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Diet quality, nutrient intake, weight status, and feeding environments of girls meeting or exceeding recommendations for total dietary fat of the American Academy of Pediatrics / Y Lee; DC Mitchell; H Smiciklas Wright; LL Birch.-- p.E95.-- En: Pediatrics.-- 107, 6 (2001)
ACADEMIAS E INSTITUTOS   PESO CORPORAL   NIÑO   DESARROLLO INFANTIL   INFANTE   DIETA   GRASAS EN LA DIETA   INGESTION DE ALIMENTOS   INGESTION DE ENERGIA   PAUTAS   CONDUCTA MATERNA   CONTROL DE CALIDAD   GROSOR DE PLIEGUES CUTANEOS
Categoría geográfica: ESTADOS UNIDOS  
Ubicación: Centro de Información y Documentación (CANIA)   
Solicite el material por este código: AS-4947
Tipo de Material:
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    OBJECTIVES: To compare the diet quality and weight status of girls consuming diets meeting the recommendation of the American Academy of Pediatrics for dietary fat with those of girls consuming >30% of energy from fat and to examine relationships between girls' dietary fat intake, mothers' nutrient intakes, and mothers' child-feeding practices. DESIGN: Participants were 192 white girls and their mothers, who were divided into 2 groups: >30% of energy from fat (high fat [HF])...

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Screening for anemia in children: AAP recommendations--a critique / M Kohli Kumar.-- pp. E56.-- En: Pediatrics.-- 108, 3 (2001)
Notas de Contenido:
Material no impreso
ACADEMIAS E INSTITUTOS   ANEMIA   PAUTAS   HEMATOCRITO   HEMOGLOBINAS   HUMANO   LACTANTE   RECIEN NACIDO   TAMIZAJE MASIVO   PEDIATRIA   EXAMEN FISICO
Ubicación: Centro de Información y Documentación (CANIA)   
Tipo de Material:
Separata

    The American Academy of Pediatrics (AAP) recommends screening for anemia between the ages of 9 to 12 months with additional screening between the ages of 1 and 5 years for patients at risk. The screening may be universal or selective depending on the prevalence of iron deficiency anemia in the population. Improved infant rearing practices-including wider availability, acceptance, and use of iron-fortified formulas; iron fortification of foods; and increased awareness of the importance of dietary iron supplementation especially early in life-have lead to significant decline in the incidence of anemia in the first year of life. However, incidence of iron deficiency and ensuing anemia in children between 1 and 2 years continues to be significant and an important issue. Although iron deficiency may develop soon after cessation of or inadequate iron intake, anemia secondary to iron deficiency develops gradually over a period of several weeks to months. For children who have received/are receiving iron-fortified infant formulas and foods, hemoglobin screening at 9 to 12 months of age is inappropriate as there may not have been sufficient time to develop anemia, despite the rapid growth rate at this age. Widespread implementation of hemoglobin electrophoresis included in the neonatal metabolic screening programs in many states in the United States now has resulted in earlier diagnosis of hemoglobinopathies. Screening children at 9 to 12 months of age for hemoglobinopathies is somewhat redundant now. Screening for anemia before or around 1 year of age should continue to be important for communities and children at risk. Universal screening of toddlers at a later time allows sufficient time for nutritional anemia to become evident after the child has been weaned off iron-fortified formulas, for the influence of toddler dietary fads to manifest, and for evaluation of tolerance of cow's milk protein. This may be addressed via 2 approaches. The first involves postponing the currently recommended screening or an additional screening for anemia between 15 to 18 months of age. Determination of hemoglobin (or hematocrit) is not the optimal way to identify children at risk from effects of iron deficiency as it fails to identify patients who are iron-deficient but are not anemic. Long-term psychomotor, behavioral, and developmental effects secondary to iron deficiency anemia are known but sufficient data are lacking regarding the role of iron deficiency without anemia. Development and evaluation of sensitive, specific, and cost-effective screening tools to identify children at risk for iron deficiency is important. Until such methods are instituted, the AAP should emphasize and recommend universal screening for anemia during the second year of life.

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