RESUMO
The objective was to evaluate the prevalence of specific nutritional deficiencies in a group of pregnant adolescents according to the gestational age when they started to receive prenatal care. A group of 163 pregnant adolescents that attended the Instituto Nacional de Perinatología (Mexico City) for the first time to receive prenatal care was evaluated. An anthropometrical evaluation was performed and a blood sample taken to determine hemoglobin, ferritin, erythrocyte folate and plasma zinc to all cases. The mean age was 15 years (11 to 17 years). The mean gestational age when starting prenatal care was 27 +/- 7 gestation weeks and most of them tended to have low weight (97 +/- 12 per cent expected weight for height and gestational age). Eight of every ten adolescents had anemia and iron deficiency. Late prenatal care (> or = 25 weeks) was associated with the risk of presenting anemia OR 5.11 (CI 95 per cent 2.4-10.7) iron deficiency (OR 3.5; CI 95 per cent 1.7 to 7.1) and zinc deficiency (OR 2.9; CI 95 per cent 1.1 a 7.6). In relation to folate deficiency, the opposite effect was observed (OR 0.10; CI 95 per cent 0.02 a 0.48). Lack of opportune prenatal care was associated with the presence of iron and zinc depletion. Probably iron deficiency contributes to an erythrocyte folate accumulation.
Assuntos
Humanos , Feminino , Gravidez , Criança , Adolescente , Anemia Ferropriva , Complicações Hematológicas na Gravidez/epidemiologia , Idade Gestacional , Gravidez na Adolescência/sangue , Cuidado Pré-Natal , Nutrição do Adolescente , Anemia Ferropriva , Anemia/sangue , Anemia/epidemiologia , Estudos Transversais , Complicações Hematológicas na Gravidez/sangue , Nutrição Materna , México/epidemiologia , Estado Nutricional , Prevalência , Zinco/deficiênciaRESUMO
Teniendo en cuenta la posibilidad de que durante los procesos septicemicos pudiese desarrolarse una pancreatitis aguda, se estudiaron 10 ninos lactantes a partir del momento en que se establecio el diagnostico clinico de septicemia. Con este proposito, se registraron las manifestaciones clinicas presentes en los ninos y se estimo la actividad de la amilasa y la lipasa sericas a intervalos de 24 horas durante los 3 primeros dias, repitiendo estos estudios al 5o. y 7o. dias. Los resultados mostraron una actividad anormalmente elevada de lipasa serica, particularmente en 6 de los 10 lactantes. La amilasa se encontro dentro de limites normales, con tendencia al descenso en ciertos casos. Esta informacion sugiere la presencia de pancreatitis aguda en algunos de los ninos investigados