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Gaceta Médica Boliviana
versión impresa ISSN 1012-2966versión On-line ISSN 2227-3662
Resumen
PAZ SOLDAN, Sevilla et al. Effect of nutritional recovery scheme at home in the immune response in children and development malnou-rished psychomotor mild and moderate between six months and five years of ageRicardo. Gac Med Bol [online]. 2013, vol.36, n.2, pp.71-75. ISSN 1012-2966.
Objectives: To determine the influence of malnutrition mild / moderate in immunity, psychomotor development of children from six months to five years and the effect of nutritional recovery scheme at home. Methods: A prospective randomized comparative study conducted on 1,200 children , according to inclusion and exclusion criteria. Admitted 39 children with mild and / or moderate , they were compared with 41 healthy children. Both were followed for 22 weeks. In the study group focused on food, improving the environment , stimulation. Also received supplementation with : zinc , iron, vitamin A. In case of infection was treated according to standard protocols. The control group received normal food , not supplements. Both groups were assessed by anthropometry , clinical,psychomotor development, and immunity thymus ultrasound. In both groups was conducted information, education , nutrition communication. Results: E ighty children met entry criteria, 19 children were excluded in the study group (n = 30 ) recovered a P / T at 12 weeks (95 % ), the P / E , T / E , thickness, surface thymus recovered at 22 weeks , psychomotor development did not reach the expected threshold ; infections were 2 times per child. In 83 % improved living conditions . The control group ( n = 31 ) continued to grow, with good immunity , no infection and development within expectations. Conclusions: Malnutrition mild, moderate impact on immunity, psychomotor development. His recovery is not parallel to growth. It is possible to recover at 22 weeks immunity as is later recovery psychomotor.
Palabras clave : ultrasound; immunity; outpatient; recovery malnutrition.