Nutritional status and cardiovascular and renal risk factors related to birth weight in children from Gran Resistencia, Chaco, Argentina. Risk factors in Pediatrics
Abstract
Introduction: There is a lack of data on nutritional status and cardiovascular and renal risk factors in pediatrics in the province of Chaco, one of the poorest provinces and with the largest pediatric population in Argentina. Objective: To determine the prevalence of these risk factors: nutritional (low weight/height, low height/age, low weight and overweight); perinatal (maternal age and gestational age at birth), as well as cardiovascular and renal (overweight, hypertension and proteinuria), correlated with birth weight, in population from one month old to 18 years old in the urban agglomeration of Gran Resistencia, province of Chaco. Material and methods: An observational descriptive cross-sectional study was conducted. Participants were selected by probabilistic sampling through agglomerations according to population weight in each strata, taken from schools for 6-18 year-old children and from health centers for children under 6. Results: A total of 850 children were studied. The prevalence of risk factors was: 24% with high risk for maternal age, 21% with preterm birth, 7.2% with low birth weight, 9.1% with low height/age, 4.2% with low weight/height, 11.8% with high weight/height, 6.3% with low weight/age, 2.4% with proteinuria and 6.8% with high blood pressure. In children under 6 years of age with low birth weight, compared to those with normal birth weight, the odd ratio for low weight/height was 6.15, and for low weight/age it was 5.02; for those born with a high weight compared to those born with normal weight, the odd ratio for overweight was 3.07. Conclusions: the pediatric population which was studied presents a situation of high nutritional risk that correlates with birth weight. The prevalence of proteinuria and high blood pressure were not associated with birth weight.
How to cite this article:
Cusumano AM, Bianchi ME, Velasco GA, Polischuk K, Tauguinas AM, Forlino D. [Nutritional status and cardiovascular and renal risk factors related to birth weight in children from Gran Resistencia, Chaco, Argentina. Risk factors in Pediatrics]. Rev Nefrol Dial Traspl. 2018; 38(2):111-25.
References
Argentina. Dirección Nacional de Promoción de la Salud y Control de Enfermedades no Transmisibles. Ministerio de Salud. Mortalidad [en Argentina. Enfermedades no transmisibles 2013] [Internet]. Disponible en: http://www.msal.gob.ar/ent/index.php/vigilancia/areas-de-vigilancia/mortalidad (Consulta: 10/03/2018).
Argentina. Dirección Nacional de Promoción de la Salud y Control de Enfermedades no Transmisibles. Ministerio de Salud. Tercera Encuesta Nacional de Factores de Riesgo para Enfermedades No Transmisibles [Internet]. Buenos Aires, 2013. Disponible en http://www.msal.gob.ar/images/stories/bes/graficos/0000000544cnt-2015_09_04_encuesta_nacional_factores_riesgo.pdf (Acceso: 1/02/2018).
Tanaka K, Masuda J, Imamura T, Sueishi K, Nakashima T, Sakurai I, et al. A nation-wide study of atherosclerosis in infants, children and young adults in Japan. Atherosclerosis. 1988;72(2-3):143-56.
Tracy RE, Newman WP 3rd, Wattigney WA, Berenson GS. Risk factors and atherosclerosis in youth autopsy findings of the Bogalusa Heart Study. Am J Med Sci. 1995;310(Suppl 1):S37-41.
Kortelainen ML. Adiposity, cardiac size and precursors of coronary atherosclerosis in 5 to 15 years old children: a retrospective study of 240 violent deaths. Int J Obes Relat Metab Disord. 1997;24:691-7.
White D, Place R, Michael T, Hoffman E, Gordon PM, Visich P. The Relationship between Coronary Artery Disease Risk Factors and Carotid Intima-Media Thickness in Children. J Pediatr. 2017;190:38-42.
World Health Organization. World health statistics 2015. Chapter 5, Risk Factors [Internet]. Geneva: WHO, 2015. Disponible en: http://apps.who.int/iris/bitstream/10665/170250/1/9789240694439_eng.pdf (Consulta: 01/02/2018).
Argentina. Instituto Nacional de Estadística y Censos. Censo Nacional de Población, Hogares y Viviendas 2010 [Internet]. Buenos Aires: INDEC, 2010. Disponible en: https://www.indec.gov.ar/nivel4_default.asp?id_tema_1=2&id_tema_2=41&id_tema_3=135 (Consulta: 01/02/2018).
Argentina. Ministerio de Salud, Dirección Nacional e Información de Salud. Indicadores básicos Argentina 2005 [Internet]. Buenos Aires Ministerio de Salud, OPS, 2005. Disponible en: http://www.deis.msal.gov.ar/wp-content/uploads/2016/01/indiba2005.pdf (Consulta: 01/02/2018).
Argentina. Ministerio de Salud, Dirección Nacional e Información de Salud. Indicadores básicos Argentina 2016 [Internet]. Buenos Aires Ministerio de Salud, OPS, 2016. Disponible en: http://www.deis.msal.gov.ar/wp-content/uploads/2016/12/IndicadoresBasicos2016.pdf (Consulta: 01/02/2018).
Universidad de Sonora, Departamento de Matemáticas. Muestreo [Internet]. Disponible en: http://www.estadistica.mat.uson.mx/Material/elmuestreo.pdf (Consulta: 01/02/2018).
Argentina. Ministerio de Salud. El Programa SUMAR es más Salud Pública [Internet]. Buenos Aires, 2017. Disponible en: http://www.msal.gob.ar/sumar/index.php/institucional/programa-sumar-mas-salud-publica (Consulta: 01/02/2018).
Argentina. Ministerio de Salud, Dirección Nacional e Información de Salud. Estadísticas vitales, información básica 2015 [Internet]. Buenos Aires Ministerio de Salud, Sistema Estadístico de Salud, 2015. Disponible en: http://www.deis.msal.gov.ar/wp-content/uploads/2016/12/Serie5Numero59.pdf (Consulta: 01/02/2018).
World Health Organization. Disorders related to length of gestation and fetal growth (P05-P08) [Internet]. En: International Statistical Classification of Diseases and Related Health Problems. 10th rev. Ginebra: WHO, 2016. Disponible en: http://apps.who.int/classifications/icd10/browse/2016/en#/P05-P08 (Consulta: 06/05/2018).
Durán P, Mangialavori G, Biglieri A, Kogan L, Abeyá Gilardon E. Estudio descriptivo de la situación nutricional en niños de 6-72 meses de la República Argentina. Resultados de la Encuesta Nacional de Nutrición y Salud (ENNyS). Arch Argent Pediatr. 2009;107(5):397-404.
World Health Organization. Child growth standards [Internet]. Washington, DC, WHO, 2006. Disponible en: http://www.who.int/childgrowth/standards/bmi_for_age/en/index.html (Consulta: 01/02/2018).
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2 Suppl 4th Report):555-76.
WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl. 2006;450:76-85.
Platt MJ. Outcomes in preterm infants. Public Health. 2014;128(5):399-403.
Luyckx VA. Preterm Birth and its Impact on Renal Health. Semin Nephrol. 2017;37(4):311-9.
Barker DJ, Osmond C. Infant mortality, childhood nutrition, and ischaemic heart disease in England and Wales. Lancet. 1986;1(8489):1077-81.
Eriksson JG, Osmond C, Kajantie E, Forsén TJ, Barker DJ. Patterns of growth among children who later develop type 2 diabetes or its risk factors. Diabetologia. 2006;49(12):2853-8.
Barker DJ, Eriksson JG, Forsén T, Osmond C. Infant growth and income 50 years later. Arch Dis Child. 2005;90(3):272-3.
Kajantie E, Barker DJ, Osmond C, Forsén T, Eriksson JG. Growth before 2 years of age and serum lipids 60 years later: the Helsinki Birth Cohort study. Int J Epidemiol. 2008;37(2):280-9.
Luyckx VA, Bertram JF, Brenner BM, Fall C, Hoy WE, Ozanne SE, et al. Effect of fetal and child health on kidney development and long-term risk of hypertension and kidney disease. Lancet. 2013;382(9888):273-83.
Spencer J, Wang Z, Hoy W. Low birth weight and reduced renal volume in Aboriginal children. Am J Kidney Dis. 2001;37(5):915-20.
Mihrshahi S, Battistutta D, Magarey A, Daniels LA. Determinants of rapid weight gain during infancy: baseline results from the NOURISH randomised controlled trial. BMC Pediatr. 2011;11:99.
Hoy WE, Nicol JL. The Barker hypothesis confirmed: association of low birth weight with all-cause natural deaths in young adult life in a remote Australian Aboriginal community. J Dev Orig Health Dis. 2018:1-8.
Barker DJ. The fetal and infant origins of disease. Eur J Clin Invest. 1995;25(7):457-63.
Yan J, Liu L, Zhu Y, Huang G, Wang PP. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health. 2014;14:1267.
Stansfield BK, Fain ME, Bhatia J, Gutin B, Nguyen JT, Pollock NK. Nonlinear Relationship between Birth Weight and Visceral Fat in Adolescents. J Pediatr. 2016;174:185-92.
WHO Expert Committee on physical status: the use and interpretation of anthropometry [Internet]. Geneva: World Health Organization, 1995. 452 p. (WHO Technical Report Series; 854). Disponible en: http://apps.who.int/iris/bitstream/10665/37003/1/WHO_TRS_854.pdf (Consulta: 01/02/2018).
World Health Organization, Department of Nutrition for Health and Development. WHO child growth standards, interpreting growth indicators: training course on child growth assessment [Internet]. Geneva: WHO, 2008. 48 p. Disponible en: http://www.who.int/childgrowth/training/module_c_interpreting_indicators.pdf (Consulta: 01/02/2018).
Nuñez PA, Fernández-Slezak D, Farall A, Szretter ME, Salomón OD, Valeggia CR. Impact of Universal Health Coverage on Child Growth and Nutrition in Argentina. Am J Public Health. 2016;106(4):720-6.
Argentina. Ministerio de Salud. Encuesta Nacional de Nutrición y Salud. Documento de resultados 2007 [Internet]. Buenos Aires: Plan Federal de Salud, 2007. 183 p. Disponible en: http://www.extensioncbc.com.ar/wp-content/uploads/ENNyS-2007.pdf (Consulta: 01/02/2018).
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340-57.
de Onis M, Dewey KG, Borghi E, Onyango AW, Blössner M, Daelmans B, et al. The World Health Organization's global target for reducing childhood stunting by 2025: rationale and proposed actions. Matern Child Nutr. 2013;9 Suppl 2:6-26.
Brasil. Ministério do Planejamento, Orçamento e Gestão, Instituto Brasileiro de Geografi a e Estatística, Diretoria de Pesquisas Coordenação de Trabalho e Rendimento. Pesquisa de Orçamentos Familiares 2008-2009. Antropometria e Estado Nutricional de Crianças, Adolescentes e Adultos no Brasil [Internet]. Rio de Janeiro: Instituto Brasileiro de Geografi a e Estatística, 2010. Disponibel en: http://www.abeso.org.br/uploads/downloads/71/553a23f27da68.pdf (Consulta: 01/02/2018).
Durán P. Transición epidemiológica nutricional o el “efecto mariposa". Arch Argent Pediatr. 2005;103(3):195-7.
Comisión Económica para América Latina y el Caribe, Centro Latinoamericano de Demografía, Banco Interamericano de Desarrollo. Impacto de las tendencias demográficas sobre los sectores sociales en América Latina: contribución al diseño de políticas y programas [Internet]. Santiago de Chile: CELADE, 1996. 297 p. Disponible en: http://200.9.3.98/handle/11362/9786 (Consulta: 01/03/2017).
Rivera JÁ, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2(4):321-32.
Bianchi ME, Slimel M, Tannuri RK, Valdez MF, Cusumano AM, Velasco GA. Estado nutricional y presión arterial en niños de la provincia del Chaco, Argentina. Av
Diabetol. 2014;30(2):45-51.
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3-21.
de Onis M, Lobstein T. Defining obesity risk status in the general childhood population: which cut-offs should we use? Int J Pediatr Obes. 2010;5(6):458-60.
de Onis M, Blössner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr. 2000;72(4):1032-9.
Popkin BM, Richards MK, Montiero CA. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. J Nutr. 1996;126(12):3009-16.
Hogg RJ. Screening for CKD in children: a global controversy. Clin J Am Soc Nephrol. 2009;4(2):509-15.
Murakami M, Hayakawa M, Yanagihara T, Hukunaga Y. Proteinuria screening for children. Kidney Int Suppl. 2005;(94):S23-7.
Yamagata K, Iseki K, Nitta K, Imai H, Iino Y, Matsuo S, et al. Chronic kidney disease perspectives in Japan and the importance of urinalysis screening. Clin Exp Nephrol. 2008;12(1):1-8.
Cho BS, Kim SD. School urinalysis screening in Korea. Nephrology (Carlton). 2007;12 Suppl 3:S3-7.
Lin CY, Hsieh CC, Chen WP, Yang LY, Wang HH. The underlying diseases and follow-up in Taiwanese children screened by urinalysis. Pediatr Nephrol. 2001;16(3):232-7.
Plata R, Silva C, Yahuita J, Perez L, Schieppati A, Remuzzi G. The first clinical and epidemiological programme on renal disease in Bolivia: a model for prevention and early diagnosis of renal diseases in the developing countries. Nephrol Dial Transplant. 1998;13(12):3034-6.
Oropeza Zúñiga C. Prevalencia de proteinuria asintomática en niños de edad escolar en primarias de la zona sur-oriente de la ciudad de Aguas Calientes (México) [Internet]. Tesis para obtener la especialidad en Medicina Integrada. México: Universidad Autónoma de Aguas Calientes, 2014. 53 p. Disponible en: http://bdigital.dgse.uaa.mx:8080/xmlui/bitstream/handle/123456789/991/384663.pdf?sequence=1 (Consulta: 01/03/2018).
Ubillus G, Zavaleta N, Falconí R, Soto C, Medina J, Fernandez D, et al. Detección precoz de enfermedad renal en escolares asintománticos de 5-12 años en el Centro Educativo 6097 “Mateo Pumacahua” en Surco, Lima, Set-Oct. 2007. Horiz Med. 2008;8(2):17-35.
Díaz A, Calandra L. Presión arterial elevada en niños y adolescentes escolarizados de Argentina en los últimos 25 años: revisión sistemática de estudios observacionales. Arch Argent Pediatr. 2017;115:5-11
Ferreira de Moraes AC, Lacerda MB, Moreno LA, Horta BL, Carvalho HB. Prevalence of high blood pressure in 122,053 adolescents: a systematic review and meta-regression. Medicine (Baltimore). 2014;93(27):e232.
Dyson PA, Anthony D, Fenton B, Matthews DR, Stevens DE; Community Interventions for Health Collaboration. High rates of child hypertension associated with obesity: a community survey in China, India and Mexico. Paediatr Int Child Health. 2014;34(1):43-9.
Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008;117(25):3171-80.
Toschke AM, Kohl L, Mansmann U, von Kries R. Meta-analysis of blood pressure tracking from childhood to adulthood and implications for the design of intervention trials. Acta Paediatr. 2010;99(1):24-9.
Conkar S, Yılmaz E, Hacıkara Ş, Bozabalı S, Mir S. Is Daytime Systolic Load an Important Risk Factor for Target Organ Damage in Pediatric Hypertension? J Clin Hypertens (Greenwich). 2015;17(10):760-6.
Baroncini LAV, Sylvestre LC, Baroncini CV, Pecoits R Filho. Assessment of Carotid Intima-Media Thickness as an Early Marker Of Vascular Damage In Hypertensive Children. Arq Bras Cardiol. 2017;108(5):452-457.
Meng L, Hou D, Zhao X, Hu Y, Liang Y, Liu J, et al. Cardiovascular target organ damage could have been detected in sustained pediatric hypertension. Blood Press. 2015;24(5):284-92.
Jing L, Nevius CD, Friday CM, Suever JD, Pulenthiran A, Mejia-Spiegeler A, et al. Ambulatory systolic blood pressure and obesity are independently associated with left ventricular hypertrophic remodeling in children. J Cardiovasc Magn Reson. 2017;19(1):86.
Dibeklioglu SE, Çevik BŞ, Acar B, Özçakar ZB, Uncu N, Kara N, et al. The association between obesity, hypertension and left ventricular mass in adolescents. J Pediatr Endocrinol Metab. 2017;30(2):167-174.
Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, Daniels SR, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017;140(6):e20171904.
Roulet C, Bovet P, Brauchli T, Simeoni U, Xi B, Santschi V, et al. Secular trends in blood pressure in children: A systematic review. J Clin Hypertens (Greenwich). 2017;19(5):488-97.
Yan W, Li X, Zhang Y, Niu D, Mu K, Ye Y, et al. Reevaluate secular trends of body size measurements and prevalence of hypertension among Chinese children and adolescents in past two decades. J Hypertens. 2016;34(12):2337-43.
