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Browsing Facultad de Medicina by Subject "Adolescents"
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Item Feeding behaviour and lifestyle of children and adolescents one year after lockdown by the COVID-19 pandemic in Chile(MDPI, 2021-11) Bustos Arriagada, Edson; Fuentealba Urra, Sergio; Etchegaray Armijo, Karina; Quintana Aguirre, Nicolás; Castillo Valenzuela, OscarLockdown caused by the COVID-19 pandemic may have influenced feeding behaviour and lifestyle in children and adolescents. The purpose of this study was to analyse feeding behaviour and lifestyle in children and adolescents one year after lockdown by the COVID-19 pandemic in Chile. In this cross-sectional study an online survey was implemented in 1083 parents and care- givers regarding their children’s feeding behaviour and lifestyle and sociodemographic background. The results showed that “eat breakfast daily” (89.2%), “not overnight food intake” (69.9%) and “not fast-food intake” (66.0%) were the most frequent reported feeding behaviours, particularly in pre-school children. Respondents declaring healthy feeding behaviours and lifestyle were 23.4 and 23.7%, respectively, with no significant differences by sex. In pre-school children, families with three or fewer members and parents or caregivers with an undergraduate or postgraduate degree reported a significantly better feeding behaviour and lifestyle compared to families with more than three members and parents or caregivers without an undergraduate or postgraduate degree. In conclusion, the pandemic lockdown had a negative impact in lifestyle in children and particularly in adolescents. Healthier feeding behaviour was associated with fewer family members and parents or caregivers with at least an undergraduate degree.Item Infancia y COVID-19: Los efectos indirectos de la pandemia COVID-19 en el bienestar de niños, niñas y adolescentes(Sociedad Chilena de Pediatría, 2022) Díaz, Franco; Donoso Fuentes, AlejandroEl impacto de la pandemia COVID-19 ha sido invisibilizado en niños, niñas y adolescentes, ya que muchos de los efectos negativos han sido producto de las medidas de contención y mitigación, y sólo serán cuantificables a mediano y largo plazo. Aunque la respuesta mundial ha sido exitosa en dismi nuir la letalidad de la enfermedad, el efecto nocivo en poblaciones vulnerables, como niños, niñas y adolescentes es de alto impacto, catalogado como catastrófico por organismos internacionales. La pandemia ha afectado profundamente la salud física y mental de este grupo etario, y sus efectos ne gativos silenciosos se extienden a diferentes ámbitos como la escolaridad, economía familiar, trabajo infantil y seguridad alimentaria. El tercer año de la pandemia es una oportunidad para incorporar el bienestar multidimensional de los niños, niñas y adolescentes como piedra angular de la respuesta de la sociedad a una crisis global, sea esta de salud, económica o política.Item Vitamin D status and obesity in children from Chile(Springer Nature, 2021) Pérez-Bravo, Francisco; Duarte, Lissette; Arredondo-Olguín, Miguel; Iñiguez, Germán; Castillo-Valenzuela, OscarBACKGROUND: Vitamin D [25(OH)D] is essential for normal bone development and maintenance. Furthermore, its deficiency has been associated with obesity, cardiovascular diseases, insulin resistance, autoimmune diseases, and certain cancers. OBJECTIVE: To determine the incidence of serum 25(OH)D deficiency (<20 ng/ml) among apparently healthy Chilean children (4–14 years old) from three Chilean geographic areas during May–September 2018. MATERIALS AND METHODS: Serum 25(OH)D levels were measured by a competitive protein-binding ELISA assay in 1134 children, and correlations between serum 25(OH)D levels, BMI, and geographic area were calculated. Individuals were grouped according to their serum 25-hydroxyvitamin D levels (ng/ml): severe deficiency: <5; moderate deficiency: 5–10.9; mild deficiency: 11–20.9; insufficiency: 21–29.9 and sufficiency: 30–100. RESULTS: We found 80.4% of children had serum 25(OH)D deficiency, with 1.7% severe, 24.6% moderate, and 54.1% mild. In the three cities, the percentage of serum 25(OH)D deficit was increased when comparing overweight or obesity with a healthy weight. Additionally, an interaction effect was observed between geographic area, nutritional status, and serum 25(OH)D levels using the factorial ANOVA test (p = 0.038). In Antofagasta, there were more overweight children and also a higher percentage of children with VitD deficiency (<30 ng/ml) compared to Santiago or Concepción. CONCLUSION: This study revealed a high prevalence of serum 25(OH)D deficiency in children between 4 and 14 years old in Chile (80.4%) during May–September 2018. Obese and overweight children had the highest prevalence of serum 25(OH)D deficiency.