47 results on '"Vásquez-Garibay, Edgar Manuel"'
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2. Factors Associated With Anthropometric Indicators of Nutritional Status in Children With Chronic Kidney Disease Undergoing Peritoneal Dialysis, Hemodialysis, and After Kidney Transplant
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García De Alba Verduzco, Julieta, Hurtado López, Erika Fabiola, Pontón Vázquez, Consuelo, de la Torre Serrano, Adriana, Romero Velarde, Enrique, and Vásquez Garibay, Edgar Manuel
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- 2018
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3. Relationship between lipid profile, anthropometric indicators, and appetite-regulating hormones in infants according to type of feeding
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Vásquez-Garibay, Edgar Manuel, primary, Larrosa-Haro, Alfredo, additional, Muñoz-Esparza, Nelly Carolina, additional, Romero-Velarde, Enrique, additional, Guzmán-Mercado, Elizabeth, additional, García-Arellano, Samuel, additional, Martínez Limón, Felipe, additional, and Muñoz-Valle, José Francisco, additional
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- 2023
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4. Intergenerational transmission of appetite: Associations between mother-child dyads in a Mexican population
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Hunot-Alexander, Claudia, primary, Curiel-Curiel, Carmen Patricia, additional, Romero-Velarde, Enrique, additional, Vásquez-Garibay, Edgar Manuel, additional, Mariscal-Rizo, Alethia, additional, Casillas-Toral, Erika, additional, Smith, Andrea Dominica, additional, and Llewellyn, Clare Heidi, additional
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- 2022
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5. Children's Eating Behaviour Questionnaire--Mexican Spanish Version
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Hunot-Alexander, Claudia, primary, Curiel-Curiel, Carmen Patricia, additional, Romero-Velarde, Enrique, additional, Vásquez-Garibay, Edgar Manuel, additional, Mariscal-Rizo, Alethia, additional, Casillas-Toral, Erika, additional, Smith, Andrea Dominica, additional, and Llewellyn, Clare Heidi, additional
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- 2022
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6. Validity and Reliability of the Baby and Child Eating Behavior Questionnaire, Toddler Version (BEBQ-Mex and CEBQ-T-Mex) in a Low Sociodemographic Sample Recruited in a Mexican Hospital
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Hunot-Alexander, Claudia, primary, González-Toribio, Jocelyn, additional, Vásquez-Garibay, Edgar Manuel, additional, Larrosa-Haro, Alfredo, additional, Casillas-Toral, Erika, additional, and Curiel-Curiel, Carmen Patricia, additional
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- 2021
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7. Interpretación de índices antropométricos en niños de Arandas, Jalisco, México
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Vásquez-Garibay Edgar Manuel, Romero-Velarde Enrique, Nápoles-Rodríguez Francisco, Nuño-Cosío María Eugenia, and Padilla-Gutiérrez Nabor
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niño ,estado nutricio ,indicadores antropométricos ,México ,Public aspects of medicine ,RA1-1270 - Abstract
Objetivo. Valorar el estado de nutrición de niños que asisten al Instituto Alteño para el Desarrollo de Jalisco en Arandas, Jalisco, y discutir los criterios de clasificación de la desnutrición en México. Material y métodos. Estudio transversal, desarrollado con 775 niños de 12 a 120 meses de edad y que asisten al Instituto Alteño para el Desarrollo de Jalisco (Inadej) y 432 encuestas a niños de nuevo ingreso al Inadej. Se calcularon los índices peso/edad, talla/edad y peso/talla, y se investigaron características sociodemográficas y económicas y hábitos de alimentación; asimismo se compararon los criterios de la Organización Mundial de la Salud (OMS) y de la Norma Oficial Mexicana (NOM-SSA) para definir la prevalencia de desnutrición. Resultados. Hubo baja escolaridad en ambos padres (3.6 años). El ingreso familiar fue de $198 dólares mensuales y cada miembro recibió 0.56 dólar/día para las tres comidas. La prevalencia de desnutrición fue mayor en los tres índices con el uso de la NOM-SSA que con el criterio de la OMS (peso/edad 91.7 vs. 30.9%; talla/edad 66.9 vs. 17.3%; peso/talla 62.5 vs. 9.5% respectivamente). Conclusiones. El índice peso/edad y la NOM SSA sobrestiman la prevalencia de desnutrición y no discriminan entre niños genéticamente pequeños, con desnutrición aguda o desnutrición crónica o pasada. Es más útil el criterio de la OMS. Se deben incluir los índices peso/talla (desnutrición reciente) y talla/edad (desnutrición crónica) para comparación internacional.
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- 2002
8. Prevalencia de deficiencia de hierro y yodo, y parasitosis en niños de Arandas, Jalisco, México
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Vásquez-Garibay Edgar Manuel, Romero-Velarde Enrique, Nápoles-Rodríguez Francisco, Nuño-Cosío María Eugenia, Trujillo-Contreras Francisco, and Sánchez-Mercado Oscar
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niños ,deficiencia de hierro ,deficiencia de yodo ,parasitosis ,México ,Public aspects of medicine ,RA1-1270 - Abstract
Objetivo. Estimar la prevalencia de deficiencia de hierro, yodo y parasitosis en niños que asisten al Instituto Alteño para el Desarrollo de Jalisco (Inadej), Arandas, Jalisco, México. Material y métodos. Estudio transversal efectuado entre 1997 y 1999 con 432 niños de 12 a 120 meses de edad, de nuevo ingreso al Inadej. Se determinaron variables hematológicas, yodo en orina y presencia de parásitos. Se utilizaron las pruebas Ji cuadrada y t de Student en variables no paramétricas y paramétricas. Resultados. Hubo más anemia (20 vs 7.4% p=0.007) y deficiencia de hierro (60.9 vs 44.4% p=0.02) en prescolares que en escolares. El 29% presentaron deficiencia de yodo (10.5% moderada o grave) y 47.2% parasitosis. Predominaron G. lamblia y E. histolytica. Bajo salario, sexo masculino y no tener seguridad social se asociaron con parasitosis. Conclusiones. La elevada prevalencia de deficiencia de hierro, yodo y parasitosis obliga al sector salud estatal a ejecutar medidas eficaces para abatir estas enfermedades prevenibles.
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- 2002
9. Percentile Reference Values for the Neck Circumference of Mexican Children
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Valencia-Sosa, Evelyn, primary, Chávez-Palencia, Clío, additional, Vallarta-Robledo, Juan R., additional, Romero-Velarde, Enrique, additional, Larrosa-Haro, Alfredo, additional, Vásquez-Garibay, Edgar Manuel, additional, and Ramos-García, César Octavio, additional
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- 2021
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10. Bone mineral density and biochemical and hormonal indicators in children with quadriplegic cerebral palsy
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Álvarez Zaragoza, Citlalli, Vásquez-Garibay, Edgar Manuel, García Contreras, Andrea Anaís, Larrosa Haro, Alfredo, Romero Velarde, Enrique, Rea Rosas, Alejandro, Cabrales de Anda, José Luis, and Vega Olea, Israel Francisco
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Metabolismo óseo ,Bone metabolism ,Vitamina D ,Alkaline phosphatase ,Bone mineral density ,Fósforo ,Quadriplegic cerebral palsy ,Phosphorus ,Densidad mineral ósea ,Parálisis cerebral cuadripléjica ,Fosfatasa alcalina ,Vitamin D - Abstract
Introduction: children with cerebral palsy (CP) have multiple risk factors for low bone mineral density or osteoporosis. Objective: to explore the association between bone mineral density (BMD) and biochemical and hormonal indicators of bone metabolism in children with quadriplegic cerebral palsy (CP). Methods: a cross-sectional analytical study included 59 participants from six to 18 years of age with quadriplegic CP. Serum concentrations of calcium, phosphorus, 25OHD metabolite, parathyroid hormone (PTH), alkaline phosphatase, and thyroid hormones were determined using standardized methods. The BMD measurement was obtained from the lumbar spine expressed in g/cm2 and Z-score. Unpaired Student's t-test, Chi-square test, odds ratio and Pearson's correlation were performed. Results: participants with CP and malnutrition had lower serum concentrations of calcium, phosphorus and alkaline phosphatase. Those who had low BMD showed lower serum concentrations of calcium, phosphorus and alkaline phosphatase. Most participants with low and normal BMD had vitamin D deficiency (27.1% and 10%) and insufficiency (35.4% and 30%), respectively. There was a significant correlation between BMD and serum concentrations of calcium, phosphorus, alkaline phosphatase, vitamin D and thyroid-stimulating hormone (TSH). There were no differences in the biochemical and hormonal indicators by level of gross motor function, use of anticonvulsants and oral versus enteral feeding method. Conclusion: malnutrition and alteration of vitamin D nutritional status were associated with low BMD and alterations of biochemical indicators of bone metabolism in pediatric patients with quadriplegic CP. The relationship between BMD and biochemical indicators of bone metabolism in children with quadriplegic CP was also demonstrated. Resumen Introducción: los niños con parálisis cerebral (PC) presentan múltiples factores de riesgo de densidad mineral ósea baja u osteoporosis. Objetivo: explorar la asociación entre la baja densidad mineral ósea (DMO) e indicadores bioquímicos y hormonales del metabolismo óseo en niños con PC cuadripléjica. Métodos: un estudio transversal analítico incluyó a 59 participantes de entre seis y 18 años de edad con PC cuadripléjica. Las concentraciones séricas de calcio, fósforo, metabolito 25OHD, hormona paratiroidea (PTH), fosfatasa alcalina y hormonas tiroideas se determinaron utilizando métodos estandarizados. La medición de DMO se obtuvo de la columna lumbar expresada en g/cm2 y puntaje Z. Se realizaron pruebas t de Student no pareada, Chi-cuadrado, razón de momios y correlación de Pearson. Resultados: los participantes con PC y desnutrición tenían concentraciones séricas más bajas de calcio, fósforo y fosfatasa alcalina. Los participantes con DMO baja tuvieron menor concentración sérica de calcio, fósforo y fosfatasa alcalina. Los participantes con DMO baja y normal tenían deficiencia de vitamina D (27.1% y 10%) e insuficiencia (35.4% y 30%), respectivamente. Hubo una correlación significativa entre DMO y las concentraciones séricas de calcio, fósforo, fosfatasa alcalina, vitamina D y hormona estimulante de la tiroides. Conclusión: la desnutrición y la alteración del estado nutricio de la vitamina D se asociaron con DMO baja y alteraciones de los indicadores bioquímicos del metabolismo óseo. Se demostró una asociación entre DMO e indicadores bioquímicos y hormonales del metabolismo óseo en niños con PC cuadripléjica.
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- 2020
11. Energy expenditure is associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy
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García Iñiguez, Jorge Abraham, Vásquez Garibay, Edgar Manuel, García Contreras, Andrea Anaís, Romero Velarde, Enrique, Troyo Sanromán, Rogelio, Hernández Rocha, Juan, Rea Rosas, Alejandro, Rodríguez León, Monserrat, and Uribe Martínez, Elvira
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Bioelectrical impedance analysis ,Tetraplejia espástica ,Cerebral palsy ,Gasto energético ,Energy expenditure ,Parálisis cerebral ,Spastic quadriplegia ,Análisis de impedancia bioeléctrica - Abstract
Introduction: proper estimation of energy requirements in children with cerebral palsy (CP) is essential in ensuring that their energy needs are optimally met. Objective: therefore, the purpose of this study was to demonstrate that resting energy expenditure (REE) and total energy expenditure (TEE) are associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy. Methods: a cross-sectional study included 79 participants with spastic CP from 24 months to 16 years nine months. Weight and height (estimated by lower leg length) were obtained; body composition and energy expenditure were estimated by bioelectrical impedance analysis. ANOVA, post hoc tests, the Pearson correlation and determination coefficients (R2) were performed. Results: significant gradual increases according to age in REE and TEE (both in kcal/d) were observed. There were highly significant positive correlations between REE and TEE (kcal/d, kcal/cm/d) with fat-free mass (FFM) and fat mass (FM), but negative correlations between REE (kcal/kg/d) with body composition and energy indicators. FFM and total body water, and to a lesser extent FM, explained a high percentage of the direct variability of REE and TEE in kcal/d and the inverse in kcal/kg/d. Conclusions: as age increased, energy expenditure also increased. The estimated energy expenditure in kcal/cm/d did not differ with age and sex. The estimated energy expenditure, based on height, would be a practical and reliable method for estimating energy expenditure and ensuring adequate nutritional status. Resumen Introducción: la estimación adecuada de los requerimientos de energía en niños con parálisis cerebral (PC) es indispensable para garantizar que sus necesidades energéticas se cumplan de manera óptima. Objetivo: demostrar que el gasto de energía en reposo (GER) y el gasto energético total (GET) se asocian con la edad y los indicadores antropométricos y de composición corporal en niños con parálisis cerebral (PC) espástica. Métodos: un estudio transversal incluyó 79 participantes con PC espástica de 24 meses a 16 años y nueve meses de edad. Se obtuvieron el peso y la talla (estimados por la longitud de la pierna inferior); la composición corporal y el gasto de energía se estimaron mediante análisis de impedancia bioeléctrica. Se realizaron ANOVA, pruebas post hoc, los coeficientes de correlación y determinación de Pearson (R2). Resultados: se observaron incrementos graduales significativos según la edad en GER y GET (ambos en kcal/d). Hubo correlaciones positivas altamente significativas entre GER y GET (kcal/d, kcal/cm/d) con masa libre de grasa (MLG) y masa grasa (MG) y correlaciones negativas entre GER (kcal/kg/d) con la composición corporal e indicadores de energía. La MLG y el agua corporal total, y en menor grado la MG, explicaron un porcentaje elevado de la variabilidad de GER y GET en kcal/d y en kcal/kg/d. Conclusiones: conforme aumentó la edad, aumentó también el gasto de energía. El gasto energético estimado en kcal/cm/d no difirió con la edad y el sexo. Por tanto, el gasto energético basado en la talla sería un método práctico y confiable para garantizar un estado nutricio adecuado.
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- 2019
12. Using a lactation room at the workplace is associated with longer breastfeeding duration in working mothers
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Vásquez-Garibay, Edgar Manuel, primary, Ibarra-Ortega, Anel, additional, Larrosa-Haro, Alfredo, additional, Castro-Albarrán, Jorge, additional, and Vizmanos-Lamotte, Bárbara, additional
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- 2020
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13. Socio-demographic variables and underlying pathologies associated to nutritional status of hospitalized children in a secondary-tertiary level hospital
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Muñoz-Esparza, Nelly-Carolina, Vásquez-Garibay, Edgar-Manuel, Larrosa-Haro, Alfredo, and Romero-Velarde, Enrique
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Hospitalization ,Socio-demographic variables ,Malnutrición ,Variables sociodemográficas ,Diagnóstico ,Malnutrition ,Diagnosis ,Hospitalización - Abstract
Objective: the purpose was to evaluate the nutritional status in hospitalized children according to their socio-demographic variables, underlying pathology and based on hospital length of stay. Methods: seven-hundred and sixty-three hospitalized patients of the Civil Hospital of Guadalajara Dr. Juan I. Menchaca were included in a cross-sectional study. The following anthropometric indices were taken: weight/length, weight/height, weight/age, length/age, height/age, head circumference/age and BMI/age. Data of socio-demographic variables and underlying pathology were also obtained. Student's t-test, Chi-squared test, ANOVA with post-hoc tests and logistic regression were used to identify the likelihood of risk of malnutrition. Results: subjects were divided according to their hospital length of stay in lower than seven days and seven days or more. At the time of admission, children with stay of seven days or more showed a greater deficit in the height/age index (OR = 1.77 [95% CI 1.16-2.7], p = 0.007), head circumference (OR = 2.68 [95% CI 1.5-4.7], p ≤ 0.001) and BMI (OR = 2.9 [95% CI 1.9-4.4], p ≤ 0.001). Males had higher risk of moderate/severe malnutrition (OR = 1.87 [95% CI 1.22-2.85], p = 0.003) and higher deficit in head circumference (OR = 1.89 [95% CI 1.06-3.37], p = 0.029). Infants with gastrointestinal and respiratory problems had higher frequency of malnutrition at the time of admission than did those with other pathologies (p < 0.001). Conclusion: the pathological disease at time of admission and longer hospital length of stay increased the likelihood of malnutrition in male infants and preschool-aged children. There were demographic and educational risk factors in the home environment that could influence acute and chronic malnutrition. Resumen Objetivo: el propósito fue evaluar el estado nutricio en niños hospitalizados de acuerdo a variables sociodemográficas, patología de ingreso y días de estancia hospitalaria. Métodos: en estudio transversal analítico se incluyeron 763 pacientes hospitalizados en el Hospital Civil de Guadalajara Dr. Juan I. Menchaca. Se estimaron los índices: peso/edad, longitud/edad, estatura/edad, peso/talla, IMC y circunferencia cefálica/edad. Se obtuvieron variables sociodemográficas y el diagnóstico de ingreso. Se utilizaron las pruebas t de Student, Chi-cuadrado, ANOVA y post-hoc y regresión logística para identificar la probabilidad de riesgo de mala nutrición. Resultados: los participantes se dividieron de acuerdo a la duración de la estancia hospitalaria en menor de siete días e igual o mayor a siete días. Al ingreso, los niños con estancia de siete días o mayor mostraron déficit de los índices talla/edad (RM = 1,77 [IC 95% 1,16-2,7], p = 0,007), circunferencia cefálica (RM = 2,68 [IC 95% 1,5-4,7], p ≤ 0,001) e IMC (RM = 2,9 [IC 95% 1,9-4,4], p ≤ 0,001). Los varones mostraron mayor riesgo de desnutrición moderada o grave (RM = 1,87 [IC 95% 1,22-2,85], p = 0,003) y déficit en circunferencia cefálica (RM = 1,89 [IC 95% 1,06-3,37], p = 0,029). Los lactantes con problemas gastrointestinales y respiratorios tuvieron mayor frecuencia de desnutrición al ingreso hospitalario que aquellos con otras patologías (p < 0,001). Conclusión: la patología al momento del ingreso hospitalario y la estancia más prolongada aumentaron la probabilidad de desnutrición en lactantes varones y en preescolares. Hay factores de riesgo demográfico y educacional en la familia que podrían influir en la frecuencia de desnutrición aguda y/o crónica.
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- 2018
14. Neck circumference as an indicator of elevated central adiposity in children
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Valencia-Sosa, Evelyn, primary, Chávez-Palencia, Clío, additional, Romero-Velarde, Enrique, additional, Larrosa-Haro, Alfredo, additional, Vásquez-Garibay, Edgar Manuel, additional, and Ramos-García, César Octavio, additional
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- 2019
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15. Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation
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García Contreras, Andrea A., primary, Vásquez Garibay, Edgar Manuel, additional, Sánchez Ramírez, Carmen Alicia, additional, Fafutis Morris, Mary, additional, and Delgado Rizo, Vidal, additional
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- 2019
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16. Dietary Intake, Nutritional Status, and Body Composition in Children With End-Stage Kidney Disease on Hemodialysis or Peritoneal Dialysis
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Pontón-Vázquez, Consuelo, Vásquez-Garibay, Edgar Manuel, Hurtado-López, Erika Fabiola, de la Torre Serrano, Adriana, García, Germán Patiño, and Romero-Velarde, Enrique
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- 2017
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17. Assessment of anthropometric indicators in children with cerebral palsy according to the type of motor dysfunction and reference standard
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García-Iñiguez, Jorge-Abraham, Vásquez-Garibay, Edgar-Manuel, García-Contreras, Andrea, Romero-Velarde, Enrique, and Troyo-Sanroman, Rogelio
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Cuadriplejia espástica ,Cerebral palsy ,Parálisis cerebral ,Spastic quadriplegia ,Niños ,Children - Abstract
Aim: The study aimed to demonstrate that the assessment of the anthropomorphic measurements of children with cerebral palsy (CP) varies according to the type of motor dysfunction and references standard used for comparison. Method: In a cross-sectional design, 108 children 2 to 16 years were classified according to the type of motor dysfunction by gender and age group. Weight, mid-upper-arm-circumference (MUAC), and alternative measures for height were performed. Height/age and weight/age indexes and BMI were evaluated with percentiles and/or Z-scores with reference to a number of previously published references of growth, including those of the World Health Organization (WHO). Results: Fifty-three (49.1%) were females and 55 (50.9%) males. Spastic type was predominant (73.1%) and 26.9% were other types of dysfunction. Most of the children were located on level IV (14.6%) and level V (73.1%) of the Gross Motor Function Classification System (GMFCS). Significant differences were found, suggesting that weight (p = 0.002), height (p = 0.001), and MUAC (p = 0.05) are higher in the spastic group than in other groups. Conclusions: The anthropometric indicators were significantly higher in the spastic group than in other groups. Upper-arm length (UAL) seemed less appropriate than knee height (KH) and lower-leg length (LLL) for measuring height. The WHO reference standard was not useful to evaluate the majority of anthropometric indexes in children with CP, other references as the growth charts of Day and Brooks have been more suitable. Resumen Objetivo: demostrar que la evaluación de las mediciones antropomórficas de los niños con parálisis cerebral (PC) varía según el tipo de disfunción motora y la referencia estándar utilizada. Método: en un diseño transversal se incluyeron 108 niños de 2 a 16 años clasificados de acuerdo con el tipo de disfunción motora por sexo y grupos de edad. Se obtuvieron el peso, circunferencia media de brazo y mediciones alternas para la talla. Los índices talla/edad, peso/edad y el IMC fueron evaluados con los percentiles y/o puntuaciones Z con referencia a estándares de crecimiento previamente publicados, incluyendo los de la Organización Mundial de la Salud (OMS). Resultados: cincuenta y tres (49.1%) eran mujeres y 55 (50.9 %) hombres. Predominó la PC tipo espástico (73.1%) y 26.9% otros tipos de disfunción. La mayoría de los niños se encontraron en el nivel IV (14.6%) y en el nivel V (73.1 %) de la Gross Motor Function Classification System (GMFCS). Se encontraron diferencias significativas, lo que sugiere que el peso (p = 0,002), talla (p = 0,001), y la circunferencia media del brazo CMB (p = 0,05) son mayores en el grupo espástico que en otros grupos. Conclusiones: los indicadores antropométricos fueron mayores en el grupo espástico. La longitud del brazo pareció menos apropiada que la altura de la rodilla y la longitud de la pierna para la medición de la talla. El estándar de crecimiento de la OMS no resultó útil para evaluar los índices antropométricos en niños con parálisis cerebral; otras referencias como las tablas de crecimiento de Day y Brooks fueron más adecuadas.
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- 2017
18. Risk of malnutrition of hospitalized children in a university public hospital
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Muñoz-Esparza, Nelly Carolina, Vásquez-Garibay, Edgar Manuel, Romero-Velarde, Enrique, and Troyo-Sanromán, Rogelio
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Desnutrición ,Nutritional status ,Estado nutricional ,Malnutrition ,Niños hospitalizados ,Hospitalized child - Abstract
Objective: The study aimed to demonstrate that the duration of hospitalization has a significant effect on the nutritional status of children treated in a university hospital. Methods: A longitudinal study was conducted during 2014, with a non-random sampling site concentration in children from birth to 19 years who were admitted to the hospital in the past 24 hours and who met the inclusion criteria and had signed informed consent. Upon entering, at 7 days, and at discharge, anthropometric indices, including weight/age, height/age, weight/height, BMI/age, head circumference/age, triceps and subscapular skin folds, and fat percentage, were obtained. Student's t-test, U Mann-Whitney, ANOVA, chi square, Wilcoxon, and odds ratios were used to analyze the data. Results: In total, 206 patients were included: 40% infants, 25% preschoolers, 15% schoolchildren, and 20% teenagers. Infants had a significant improvement from admission to discharge in the indices weight/length (p = 0.042) and BMI (p = 0.002); adolescents showed decreased BMI from admission to discharge from the hospital (p = 0.05). Patients with longer hospitalization (more than 10 days) had an increased deficit in anthropometric indices at admission (p < 0.05). Infants had a higher risk of deficit in the BMI index and height/age than preschoolers, schoolchildren, and adolescents between admission and discharge. Conclusion: When the nutritional condition of a child was critical at admission, the child remained hospitalized significantly longer. Infants come under the age group most vulnerable to malnutrition and require greater monitoring of nutritional status during hospitalization. Objetivo: demostrar que la duración de la hospitalización tiene un efecto significativo sobre el estado nutricional de niños internados en un hospital para población general. Métodos: estudio longitudinal llevado a cabo durante 2014 en niños con edades comprendidas desde el nacimiento hasta los 19 años, ingresados en un hospital público en las últimas 24 horas. Al ingreso, a los 7 días y al alta hospitalaria se obtuvieron los índices antropométricos peso/edad, talla/edad, peso/talla, IMC/edad, circunferencia cefálica/edad, pliegues cutáneos tricipital y subescapular y el porcentaje de grasa. Para el análisis de datos se utilizaron las pruebas t de Student, U Mann-Whitney, ANOVA, Chi-cuadrado, Wilcoxon y razón de momios. Resultados: se incluyeron 206 pacientes: 40% lactantes, 25% preescolares, 15% escolares y 20% adolescentes. Los lactantes tuvieron una mejoría significativa desde el ingreso al alta en los índices peso/talla (p = 0,042) y el IMC (p = 0,002); los adolescentes mostraron una disminución del IMC desde el ingreso hasta el alta del hospital (p = 0,05). Hubo mayor déficit en los índices antropométricos al ingreso en pacientes con una hospitalización superior a 10 días (p < 0,05). Entre el ingreso y el alta, los lactantes tuvieron un riesgo mayor de déficit en el índice talla/edad y en el IMC que los niños preescolares, escolares y adolescentes. Conclusión: cuando la condición nutricia del niño fue crítica al ingreso, permaneció hospitalizado por un periodo significativamente más largo. Los lactantes fueron el grupo etario más vulnerable a la desnutrición y requieren de mayor vigilancia del estado nutricio y la alimentación durante la hospitalización.
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- 2017
19. Energy expenditure is associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy
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García Íñiguez, Jorge Abraham, primary, Vásquez Garibay, Edgar Manuel, additional, García Contreras, Andrea Anaís, additional, Romero Velarde, Enrique, additional, Troyo Sanromán, Rogelio, additional, Hernández Rocha, Juan, additional, Rea Rosas, Alejandro, additional, Rodríguez León, Monserrat, additional, and Uribe Martínez, Elvira, additional
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- 2018
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20. Patient-Generated Subjective Global Assessment of nutritional status in pediatric patients with recent cancer diagnosis.
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Vázquez de la Torre, Mayra Jezabel, primary, Stein, Katja, additional, Vásquez Garibay, Edgar Manuel, additional, Kumazawa Ichikawa, Miguel Roberto, additional, Troyo Sanromán, Rogelio, additional, Salcedo Flores, Alicia Guadalupe, additional, and Sánchez Zubieta, Fernando Antonio, additional
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- 2017
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21. Assessment of anthropometric indicators in children with cerebral palsy according to the type of motor dysfunction and reference standard
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García Iñiguez, Jorge Abraham, primary, Vásquez-Garibay, Edgar Manuel, additional, García Contreras, Andrea, additional, Romero-Velarde, Enrique, additional, and Troyo Sanromán, Rogelio, additional
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- 2017
- Full Text
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22. Risk of malnutrition of hospitalized children in a university public hospital
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Muñoz-Esparza, Nelly Carolina, primary, Vásquez-Garibay, Edgar Manuel, additional, Romero-Velarde, Enrique, additional, and Troyo-Sanromán, Rogelio, additional
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- 2017
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- View/download PDF
23. The distribution of the indicator height for age of Mexican children and adolescents with Down syndrome according to different reference standards
- Author
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Peña Rivera, Adriana Graciela, Vásquez Garibay, Edgar Manuel, Troyo Sanromán, Rogelio, Romero Velarde, Enrique, Caro Sabido, Erika, and Ramírez Díaz, Joanie
- Subjects
Down syndrome ,Height/age index ,Síndrome de Down ,Reference pattern ,índice talla/edad ,Patrón de referencia - Abstract
Objective: to compare the indicator height for age in Mexican children with Down Syndrome (DS) with two different reference patterns of growth (American and Spanish) that might be suitable for the Mexican population. Methods: a cross-sectional study was performed including 235 Mexican children and adolescents of both sexes with DS aged 45 days to 16 years enrolled in two specialized schools in the metropolitan area of Guadalajara. The dependent variables were weight/age; height/age; weight/ height and BMI. The data expressed was percentiles and the chi-square test was used to compare the distribution of the height/age index with American and Spanish reference patterns. In addition, a chi-square test was performed for the goodness of fit of the height/age index, with breakpoints lower and greater than the 50th percentile. Results: the percentage of participants who were below the 50th percentile in the height/age index was significantly higher with the Spanish vs. the American reference pattern. The chi-square test for goodness of fit showed that the frequency of cases located below the 50th percentile in the height/age index was significantly higher with the American pattern in the age groups of 0 to 36 months (p = 0.022) and 37 to 72 months (p
- Published
- 2015
24. Bone mineral density and biochemical and hormonal indicators in children with quadriplegic cerebral palsy.
- Author
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Álvarez Zaragoza, Citlalli, Vásquez-Garibay, Edgar Manuel, Anaís García Contreras, Andrea, Larrosa Haro, Alfredo, Romero Velarde, Enrique, Rea Rosas, Alejandro, Cabrales de Anda, José Luis, Francisco Vega Olea, Israel, Vasquez-Garibay, Edgar Manuel, García Contreras, Andrea Anaís, and Vega Olea, Israel Francisco
- Subjects
- *
CEREBRAL palsy , *JUVENILE diseases , *BONE density , *BIOCHEMISTRY , *PEOPLE with quadriplegia , *OSTEOPOROSIS , *THYROID hormones , *HORMONE metabolism , *MALNUTRITION , *DIETARY calcium , *QUADRIPLEGIA , *VITAMIN D deficiency , *CROSS-sectional method , *NUTRITIONAL status , *DISEASE complications - Abstract
Introduction: Introduction: children with cerebral palsy (CP) have multiple risk factors for low bone mineral density or osteoporosis. Objective: to explore the association between bone mineral density (BMD) and biochemical and hormonal indicators of bone metabolism in children with quadriplegic cerebral palsy (CP). Methods: a cross-sectional analytical study included 59 participants from six to 18 years of age with quadriplegic CP. Serum concentrations of calcium, phosphorus, 25OHD metabolite, parathyroid hormone (PTH), alkaline phosphatase, and thyroid hormones were determined using standardized methods. The BMD measurement was obtained from the lumbar spine expressed in g/cm2 and Z-score. Unpaired Student's t-test, Chi-square test, odds ratio and Pearson's correlation were performed. Results: participants with CP and malnutrition had lower serum concentrations of calcium, phosphorus and alkaline phosphatase. Those who had low BMD showed lower serum concentrations of calcium, phosphorus and alkaline phosphatase. Most participants with low and normal BMD had vitamin D deficiency (27.1% and 10%) and insufficiency (35.4% and 30%), respectively. There was a significant correlation between BMD and serum concentrations of calcium, phosphorus, alkaline phosphatase, vitamin D and thyroid-stimulating hormone (TSH). There were no differences in the biochemical and hormonal indicators by level of gross motor function, use of anticonvulsants and oral versus enteral feeding method. Conclusion: malnutrition and alteration of vitamin D nutritional status were associated with low BMD and alterations of biochemical indicators of bone metabolism in pediatric patients with quadriplegic CP. The relationship between BMD and biochemical indicators of bone metabolism in children with quadriplegic CP was also demonstrated. [ABSTRACT FROM AUTHOR]- Published
- 2019
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25. EFECTO DE LA RECUPERACIÓN NUTRICIA Y EL USO DE NUCLEÓTIDOS EN LACTANTES CON DESNUTRICIÓN PRIMARIA GRAVE SOBRE LA VELOCIDAD DE CRECIMIENTO, LA COMPOSICIÓN CORPORAL Y LA RESPUESTA INMUNE
- Author
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Vásquez Garibay, Edgar Manuel
- Abstract
Tesis de Doctorado
- Published
- 2014
26. ariables sociodemográficas y patologías asociadas al estado nutricional de niños hospitalizados en una unidad de segundo-tercer nivel.
- Author
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Muñoz Esparza, Nelly Carolina, Vásquez-Garibay, Edgar Manuel, Alfredo-Larrosa-Haro, Romero-Velarde, Enrique, Vasquez-Garibay, Edgar Manuel, and Larrosa-Haro, Alfredo
- Subjects
- *
NUTRITIONAL status , *HOSPITAL care of children , *ANTHROPOMETRY , *MALNUTRITION , *HOSPITAL admission & discharge , *HEALTH facilities , *HOSPITAL care , *LENGTH of stay in hospitals , *NUTRITION disorders in children , *SOCIOECONOMIC factors , *SPECIALTY hospitals , *CROSS-sectional method - Abstract
Objective: the purpose was to evaluate the nutritional status in hospitalized children according to their socio-demographic variables, underlying pathology and based on hospital length of stay.Methods: seven-hundred and sixty-three hospitalized patients of the Civil Hospital of Guadalajara Dr. Juan I. Menchaca were included in a cross-sectional study. The following anthropometric indices were taken: weight/length, weight/height, weight/age, length/age, height/age, head circumference/age and BMI/age. Data of socio-demographic variables and underlying pathology were also obtained. Student's t-test, Chi-squared test, ANOVA with post-hoc tests and logistic regression were used to identify the likelihood of risk of malnutrition.Results: subjects were divided according to their hospital length of stay in lower than seven days and seven days or more. At the time of admission, children with stay of seven days or more showed a greater deficit in the height/age index (OR = 1.77 [95% CI 1.16-2.7], p = 0.007), head circumference (OR = 2.68 [95% CI 1.5-4.7], p ≤ 0.001) and BMI (OR = 2.9 [95% CI 1.9-4.4], p ≤ 0.001). Males had higher risk of moderate/severe malnutrition (OR = 1.87 [95% CI 1.22-2.85], p = 0.003) and higher deficit in head circumference (OR = 1.89 [95% CI 1.06-3.37], p = 0.029). Infants with gastrointestinal and respiratory problems had higher frequency of malnutrition at the time of admission than did those with other pathologies (p < 0.001).Conclusion: the pathological disease at time of admission and longer hospital length of stay increased the likelihood of malnutrition in male infants and preschool-aged children. There were demographic and educational risk factors in the home environment that could influence acute and chronic malnutrition. [ABSTRACT FROM AUTHOR]- Published
- 2018
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27. Socioeconomic factors associated with obesity in adolescents in Guadalajara, Mexico
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Romero‐Velarde, Enrique, primary, Martínez‐Gloria, Esther Alicia, additional, Vásquez‐Garibay, Edgar Manuel, additional, and Troyo‐Sanromán, Rogelio, additional
- Published
- 2009
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28. Modelo de predicción de obesidad en niños a partir de variables dietéticas y actividad física.
- Author
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Larrosa-Haro, Alfredo, González-Pérez, Guillermo Julián, Vásquez-Garibay, Edgar Manuel, Romero-Velarde, Enrique, Chávez-Palencia, Clío, Salazar-Preciado, Laura Leticia, and Lizárraga-Corona, Elizabeth
- Subjects
CHILDHOOD obesity ,ETIOLOGY of diseases ,DIET ,PHYSIOLOGY ,PHYSICAL activity ,FOOD habits ,ESTIMATION theory - Abstract
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
29. Factores de riesgo de desnutrición primaria y secundaria en lactantes y preescolares hospitalizados.
- Author
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Manzo, Claudia E. Granados, Manzo, Alejandra Granados, Vásquez Garibay, Edgar Manuel, Romero-Velarde, Enrique, Ramírez Magaña, Olga Y., and Morales, Elisa García
- Subjects
MALNUTRITION risk factors ,HOSPITAL care of children ,DISEASES ,PRESCHOOL children ,ANTHROPOMETRY ,CHILD nutrition ,SOCIOECONOMIC factors ,CHI-squared test ,CROSS-sectional method - Abstract
Copyright of Revista Mexicana de Pediatria is the property of Sociedad Mexicana de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2012
30. Prevalencia de deficiencia de hierro y yodo, y parasitosis en niñandas, Jalisco, Mé.
- Author
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Vásquez-Garibay, Edgar Manuel, Romero-Velarde, Enrique, Nápoles-Rodríguez, Francisco, Nuño-Cosío, María Eugenia, Trujillo-Contreras, Francisco, and Sánchez-Mercado, Oscar
- Published
- 2002
31. Interpretación de indices íantropométricos en niños de Arandas, Jalisco, Mexico.
- Author
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Vásquez-Garibay, Edgar Manuel, Romero-Velarde, Enrique, Nápoles-Rodriguez, Francisco, Nuño-Cosio, Maria Eugenia, and Padilla-Gutiérrez, Nabor
- Published
- 2002
32. Crecimiento acelerado en escolares obesos frente a escolares con peso saludable.
- Author
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Larrosa-Haro, Alfredo, González-Pérez, Guillermo Julián, Vásquez-Garibay, Edgar Manuel, Romero-Velarde, Enrique, Chávez-Palencia, Clío, Salazar-Preciado, Laura Leticia, and Lizárraga-Corona, Elizabeth
- Subjects
SCHOOL children ,RISK of childhood obesity ,CROSS-sectional method ,BODY mass index ,STATISTICS ,PHYSIOLOGY ,JUVENILE diseases - Abstract
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
33. El uso de una sala de lactancia en el lugar de trabajo se asocia a una mayor duración de la lactancia en las madres trabajadoras.
- Author
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Ibarra-Ortega, Anel, Vásquez-Garibay, Edgar M., Larrosa-Haro, Alfredo, Castro-Albarrán, Jorge, Vizmanos-Lamotte, Barbara, and Vásquez-Garibay, Edgar Manuel
- Subjects
- *
LACTATION , *WORK environment , *BREASTFEEDING , *WORKING mothers , *QUESTIONNAIRES - Abstract
Introduction: IIntroduction: maternal employment after childbirth is associated with abandonment of breastfeeding; however, lactation rooms in the workplace increase the practice of breastfeeding. Objective: to compare the frequency and duration of breastfeeding among working mothers based on the presence of lactation rooms in their workplaces. Methods: we included mothers from different institutions whose infants were between 6 and 35 months (n = 158), and an ad hoc questionnaire was applied to assess breastfeeding, exclusive breastfeeding (EBF), partial breastfeeding (PBF), and use of human milk substitutes (HMS). Two groups were compared: working mothers with a lactation room at their workplace (n = 76) versus working mothers without this resource (n = 82). Results: breastfeeding duration (7.5 vs. 5.0 months, p < 0.001) and EBF (3.0 vs. 1.2 months, p = 0.005) were higher in mothers who had a lactation room. HMS use was shorter in mothers who had a lactation room (2.5 vs. 10.0 months, p = 0.001). There were more working mothers who breastfed for more than six months (75.0 % vs. 48.8 %) [OR = 3.15 (95 % CI, 1.60-6.19), p = 0.001] and 12 months (31.6 % vs. 14.6 %) [OR = 2.69 (95 % CI, 1.23-5.87), p = 0.014] when lactation rooms were available in their workplaces. Conclusion: the presence of a lactation room in the workplace was associated with a higher frequency and duration of breastfeeding. [ABSTRACT FROM AUTHOR]- Published
- 2020
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- View/download PDF
34. Concentración de grelina y leptina en suero y leche humana en madres lactantes según el tipo de alimentación.
- Author
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Larrosa-Haro, Alfredo, Vásquez-Garibay, Edgar M., Guzmán-Mercado, Elizabeth, Muñoz-Esparza, Nelly, García-Arellano, Samuel, Muñoz-Valle, José Francisco, Romero-Velarde, Enrique, Vaáquez-Garibay, Edgar Manuel, Muñoz Esparza, Nelly Carolina, and Vásquez-Garibay, Edgar Manuel
- Subjects
- *
GHRELIN , *LEPTIN , *COLOSTRUM , *BREASTFEEDING , *MAMMARY glands , *ADIPOSE tissues - Abstract
Introduction: Objective: we assessed the relationship between serum and human foremilk and hindmilk concentrations of ghrelin and leptin in nursing mothers according to the type of feeding. Methods: this cohort design was carried out on 131 mother-newborn dyads admitted to a physiological puerperium ward. The independent variables were the type of feeding, full breastfeeding (FBF, 56.5%) and partial breastfeeding (PBF, 43.5%). The dependent variables were the concentration of total ghrelin (pg/ml) and leptin (ng/ml) in serum, foremilk and hindmilk at eight and 16 weeks. Fasting blood samples were obtained from the nursing mothers at four months for serum assays. Unpaired Student's t-test, Mann-Whitney U test, Pearson's correlation tests, coefficient of determination and linear regression were used. Results: the concentration of ghrelin and leptin in hindmilk was higher than that of foremilk in both groups at eight and 16 weeks. The concentration of ghrelin and leptin was higher in serum than in foremilk in both groups. These values showed a direct and significant linear correlation with the exception of ghrelin in the FBF group. The serum concentration of leptin in mothers explained 32% of the variance of its concentration in foremilk in the FBF and 13% in the PBF groups. Conclusion: the hindmilk/foremilk gradient suggests an intake regulating mechanism during the fed. The concentration of ghrelin and leptin was higher in the serum than in foremilk and its correlation and determination coefficients could suggest plasma-milk transfer in addition to synthesis regulation by the mammary gland, adipose tissue or other organs. [ABSTRACT FROM AUTHOR]- Published
- 2019
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35. Estado nutricio en pacientes pediátricos con reciente diagnóstico de cáncer mediante la Evaluación Global Subjetiva Generada por el Paciente.
- Author
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Vázquez de la Torre, Mayra J., Stein, Katja, Vásquez Garibay, Edgar M., Kumazawa Ichikawa, Miguel R., Troyo Sanromán, Rogelio, Salcedo-Flores, Alicia G., Sánchez-Zubieta, Fernando A., Vázquez de la Torre, Mayra Jezabel, Vásquez Garibay, Edgar Manuel, Kumazawa Ichikawa, Miguel Roberto, Salcedo Flores, Alicia Guadalupe, and Sánchez Zubieta, Fernando Antonio
- Subjects
- *
NUTRITIONAL status , *CHILD nutrition , *CANCER patients , *NUTRITIONAL assessment , *CHILDHOOD cancer , *MALNUTRITION diagnosis , *MALNUTRITION , *ANTHROPOMETRY , *TUMORS , *CROSS-sectional method - Abstract
Background: The subjective global assessment (SGA) is a simple, sensitive tool used to identify nutritional risk. It is widely used in the adult population, but there is little evidence on its effectiveness in children with cancer.Objective: This cross-sectional study was undertaken to demonstrate significant correlation between a simplified version of the Patient-Generated SGA (PG-SGA) and anthropometric assessment to identify nutritional status in children recently diagnosed with cancer.Methods: The nutritional status of 70 pediatric cancer patients was assessed with the PG-SGA and anthropometric measurements. The relation between the assessments was tested with ANOVA, independent samples t-test, Kappa statistic, and non-parametric Spearman and Kendall correlation coefficient. The PG-SGA divided the patients into four groups: well nourished, mildly, moderately and severely malnourished.Results: The prevalence of malnutrition according to the PG-SGA was 21.4%. The correlations (r ≥ 0.300, p < 0.001) and the concordance (k ≥ 0.327, p < 0.001) between the PG-SGA and anthropometric indicators were moderate and significant.Conclusions: The results indicate that the PG-SGA is a valid tool for assessing nutritional status in hospitalized children recently diagnosed with cancer. It is important to emphasize that the subjective assessment does not detect growth retardation, overweight or obesity. [ABSTRACT FROM AUTHOR]- Published
- 2017
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36. Type 2 diabetes mellitus, obesity, cesarean section delivery, and lack of exclusive breastfeeding exposure in patients from the Guadalajara Metropolitan Area, Mexico.
- Author
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García Padilla MA, Vásquez-Garibay EM, Chávez-Palencia C, Romero Velarde E, Larrosa Haro A, Sánchez-Aldana Robles ML, and Sánchez Michel BL
- Abstract
Introduction: the combination of cesarean section delivery and limited exposure to exclusive breastfeeding (EBF) in the first six months of life may increase the risk of obesity and diabetes mellitus. This study aimed to establish an association between type 2 diabetes mellitus (T2DM) in adulthood, cesarean section delivery and incomplete breastfeeding (FBF) in individuals from the metropolitan area of Guadalajara, Mexico., Methodology: this analytical cross-sectional study included patients over 18 years of age with T2DM and normal weight, overweight or obesity, regardless of sex. Informed consent was obtained. Variables encompassed T2DM, type of delivery method, first-year diet, family history, demographic, socioeconomic, and educational characteristics, and anthropometric measurements. For statistical analysis, Student's t test, chi-square tests and odds ratios were employed., Results: the study evaluated 218 patients with an average age of 57.8 years (± 12.7) and an average age at T2DM diagnosis of 46.2 years (± 12.5). FBF (65.6 %) and partial breastfeeding (PBF) (23.8 %) prevailed in the first six months. The average age at T2DM diagnosis was 46.7 years (± 12.1) for vaginally born patients and 30.7 years (± 15.5) for cesarean-born patients (p = 0.001). Cesarean delivery increased obesity risk by nine times in patients with T2DM [OR = 8.9 (CI, 1.05, 75.2), p = 0.02]., Conclusion: prioritizing the limitation of nonmedically justified cesarean section deliveries is crucial to mitigate the risk of obesity and T2DM in adulthood. .
- Published
- 2024
- Full Text
- View/download PDF
37. Using a lactation room at the workplace is associated with longer breastfeeding duration in working mothers.
- Author
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Ibarra-Ortega A, Vásquez-Garibay EM, Larrosa-Haro A, Castro-Albarrán J, and Vizmanos-Lamotte B
- Subjects
- Adult, Child, Preschool, Cross-Sectional Studies, Employment, Female, Humans, Infant, Male, Mexico, Milk Substitutes, Mothers, Surveys and Questionnaires, Breast Feeding statistics & numerical data, Lactation, Workplace organization & administration
- Abstract
Introduction: IIntroduction: maternal employment after childbirth is associated with abandonment of breastfeeding; however, lactation rooms in the workplace increase the practice of breastfeeding. Objective: to compare the frequency and duration of breastfeeding among working mothers based on the presence of lactation rooms in their workplaces. Methods: we included mothers from different institutions whose infants were between 6 and 35 months (n = 158), and an ad hoc questionnaire was applied to assess breastfeeding, exclusive breastfeeding (EBF), partial breastfeeding (PBF), and use of human milk substitutes (HMS). Two groups were compared: working mothers with a lactation room at their workplace (n = 76) versus working mothers without this resource (n = 82). Results: breastfeeding duration (7.5 vs. 5.0 months, p < 0.001) and EBF (3.0 vs. 1.2 months, p = 0.005) were higher in mothers who had a lactation room. HMS use was shorter in mothers who had a lactation room (2.5 vs. 10.0 months, p = 0.001). There were more working mothers who breastfed for more than six months (75.0 % vs. 48.8 %) [OR = 3.15 (95 % CI, 1.60-6.19), p = 0.001] and 12 months (31.6 % vs. 14.6 %) [OR = 2.69 (95 % CI, 1.23-5.87), p = 0.014] when lactation rooms were available in their workplaces. Conclusion: the presence of a lactation room in the workplace was associated with a higher frequency and duration of breastfeeding.
- Published
- 2020
- Full Text
- View/download PDF
38. Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation.
- Author
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García Contreras AA, Vásquez Garibay EM, Sánchez Ramírez CA, Fafutis Morris M, and Delgado Rizo V
- Subjects
- Anticonvulsants therapeutic use, Child, Child, Preschool, Chronic Disease, Constipation therapy, Cross-Sectional Studies, Defecation physiology, Diet, Dietary Fiber administration & dosage, Drinking, Edible Grain, Female, Fruit, Humans, Hydrogen-Ion Concentration, Male, Plant Oils, Statistics, Nonparametric, Vegetables, Cerebral Palsy complications, Constipation etiology, Feces chemistry
- Abstract
Background: chronic constipation is a common gastrointestinal problem in children with cerebral palsy and several factors can influence the stool frequency, consistency and pH in these cases., Aim: to identify the association of dietary factors, use of anticonvulsants and family history of constipation with the stool characteristics of children with cerebral palsy and chronic constipation., Methods: an analytical cross-sectional study was performed of 45 children with cerebral palsy and chronic constipation that included 19 females and 26 males, aged 37 ± 13 months. Dietary factors, the use of anticonvulsants and family history were analyzed. Stool frequency, consistency (Bristol Stool Form Scale) and pH (using a pH-meter) were also determined., Results: there was a positive correlation between stool frequency and the consumption of oilseeds (r = 0.339, p = 0.023). There was a negative correlation between hard stools and fluid intake (r = -0.336, p = 0.042) and between stool pH and the consumption of cereals rich in insoluble fiber, high soluble fiber vegetables, carrots and potatoes (r = -0.339, p = 0.030; r = -0.308, p = 0.044; r = -0.336, p = 0.027; r = -0.307, p = 0.045, respectively). An association was also identified between the use of anticonvulsant polytherapy and hard stools (OR = 14.2 [95% CI 1.16-174], p = 0.038). There was no association between family history and constipation., Conclusions: rich-fiber food consumption, fluids intake and anticonvulsant polytherapy were associated with the stool characteristics of children with cerebral palsy and chronic constipation.
- Published
- 2020
- Full Text
- View/download PDF
39. [Prevalence of metabolic syndrome and associated factors in children and adolescents with obesity].
- Author
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Romero-Velarde E, Aguirre-Salas LM, Álvarez-Román YA, Vásquez-Garibay EM, Casillas-Toral E, and Fonseca-Reyes S
- Subjects
- Adolescent, Child, Cross-Sectional Studies, Female, Humans, Male, Metabolic Syndrome diagnosis, Metabolic Syndrome epidemiology, Mexico, Prevalence, Risk Factors, Metabolic Syndrome etiology, Pediatric Obesity complications
- Abstract
Background: The prevalence of overweight and obesity in children in Mexico are high, as well as the complications associated with their presence. The objective of this work was to estimate the prevalence of metabolic syndrome in obese children and adolescents attending a Hospital Clinic and identify the associated factors., Methods: Cross sectional design with 120 children and adolescents; of either sex, with exogenous obesity and BMI > 2.0 standard deviations. Personal and family history was collected, blood pressure was measured and determination of serum glucose, insulin, lipoprotein HDL cholesterol and triglycerides were performed. The presence of metabolic syndrome with the ATPIII, WHO and International Diabetes Federation criteria was identified. The association of metabolic syndrome with different variables was identified with chi square test and calculation of odds ratio., Results: Mean age was 10.6 ± 2.7 years. The prevalence of metabolic syndrome was 37.5% to 54.5% depending on the criteria used. The presence of metabolic syndrome was associated with a history of large birth weight (OR= 2.21 [1.01-4.82]), and insulin resistance (OR= 6.53 [2.40-18.2])., Conclusions: The prevalence of metabolic syndrome is high in this group of children and adolescents with obesity. The history of large birth weight and the presence of insulin resistance should alert us to the presence of the disease.
- Published
- 2016
40. [Considerations on family dynamics and the malnutrition syndrome in Mexican children].
- Author
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Vásquez-Garibay EM, González-Rico JL, Romero-Velarde E, Sánchez-Talamantes E, Navarro-Lozano ME, and Nápoles-Rodríguez F
- Subjects
- Child, Child, Preschool, Educational Status, Humans, Infant, Mexico epidemiology, Obesity epidemiology, Overweight epidemiology, Child Nutrition Disorders epidemiology, Family Relations, Feeding Behavior
- Abstract
Since the early 1990s we noted that family dysfunction was more common in children with severe primary malnutrition than in children admitted to the hospital without malnutrition. Defects on feeding habits during the first year of life, especially early weaning and inadequate complementary feeding were more common in dysfunctional families. We also observed that chronic malnutrition in preschool children, and overweight and obesity in schoolchildren were more common in children from dysfunctional families. Once the association between dysfunctional family dynamics and obesity in schoolchildren was demonstrated, it was observed that low education of fathers and mothers increased twofold the possibility of family dysfunction: OR: 2.06; 95% CI: 1.37-3.10 and OR: 2.47; 95% CI: 1.57-3.89, respectively. In addition, the low-income and the lower purchasing power of foods were associated to family dysfunction (p<0.05). A remaining task is to explore how to assess family dysfunction in composite, extended, single-parent families where there exist other persons vulnerable to the different entities of malnutrition syndrome and indeed depend on adults for their care, food and nutrition.
- Published
- 2015
41. The distribution of the indicator height for age of Mexican children and adolescents with Down syndrome according to different reference standards.
- Author
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Peña Rivera AG, Vásquez Garibay EM, Troyo Sanromán R, Romero Velarde E, Caro Sabido E, and Ramírez Díaz J
- Subjects
- Adolescent, Body Mass Index, Body Weight, Child, Child, Preschool, Cross-Sectional Studies, Down Syndrome pathology, Female, Humans, Infant, Male, Mexico epidemiology, Reference Standards, Body Height, Down Syndrome epidemiology
- Abstract
Objective: To compare the indicator height for age in Mexican children with Down Syndrome (DS) with two different reference patterns of growth (American and Spanish) that might be suitable for the Mexican population., Methods: A cross-sectional study was performed including 235 Mexican children and adolescents of both sexes with DS aged 45 days to 16 years enrolled in two specialized schools in the metropolitan area of Guadalajara. The dependent variables were weight/age; height/age; weight/ height and BMI. The data expressed was percentiles and the chi-square test was used to compare the distribution of the height/age index with American and Spanish reference patterns. In addition, a chi-square test was performed for the goodness of fit of the height/age index, with breakpoints lower and greater than the 50th percentile., Results: The percentage of participants who were below the 50th percentile in the height/age index was significantly higher with the Spanish vs. the American reference pattern. The chi-square test for goodness of fit showed that the frequency of cases located below the 50th percentile in the height/age index was significantly higher with the American pattern in the age groups of 0 to 36 months (p = 0.022) and 37 to 72 months (p <0.001), but it was not significant (p = 0.225) in the older than 72 months age group., Conclusion: The American reference pattern is a better fit for the growth of Mexican children with DS compared with the Spanish reference pattern, and the distribution profile obtained with the standard growth and WHO reference was not suitable for the assessment of children with Down syndrome., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
42. [Model for predicting childhood obesity from diet and physical activity].
- Author
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Larrosa-Haro A, González-Pérez GJ, Vásquez-Garibay EM, Romero-Velarde E, Chávez-Palencia C, Salazar-Preciado LL, and Lizárraga-Corona E
- Subjects
- Case-Control Studies, Child, Female, Forecasting, Humans, Male, Diet, Models, Statistical, Motor Activity, Pediatric Obesity epidemiology
- Abstract
Background: If obesity results from the interaction of variables that involve the subject and his environment, the alternatives to face the problem could be very diverse. The objective of this study was to seek for the best predictive model of childhood obesity from energy ingestion, dietary habits and physical activity., Methods: Case control study of 99 obese and 100 healthy weight children (Center for Diseases Control criteria). Energy ingestion was estimated by means of a 24-hour recall, dietary and physical activity habits by validated questionnaires. A logistic regression analysis was made., Results: Variables independently associated to obesity were higher energy ingestion; lower frequency in mealtimes; having the afternoon lunch outside home; higher frequency of consumption of fat, junk food and sweetened beverages; lower time of moderate physical activity at school and at home; and increased time for homework and watching TV. The variables included in the regression model were energy intake; frequency of ingestion of fat, junk foods and sweetened beverages; and physical activity at home and at school., Conclusion: The diversity of associated variables underlines the complexity and multi-causal condition of obesity.
- Published
- 2014
43. [Increased height in obese schoolchildren versus healthy weight schoolchildren].
- Author
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Larrosa-Haro A, González-Pérez GJ, Vásquez-Garibay EM, Romero-Velarde E, Chávez-Palencia C, Salazar-Preciado LL, and Lizárraga-Corona E
- Subjects
- Child, Cross-Sectional Studies, Female, Humans, Male, Body Height, Body Weight, Growth Disorders etiology, Pediatric Obesity complications, Pediatric Obesity physiopathology
- Abstract
Background: There are few articles that document the association between growth and obesity. The objective of this study was to compare height between obese schoolchildren and healthy weight schoolchildren., Methods: Cross-sectional study performed in 369 healthy weight schoolchildren and 162 obese schoolchildren of an elementary school; 49.4 % were females. Subjects were classified by body mass index percentiles in healthy weight (5-84), and obese (> 95), and grouped by gender and one-year class intervals. It was used Mann-Whitney U test for statistical analysis., Results: In all class intervals, height was higher in obese schoolgirls when we compared them with healthy weight schoolgirls; we did not identify an increasing or decreasing trend related to age. No height difference was observed in 6 and 7 years old obese/healthy weight schoolboys; however, from 8 to 11 years, height increased progressively in obese schoolchildren with a difference of 8.8 cm at the age of 10., Conclusions: The association of obesity with periods of accelerated growth suggests the existence of phenotypic variants related to metabolic and hormonal factors. Significant higher height values were identified in obese schoolchildren when they were compared with their healthy weight peers.
- Published
- 2014
44. [An update on pediatric nutrition for general physicians].
- Author
-
Vásquez Garibay EM
- Subjects
- Child, Humans, Infant, Child Nutritional Physiological Phenomena, General Practitioners
- Abstract
This supplement has the purpose of providing current information on pediatric nutrition addressed to health professionals attending the pediatric population. This is attained through discussing some relevant topics such as: Importance of feeding during the first year of life; Benefits of probiotics in infancy; Malnutrition syndrome; Common gastrointestinal problems, and Food allergy in infancy. In each of these subjects some specific issues are developed to: a) promote a healthy nutritional status through an adequate feeding; b) prevent the presence of diseases related to nutrition as protein energy malnutrition, specific nutritional deficiencies; overweight and obesity, and the effects of potentially harmful diets, and c) propose an approach of management of some common diseases related to food and nutrition.
- Published
- 2011
45. [Associated factors to abnormal glucosylated hemoglobin in the postpartum period].
- Author
-
Gómez Cruz Z, Pérez Molina JJ, Panduro Barón JG, Fletes Rábago VM, Vásquez Garibay EM, Troyo Sanromán R, and Cárdenas Meza M
- Subjects
- Adult, Case-Control Studies, Female, Humans, Risk Factors, Glycated Hemoglobin analysis, Hemoglobins, Abnormal analysis, Postpartum Period blood
- Abstract
Objective: To demonstrate the association between risk factors and abnormal glucosylated hemoglobin detected in women during the postpartum period., Patients and Methods: A case and control study was carried out at the Hospital Civil de Guadalajara Dr. Juan I. Menchaca during six months. Glucosylated hemoglobin and glucose concentration from 160 fasting women with a pregnancy > or =28 weeks was obtained during the postpartum period. With an odds ratio and confidence interval (95%) the epidemiological meaning of risk factors was identified., Results: The abnormal glucosylated hemoglobin was significantly associated to: single, separated and divorced women (p < 0.05); major frequency of previous caesarean (OR: 2.78, IC 95%:1.25-6.22), p = 0.006, and higher proportion of children with congenital malformations (OR: 12, IC 95%: 1.38-104), p = 0.01. In the group cases 48% of caesareans was associated to probable gestational diabetes: moderate preeclampsia, eclampsia, fetal macrosomy, and preterm deliveries., Conclusion: It is necessary to make an early detection of risk factors associated to abnormal glucosylated hemoglobin and to prevent adverse effects as congenital malformations and clinical complications that increase the incidence of caesarean.
- Published
- 2005
46. [Prevalence of iron and iodine deficiency, and parasitosis among children from Arandas, Jalisco, Mexico].
- Author
-
Vásquez-Garibay EM, Romero-Velarde E, Nápoles-Rodríguez F, Nuño-Cosío ME, Trujillo-Contreras F, and Sánchez-Mercado O
- Subjects
- Child, Child, Preschool, Cross-Sectional Studies, Humans, Infant, Mexico epidemiology, Prevalence, Iodine deficiency, Iron Deficiencies, Parasitic Diseases epidemiology
- Abstract
Objective: To estimate the prevalence of iron deficiency, iodine deficiency and parasitosis in children attending the Instituto Alteño para el Desarrollo de Jalisco (Highlands Institute for Development of Jalisco State, INADEJ), Arandas, Jalisco, Mexico., Material and Methods: A cross-sectional study was conducted between 1997 and 1999, among 432 children aged 12 to 120 months attending the INADEJ. Measurements included hematological values, urine iodine concentration, and presence of parasites. Student's t test chi square tests were used for parametric and nonparametric analysis., Results: The prevalence figures of anemia (20 vs 7.4%, p = 0.007) and iron deficiency (60.9 vs 44.4%, p = 0.02) were higher in preschool than in school children. Iodine deficiency was found in 29% (10.5% moderate or severe) and parasitosis in 47.2% of children, mainly E. histolytica (30.2%) and G. lamblia (28.9%). Low income, male gender and lack of social security policy holding were associated to parasitosis., Conclusions: The high prevalence rates of iron deficiency, iodine deficiency, and parasitosis, should be addressed by state health services with effective interventions to restrain these preventable diseases. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
- Published
- 2002
47. [Interpretation of anthropometric indices in children in Arandas, Jalisco, Mexico].
- Author
-
Vásquez-Garibay EM, Romero-Velarde E, Nápoles-Rodríguez F, Nuño-Cosío ME, and Padilla-Gutiérrez N
- Subjects
- Age Distribution, Age Factors, Body Height, Body Weight, Child, Child Nutritional Physiological Phenomena, Child, Preschool, Cross-Sectional Studies, Diet, Female, Humans, Infant, Male, Mexico epidemiology, Nutrition Disorders diagnosis, Nutritional Status, Reference Values, Sex Distribution, Socioeconomic Factors, Nutrition Disorders epidemiology
- Abstract
Objective: To assess the nutritional status of children attending the Instituto Alteño para el Desarrollo de Jalisco (Highlands Institute for Development of Jalisco State, Inadej) in Arandas, Jalisco and to discuss the classification criteria of infant malnutrition in Mexico., Material and Methods: A cross-sectional study was conducted in 775 children aged between twelve and one hundred and twenty months, who attended Inadej, including 432 children recently registered in INADEJ. Measurements included weight/age, height/age, and weight/height indices. The prevalence of malnutrition was compared using the WHO's criteria and the Mexican Official Norm Classification (NOM-SSA) criteria. The weight/age, height/age and weight/height indices were compared using the chi-squared test., Results: Parents' schooling level was low (mean = 3.6 years); the mean family income was U.S. $198.00 dollars per month, with each family member receiving 0.56 dollars per day for three daily meals. The prevalence of malnutrition was significantly higher with any of the three indices when using the NOM-SSA criteria, as compared to the WHO criteria (weight/age 91.7 vs. 30.9%; height/age 66.9 vs 17.3%; and weight/height 62.5 vs. 9.5%, respectively)., Conclusions: The weight/age index and the NOM-SSA criteria overestimate the prevalence of malnutrition and are not able to tell apart children with familial small size, nor those with acute and/or chronic or past malnutrition. The WHO criteria were found to be more useful; the weight/height (recent malnutrition) and height/age (chronic malnutrition) indices should be used for international comparisons. The English version of this paper is available at: http://www.insp.mx/salud/index.html.
- Published
- 2002
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