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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar el crecimiento recuperador de lactantes que ingresaron en una instituci&#243;n de acogida por sufrir malos tratos y que permanecieron en la misma durante un a&#241;o&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio longitudinal durante 8 a&#241;os &#40;1992&#8211;1999&#41;&#46; Se incluyeron todos los lactantes con una edad de entre 5 y 7 meses en el momento del ingreso&#46; Se determinaron el peso&#44; la longitud y el per&#237;metro braquial al ingreso y a los 3&#44; 6 y 12 meses de su estancia y se compararon con est&#225;ndares longitudinales regionales normales de referencia &#40;Z-score&#41;&#44; valorando la existencia de diferencias estad&#237;sticamente significativas &#40;test de la t de Student no apareado&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante el per&#237;odo de estudio ingresaron 64 lactantes &#40;34 varones&#47;30 mujeres&#41; con una edad media de 6 meses &#40;varones 0&#44;69 DE&#47;mujeres 0&#44;70 DE&#41;&#46; En el momento del ingreso&#44; los par&#225;metros analizados fueron inferiores a los valores de referencia &#40;varones&#58; Z peso&#44; &#8211;1&#44;98 DE&#44; Z longitud&#44; &#8211;2&#44;09 DE&#44; Z per&#237;metro braquial&#44; &#8211;1&#44;34 DE&#59; mujeres&#58; Z peso&#44; &#8211;1&#44;86 DE&#44; Z longitud&#44; &#8211;1&#44;61 DE&#44; Z per&#237;metro braquial&#44; &#8211;1&#44;22 DE&#41; existiendo diferencias estad&#237;sticamente significativas &#40;p&#44; 0&#44;05&#41;&#46; A los 3 meses de estancia se produjo un significativo crecimiento recuperador &#40;incremento en varones&#58; Z peso&#44; 1 1&#44;20 DE&#44; Z longitud&#44; 1 1&#44;18 DE&#44; Z per&#237;metro braquial&#44; 1 0&#44;95 DE&#59; incremento en mujeres&#58; Z peso&#44; 1 0&#44;82 DE&#44; Z longitud&#44; 1 0&#44;63 DE&#44; Z per&#237;metro braquial&#44; 1 0&#44;77 DE&#41; desapareciendo las diferencias significativas respecto a los valores de referencia aunque manteni&#233;ndose inferiores a &#233;stos&#46; A los 6 meses de estancia&#44; se produjo un crecimiento recuperador de la longitud no significativo &#40;incremento en varones&#44; 1 0&#44;34 DE&#59; incremento en mujeres&#44; 1 0&#44;05 DE&#41; y un m&#237;nimo retroceso del peso y del per&#237;metro braquial&#46; A los 12 meses de estancia&#44; se produjo un leve retroceso del crecimiento recuperador de todos los par&#225;metros&#44; sin existir diferencias significativas respecto a los valores de referencia &#40;varones&#58; Z peso&#44; &#8211;0&#44;84 DE&#44; Z longitud&#44;longitud&#44; &#8211;0&#44;74 DE&#44; Z per&#237;metro braquial&#44; &#8211;0&#44;56 DE&#59; mujeres&#58; Z peso&#44; &#8211;1&#44;09 DE&#44; Z longitud&#44; &#8211;1&#44;04 DE&#44; Z per&#237;metro braquial&#44; &#8211;0&#44;52 DE&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En lactantes de 6 meses de ambos sexos&#44; el crecimiento recuperador se produjo en los primeros 3 meses de estancia en una instituci&#243;n de acogida&#46; Una permanencia superior a los 6 meses no supuso ninguna mejor&#237;a en su crecimiento recuperador&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the catch-up growth of abused infants who stayed in foster care for 1 year&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Longitudinal study over an 8-year period &#40;1992&#8211;1999&#41;&#46; All infants were aged between 5 and 7 months at the time of entry into foster care&#46; Weight&#44; length&#44; and arm circumference were established on entry and were reassessed 3&#44; 6&#44; and 12 months after initial placement&#46; Results were compared with normal regional longitudinal standards of reference &#40;Z-score&#41;&#46; Student&#39;s t-test was used to assess statistically significant differences&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Sixty-four infants &#40;34 boys and 30 girls&#41; entered foster care during the study period&#46; Mean age was 6 months &#40;boys&#58; 0&#46;69 SDU&#47;girls 0&#46;70 SDU&#41;&#46; At placement&#44; the analyzed parameters were below the normal standards &#40;boys&#58; weight Z 5 &#8211;1&#46;98 SDU&#44; length Z 5 &#8211;2&#46;09 SDU&#44; arm circumference Z 5 &#8211;1&#46;34 SDU&#59; girls&#58; weight Z 5 &#8211;1&#46;86 SDU&#44; length Z 5 &#8211;1&#46;61 SDU&#44; arm circumference Z 5 &#8211;1&#46;22 SDU&#41; and showed statistically significant differences &#40;p&#44; 0&#46;05&#41;&#46; Catch-up growth during the first 3 months after placement was considerable &#40;improvement in boys&#58; weight Z 5 1 1&#46;20 SDU&#44; length Z 5 1 1&#46;18 SDU&#44; arm circumference Z 5 1 0&#46;95 SDU&#59; improvement in girls&#58; weight Z510&#46;82 SDU&#44; length Z510&#46;63 SDU&#44; arm circumference Z 5 1 0&#46;77 SDU&#41;&#46; Differences were no longer statistically significant but still remained below normal standards&#46; Six months after initial placement&#44; there was no significant catch-up growth for length &#40;improvement in boys 5 1 0&#46;34 SDU&#59; improvement in girls 5 1 0&#46;05 SDU&#41; and growth impairment for weight and arm circumference was minimal&#46; Twelve months after initial placement&#44; impairment of catch-up growth for all parameters was mild&#46; No statistically significant differences compared with normal standards were found &#40;boys&#58; weight Z 5 &#8211;0&#46;84 SDU&#44; length Z 5 &#8211;0&#46;74 SDU&#44; arm circumference Z 5 &#8211;0&#46;56 SDU&#59; girls&#58; weight Z 5 &#8211;1&#46;09 SDU&#44; length Z 5 &#8211;1&#46;04 SDU&#44; arm circumference Z 5 &#8211;0&#46;52 SDU&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In 6-month old infants of both sexes&#44; catch-up growth was significant during the first 3 months after placement into foster care&#46; A stay of more than 6 months did not produce improvement in catch-up growth&#46;</p>"
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                      "titulo" => "Development in children following abuse and non organic failure to thrive"
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                          "autores" => array:3 [
                            0 => "R&#46;K&#46; Oates"
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                            2 => "D&#46; Forrest"
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                        ]
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                    ]
                  ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dis Child"
                        "fecha" => "1984"
                        "volumen" => "138"
                        "paginaInicial" => "764"
                        "paginaFinal" => "767"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6741893"
                            "web" => "Medline"
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                      "titulo" => "Emotional abuse and delay in growth"
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                            0 => "D&#46;H&#46; Skuse"
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                    ]
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                    0 => array:1 [
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                        "tituloSerie" => "BMJ"
                        "fecha" => "1989"
                        "volumen" => "299"
                        "paginaInicial" => "113"
                        "paginaFinal" => "115"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2504317"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Pediatr"
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                        "paginaInicial" => "391"
                        "paginaFinal" => "394"
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Evaluaci&#243;n del estado nutricional de los menores que ingresan en centros de acogida"
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                        0 => array:2 [
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "An Esp Pediatr"
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                        "paginaInicial" => "643"
                        "paginaFinal" => "647"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10666898"
                            "web" => "Medline"
                          ]
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                ]
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                      "titulo" => "Catch up growth following abuse"
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                            1 => "L&#46;S&#46; Taitz"
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                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "1985"
                        "volumen" => "60"
                        "paginaInicial" => "1152"
                        "paginaFinal" => "1154"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4091579"
                            "web" => "Medline"
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                        "tituloSerie" => "Acta Paediatr Scand"
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                        "numero" => "Suppl&#41; 343"
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                        "paginaFinal" => "72"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Issues in the assessment of nutritional status using anthropometry"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            2 => "R&#46; Yip"
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                        "paginaFinal" => "283"
                        "link" => array:1 [
                          0 => array:2 [
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                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Standards from birth to maturity for height&#44; weight&#44; height velocity&#44; weight velocity&#58; British children&#44; 1965"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Tanner"
                            1 => "R&#46;H&#46; Whitehouse"
                            2 => "M&#46; Takaishi"
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                      ]
                    ]
                  ]
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                    0 => array:1 [
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                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "1966"
                        "volumen" => "41"
                        "paginaInicial" => "454"
                        "paginaFinal" => "471"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5957718"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                    0 => array:2 [
                      "titulo" => "Bases bioestad&#237;sticas para personal sanitario"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Rubio"
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                            2 => "E&#46; Rubio"
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                    ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caracter&#237;sticas sociales y estado de salud de los menores que ingresan en centros de acogida"
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                          "autores" => array:1 [
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                        "tituloSerie" => "An Esp Pediatr"
                        "fecha" => "1999"
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                        "paginaInicial" => "151"
                        "paginaFinal" => "155"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10199025"
                            "web" => "Medline"
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                ]
              ]
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            13 => array:3 [
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Factors affecting the foster care placement decision&#58; an analysis of national survey data"
                      "autores" => array:1 [
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                          "autores" => array:1 [
                            0 => "D&#46; Lindsey"
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                  "host" => array:1 [
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                        "tituloSerie" => "Am J Orthopsychiatry"
                        "fecha" => "1991"
                        "volumen" => "61"
                        "paginaInicial" => "272"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2048642"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "referencia" => array:1 [
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                    0 => array:2 [
                      "titulo" => "Centros de acogida de menores"
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                          "autores" => array:6 [
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                            1 => "J&#46; Fleta Zaragozano"
                            2 => "C&#46; Baselga Asensio"
                            3 => "J&#46; Andr&#233;s Sanz"
                            4 => "M&#46; Maga&#241;a Hern&#225;ndez"
                            5 => "R&#46; Nuel Qu&#237;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "Revista" => array:5 [
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                        "volumen" => "41"
                        "paginaInicial" => "97"
                        "paginaFinal" => "101"
                      ]
                    ]
                  ]
                ]
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                          "autores" => array:6 [
                            0 => "C&#46; Ruiz Cosano"
                            1 => "A&#46; Mu&#241;oz Hoyos"
                            2 => "A&#46; Molina Carballo"
                            3 => "C&#46; Mesegosa Jim&#233;nez"
                            4 => "E&#46; Mart&#237;nez Medina"
                            5 => "J&#46;A&#46; Molina Font"
                          ]
                        ]
                      ]
                    ]
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Vol. 54. Núm. 1.
Páginas 53-57 (enero 2001)
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Vol. 54. Núm. 1.
Páginas 53-57 (enero 2001)
Acceso a texto completo
Evaluación del crecimiento recuperador en lactantes maltratados
Catch-up growth assessment in abused infants
Visitas
7288
G. Oliván Gonzalvo*
Servicio de Pediatría. Instituto Aragonés de Servicios Sociales.Departamento de Sanidad, Consumo y Bienestar Social. Gobierno de Aragón. Zaragoza
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Estadísticas
Objetivo

Evaluar el crecimiento recuperador de lactantes que ingresaron en una institución de acogida por sufrir malos tratos y que permanecieron en la misma durante un año.

Pacientes y métodos

Estudio longitudinal durante 8 años (1992–1999). Se incluyeron todos los lactantes con una edad de entre 5 y 7 meses en el momento del ingreso. Se determinaron el peso, la longitud y el perímetro braquial al ingreso y a los 3, 6 y 12 meses de su estancia y se compararon con estándares longitudinales regionales normales de referencia (Z-score), valorando la existencia de diferencias estadísticamente significativas (test de la t de Student no apareado).

Resultados

Durante el período de estudio ingresaron 64 lactantes (34 varones/30 mujeres) con una edad media de 6 meses (varones 0,69 DE/mujeres 0,70 DE). En el momento del ingreso, los parámetros analizados fueron inferiores a los valores de referencia (varones: Z peso, –1,98 DE, Z longitud, –2,09 DE, Z perímetro braquial, –1,34 DE; mujeres: Z peso, –1,86 DE, Z longitud, –1,61 DE, Z perímetro braquial, –1,22 DE) existiendo diferencias estadísticamente significativas (p, 0,05). A los 3 meses de estancia se produjo un significativo crecimiento recuperador (incremento en varones: Z peso, 1 1,20 DE, Z longitud, 1 1,18 DE, Z perímetro braquial, 1 0,95 DE; incremento en mujeres: Z peso, 1 0,82 DE, Z longitud, 1 0,63 DE, Z perímetro braquial, 1 0,77 DE) desapareciendo las diferencias significativas respecto a los valores de referencia aunque manteniéndose inferiores a éstos. A los 6 meses de estancia, se produjo un crecimiento recuperador de la longitud no significativo (incremento en varones, 1 0,34 DE; incremento en mujeres, 1 0,05 DE) y un mínimo retroceso del peso y del perímetro braquial. A los 12 meses de estancia, se produjo un leve retroceso del crecimiento recuperador de todos los parámetros, sin existir diferencias significativas respecto a los valores de referencia (varones: Z peso, –0,84 DE, Z longitud,longitud, –0,74 DE, Z perímetro braquial, –0,56 DE; mujeres: Z peso, –1,09 DE, Z longitud, –1,04 DE, Z perímetro braquial, –0,52 DE).

Conclusiones

En lactantes de 6 meses de ambos sexos, el crecimiento recuperador se produjo en los primeros 3 meses de estancia en una institución de acogida. Una permanencia superior a los 6 meses no supuso ninguna mejoría en su crecimiento recuperador.

Palabras clave:
altrato infantil
Crecimiento
Lactante
Centro de acogida
Objective

To assess the catch-up growth of abused infants who stayed in foster care for 1 year.

Patients and methods

Longitudinal study over an 8-year period (1992–1999). All infants were aged between 5 and 7 months at the time of entry into foster care. Weight, length, and arm circumference were established on entry and were reassessed 3, 6, and 12 months after initial placement. Results were compared with normal regional longitudinal standards of reference (Z-score). Student's t-test was used to assess statistically significant differences.

Results

Sixty-four infants (34 boys and 30 girls) entered foster care during the study period. Mean age was 6 months (boys: 0.69 SDU/girls 0.70 SDU). At placement, the analyzed parameters were below the normal standards (boys: weight Z 5 –1.98 SDU, length Z 5 –2.09 SDU, arm circumference Z 5 –1.34 SDU; girls: weight Z 5 –1.86 SDU, length Z 5 –1.61 SDU, arm circumference Z 5 –1.22 SDU) and showed statistically significant differences (p, 0.05). Catch-up growth during the first 3 months after placement was considerable (improvement in boys: weight Z 5 1 1.20 SDU, length Z 5 1 1.18 SDU, arm circumference Z 5 1 0.95 SDU; improvement in girls: weight Z510.82 SDU, length Z510.63 SDU, arm circumference Z 5 1 0.77 SDU). Differences were no longer statistically significant but still remained below normal standards. Six months after initial placement, there was no significant catch-up growth for length (improvement in boys 5 1 0.34 SDU; improvement in girls 5 1 0.05 SDU) and growth impairment for weight and arm circumference was minimal. Twelve months after initial placement, impairment of catch-up growth for all parameters was mild. No statistically significant differences compared with normal standards were found (boys: weight Z 5 –0.84 SDU, length Z 5 –0.74 SDU, arm circumference Z 5 –0.56 SDU; girls: weight Z 5 –1.09 SDU, length Z 5 –1.04 SDU, arm circumference Z 5 –0.52 SDU).

Conclusions

In 6-month old infants of both sexes, catch-up growth was significant during the first 3 months after placement into foster care. A stay of more than 6 months did not produce improvement in catch-up growth.

Key words:
hild abuse
Growth
Infant
Foster care
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Bibliogrífia
[1.]
R.K. Oates, A. Peacock, D. Forrest.
Development in children following abuse and non organic failure to thrive.
Am J Dis Child, 138 (1984), pp. 764-767
[2.]
D.H. Skuse.
Emotional abuse and delay in growth.
BMJ, 299 (1989), pp. 113-115
[3.]
W.D. Wilcox, P. Nieburg, D.S. Miller.
Failure to thrive. A continuing problem of definition.
Clin Pediatr, 28 (1989), pp. 391-394
[4.]
G. Oliván Gonzalvo.
Evaluación del estado nutricional de los menores que ingresan en centros de acogida.
An Esp Pediatr, 51 (1999), pp. 643-647
[5.]
J.M. King, L.S. Taitz.
Catch up growth following abuse.
Arch Dis Child, 60 (1985), pp. 1152-1154
[6.]
L.S. Taitz, J.M. King.
Growth patterns in child abuse.
Acta Paediatr Scand, (1988), pp. 62-72
[7.]
D.T. Wyatt, M.D. Simms, S.M. Horwitz.
Widespread growth retardation and variable growth recovery in foster children in the first year after initial placement.
Arch Pediatr Adolesc Med, 151 (1997), pp. 813-816
[8.]
N. Cameron.
The methods of auxological anthropometry.
Human growth: a comprehensive treatise, 2.a ed., Vol. 3 (Methodology, ecological, genetic, and nutritional effects on growth), pp. 3-46
[9.]
A. Ferrández.
Estándares longitudinales normales del crecimiento, edad ósea y maduración intelectual de niños aragoneses controlados desde el nacimiento.
D.G.A, (1988), pp. 9-96
[10.]
J. Gorstein, K. Sullivan, R. Yip.
Issues in the assessment of nutritional status using anthropometry.
Bull WHO, 72 (1994), pp. 273-283
[11.]
J.M. Tanner, R.H. Whitehouse, M. Takaishi.
Standards from birth to maturity for height, weight, height velocity, weight velocity: British children, 1965.
Arch Dis Child, 41 (1966), pp. 454-471
[12.]
E. Rubio, T. Martínez, E. Rubio.
Bases bioestadísticas para personal sanitario.
[13.]
G. Oliván Gonzalvo.
Características sociales y estado de salud de los menores que ingresan en centros de acogida.
An Esp Pediatr, 50 (1999), pp. 151-155
[14.]
D. Lindsey.
Factors affecting the foster care placement decision: an analysis of national survey data.
Am J Orthopsychiatry, 61 (1991), pp. 272-281
[15.]
G. Oliván Gonzalvo, J. Fleta Zaragozano, C. Baselga Asensio, J. Andrés Sanz, M. Magaña Hernández, R. Nuel Quílez.
Centros de acogida de menores.
An Esp Pediatr, 41 (1994), pp. 97-101
[16.]
C. Ruiz Cosano, A. Muñoz Hoyos, A. Molina Carballo, C. Mesegosa Jiménez, E. Martínez Medina, J.A. Molina Font.
Análisis comparativo entre distintos modelos de acogida.
An Esp Pediatr, (1998), pp. 186-188
Copyright © 2001. Asociación Española de Pediatría
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