Percepção materna do estado nutricional de crianças de creches de cidade do Sul do Brasil

OBJETIVO: Avaliar a prevalência e os fatores associados ao erro na percepção do estado nutricional das crianças de creches públicas e privadas de Balneário Camboriú (SC) por parte das mães ou responsáveis. MÉTODOS: Estudo transversal com a seleção de amostra em duplo estágio (n=589). A coleta de dados incluiu medidas antropométricas e questionário com variáveis infantis e maternas. Foram calculadas as razões de prevalência e intervalos de confiança de 95% (IC 95%), por meio da Regressão de Poisson, ajustada para delineamentos complexos. RESULTADOS: Foram avaliadas 493 crianças (83,7%). A distribuição em relação ao sexo infantil mostrou-se homogênea. As mães foram as principais respondentes dos questionários (95,7%), apresentaram em geral cor de pele branca e escolaridade média. A prevalência de erro na classificação do estado nutricional infantil foi de 18,9% (IC 95% 15,5-22,4%). Após análise ajustada, sobrepeso (RP 4,8 IC 95% 3,8-7,1) ou desnutrição infantil (RP 4,6 IC 95% 2,8-7,7) e cor da pele do responsável não branca (RP 1,7 IC 95% 1,1-2,6) foram variáveis associadas à maior prevalência do desfecho, enquanto idade do responsável entre 24 e 35 anos (RP 0,5 IC 95% 0,3-0,8), maior renda (RP 0,6 IC 95% 0,4-0,9) e obesidade do responsável (RP 0,3 IC 95% 0,1-1,0) atuaram em direção oposta. CONCLUSÃO: A prevalência de erro foi similar àquela observada em outros estudos e esteve associada a variáveis composicionais maternas e ao estado nutricional infantil

Supporting parents of preschool children in adopting a healthy lifestyle

<p>Abstract</p> <p>Background</p> <p>Childhood obesity is a public health epidemic. In Canada 21.5% of children aged 2–5 are overweight, with psychological and physical consequences for the child and economic consequences for society. Parents often do not view their children as overweight. One way to prevent overweight is to adopt a healthy lifestyle (HL). Nurses with direct access to young families could assess overweight and support parents in adopting HL. But what is the best way to support them if they do not view their child as overweight? A better understanding of parents’ representation of children’s overweight might guide the development of solutions tailored to their needs.</p> <p>Methods/design</p> <p>This study uses an action research design, a participatory approach mobilizing all stakeholders around a problem to be solved. The general objective is to identify, with nurses working with families, ways to promote HL among parents of preschoolers. Specific objectives are to: 1) describe the prevalence of overweight in preschoolers at vaccination time; 2) describe the representation of overweight and HL, as reported by preschoolers’ parents; 3) explore the views of nurses working with young families regarding possible solutions that could become a clinical tool to promote HL; and 4) try to identify a direction concerning the proposed strategies that could be used by nurses working with this population. First, an epidemiological study will be conducted in vaccination clinics: 288 4–5-year-olds will be weighed and measured. Next, semi-structured interviews will be conducted with 20 parents to describe their representation of HL and their child’s weight. Based on the results from these two steps, by means of a focus group nurses will identify possible strategies to the problem. Finally, focus groups of parents, then nurses and finally experts will give their opinions of these strategies in order to find a direction for these strategies. Descriptive and correlational statistical analyses will be done on the quantitative survey data using SPSS. Qualitative data will be analyzed using Huberman and Miles’ (2003) approach. NVivo will be used for the analysis and data management.</p> <p>Discussion</p> <p>The anticipated benefits of this rigorous approach will be to identify and develop potential intervention strategies in partnership with preschoolers’ parents and produce a clinical tool reflecting the views of parents and nurses working with preschoolers’ parents.</p