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Renata Maria Galvao de Cintra

Sao Paulo State University, Brazil

Title: Nutritional intervention to overwheigh and cardiovascular risk in outcoming pediatric patients

Abstract

Several strategies have happened to childhood nutritional problems in Brazil, as public polices, nutritional education in school curriculum. However overweight has increased from 9,2 to 27,6% boys and 16,1 to 23,4% girls in 10 years, according national data. Obesity and its associated disease need actions to combat health problems in pediatric population. The individual counselling can be an alternative to improve the nutritional status and the health. In this report we showed the results of the nutritional attendance of children and adolescents. 
Methodology: Nutritional and clinical data were obtained from pediatric patients between 2009 and 2019 in Center Studies in Nutrition of São Paulo State University. Anthropometric indicators at baseline and last attendance were evaluated. Body mass Index(BMI) was assessed according WHO reference standard. The frequency of no communicable chronic diseases (NCDs) was obtained, and its association with BMI and family history of NCDs investigated. Guidance individualized and motivational interviews were employed. 
Results: 229 patients between 2 and 19 years old were evaluated. The proportion of obese was 78%, which was more frequent in age 10-14 (31.4%). Dyslipidemia was found in 26% and hypertension in 8% of children and adolescents. There was a significant association between BMI and NCDs (p<0,05), no association with reported familiar history. In 63% patients there was reduction in BMI after nutritional care (average 1.3 points). However, there was weight gain of up to 6 points in some other ones. The range 10-14 years got the better results.
Conclusions: The individual council is partially efficiency against overweigh; the hypertension and dyslipidemia affect early the health in response to inadequate nutritional status. According these outcomes, it is necessary to develop strategies to the adoption of eating behavioral changes in this phase of life. We suggest entertainment with social media and parents’ groups to improve the results in nutrition intervention to pediatric population. 

Biography

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