Browsing by Autor "Odalis Sinisterra"

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[Assessment of the nutritional impact of the complementary feeding program of Panama in children under five years old].
(National Institutes of Health, 2004) Eira de Caballero; Odalis Sinisterra; Francisco Lagrutta; Eduardo Atalah
To evaluate the nutritional impact of the Complementary Feeding Program of Panama in children under 5 years old. A retrospective cohort of children beneficiaries of the program was studied and compared with others of the same age and districts not involved in this intervention. Weight for age (W-A), height for age (H-A), and weight for height (W-H) was calculated in each control and the nutritional status determined according to Ministry of Health norms. Every beneficiary received six pounds/month of a food supplement containing cereals, legumes, calcium, iron and vitamin A (350 Kcal and 12 g of protein by 100 grams). Most of the children enter into the program in their second year of life with an average W-A and W-H of -1.5 +/- 1.2 and -0.6 +/- 0.9 respectively; both indicators were declining before the intervention (-0.6 +/- 1.2 y -0.3 +/- 1.3 respectively, p < 0.01). In 9 months of intervention an average change in W-A of 0.0 +/- 1.1 and H-A of - 0.1 +/- 1.1 was observed (NS). Weight gain was higher in children with lower W-A, in families with less children or mother with better education level (p < 0.05). In 35% of malnourished children and 24% of children at risk nutritional status improved during the intervention. Children with higher nutritional deficit at the beginning of the program have significantly better nutritional improvement (p < 0.001), encouraging the importance on focusing this program in malnourished children.
Gestational weight gain according to pre-pregnancy body mass index of a group of Latin American adolescents and its association with newborn birth weight
(Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, 2025) Keren Cano-Pulgarín; Alejandro Estrada; J. Vico Cano; Odalis Sinisterra; Cecilia Severi; Reyna Sámano; María del Carmen Zimmer Sarmiento; María Victoria Benjumea Rincón; María Isabel López Ocampos; Sandra Lucía Restrepo Mesa
This study aims to analyze the distribution of gestational weight gain in a group of Latin American adolescents according to their pre-pregnancy body mass index (BMI, based on the World Health Organization criteria for adolescents and adults) and its association with their newborns' birth weight. This longitudinal retrospective study used secondary data from national or institutional perinatal information systems about pregnant adolescents from Argentina, Colombia, Mexico, Panama, Paraguay, and Uruguay. The degree of agreement between the two classification criteria for the pre-pregnancy BMI was determined with the B statistic and the Bangdiwala graph. The association of newborns' weight with the pre-pregnancy BMI and the gestational weight gain was assessed using regression models. This study included 6,141 pregnant adolescents. When compared to the adolescents' criterion, the pre-pregnancy BMI classification for adults tends to underestimate the assigned category, leading to a higher recommended weight gain. Regardless of the criterion, overweight and high gestational weight gain were significantly associated with a higher probability of newborns with macrosomia and birth weight > P90, obesity was associated with birth weight > P90, and low weight gain was associated with low, insufficient, and < P10 birth weight. In conclusion, pre-pregnancy BMI and gestational weight gain are associated with the birth weight of newborns from Latin American adolescents.