neuromuscular fitness indicators in childhood/adolescence and bone strength variables in adulthood. Data sources: A systematic review was conducted in PUBMED, SCOPUS, SPORTDiscus, Web of Science, PsycINFO, LILACS, and SciELO, covering the entire period until March 2019. Data synthesis: The search identified 1149 studies. After duplicity analysis and eligibility criteria, four studies were reported. In one study, baseline was childhood and, in the others, adolescence. In childhood, when adjusting the model for age and body mass in...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Overweight and associated factors in children and adolescents with phenylketonuria: a systematic review
Conclusions: Excess weight can be considered a common outcome in children and adolescents with phenylketonuria. It is mainly caused by inadequate food consumption and sedentary lifestyle. The importance of early identification of nutritional disturbances in children and adolescents with phenylketonuria should be emphasized, in order to prevent associated chronic diseases and to promote health by encouraging continued healthy eating habits and the regular practice of physical exercises.RESUMO Objetivo: Verificar a ocorr ência de excesso de peso em crianças e adolescentes com fenilcetonúria e identificar ...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Quality of life and upper limb function of children with neonatal brachial plexus palsy
Conclusions: Neonatal brachial plexus palsy has a negative influence on upper limb function and quality of life, mainly considering overall health, basic mobility, physical and psychosocial functions, happiness, pain, behavior, mental health, upper limb function, and emotional impact on their parents.RESUMO Objetivo: Comparar a fun ção do membro superior e a qualidade de vida entre crianças com paralisia obstétrica do plexo braquial e aquelas sem paralisia do plexo braquial (crianças usuais). Métodos: Foram avaliadas 24 crianças com paralisia obstétrica do plexo braqu...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Therapeutic blowing toys: does the overlap of ventilatory stimuli alter the respiratory mechanics of healthy schoolchildren?
Conclusions: The difference in oscillometric parameters of R5 before the use of each toy indicates that the overlap of ventilatory stimuli pr oduced by them provided a reduction in the R5.RESUMO Objetivo: Verificar se a sobreposi ção de estímulos ventilatórios decorrentes da execução de brinquedos de sopro altera a mecânica respiratória de escolares saudáveis. Métodos: Estudo transversal com escolares saudáveis de sete a 14 anos de idade, provenientes de Florianópolis, Santa Catarina, Brasil. Foram obtidos dado s espirométricos e real...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Spatial distribution of newborns with sickle cell trait in sergipe, brazil
Conclusions: The spatial distribution analysis identified regions in the state with a high frequency of HbS carriers. This information is important health care planning. This method can be appl ied to detect other places that need health units to guide and care for sickle cell disease patients and their families.RESUMO Objetivo: Basear-se na distribui ção espacial do traço falciforme (TF) para analisar a frequência dos portadores da hemoglobina S (HbS) em Sergipe. Métodos: A amostra foi constituída por todos os indivíduos nascidos em Sergipe, no período de outubro de 2...
Source: Revista Paulista de Pediatria - March 9, 2020 Category: Pediatrics Source Type: research

Prepubertal gynecomastia: a rare manifestation of myotonic dystrophy type 1
ABSTRACT Objective: To present a case of bilateral gynecomastia in a prepubertal boy with autism spectrum disorder, diagnosed with myotonic dystrophy type 1. Case description: A 12-year-old boy with autism spectrum disorder presented at a follow-up visit with bilateral breast growth. There was a family history of gynecomastia, cataracts at a young age, puberty delay, and myotonic dystrophy type 1. The physical examination showed that he had bilateral gynecomastia with external genitalia Tanner stage 1. Neurologic examination was regular, without demonstrable myotonia. The analytical study revealed increased estradiol level...
Source: Revista Paulista de Pediatria - February 14, 2020 Category: Pediatrics Source Type: research

Malignant hyperthermia in a child after magnetic resonance imaging: a case report
ABSTRACT Objective: To report on a case of malignant hyperthermia in a child after a magnetic resonance imaging of the skull was performed using sevoflurane anesthesia. Case description: A 3-year-old boy admitted to the pediatric intensive care unit after presenting clinical and laboratory findings consistent with unspecified viral meningoencephalitis. While the patient was sedated, a magnetic resonance imaging of the skul was performed using propofol followed by the administration of sevoflurane through a laryngeal mask in order to continue anesthesia. Approximately three hours after the start of the procedure, the patien...
Source: Revista Paulista de Pediatria - February 14, 2020 Category: Pediatrics Source Type: research