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Clinical and anthropometric evolution of individuals with cystic fibrosis during COVID-19 pandemic: A 24-month cohort study.
de Oliveira, Taynara Júlia; Altoé, Izabela Dondoni; Arpini, Luana da Silva Baptista; Liberato, Fernanda Mayrink Gonçalves; Melotti, Roberta de Cássia Nunes Cruz; Wittmer, Veronica Lourenço; Duarte, Halina; Barbalho-Moulim, Marcela Cangussu; Paro, Flavia Marini.
Afiliação
  • de Oliveira TJ; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Altoé ID; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Arpini LDSB; Nossa Senhora da Glória Children's State Hospital, Vitória, Espírito Santo, Brazil.
  • Liberato FMG; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Melotti RCNC; Nossa Senhora da Glória Children's State Hospital, Vitória, Espírito Santo, Brazil.
  • Wittmer VL; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Duarte H; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Barbalho-Moulim MC; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
  • Paro FM; Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil.
Pediatr Pulmonol ; 59(7): 1962-1969, 2024 Jul.
Article em En | MEDLINE | ID: mdl-38712790
ABSTRACT

OBJECTIVES:

To analyze the evolution of clinical and anthropometric characteristics of children and adolescents with cystic fibrosis (CF) over 24 months, including the period of the COVID-19 pandemic.

METHODS:

A longitudinal study with data collection from May 2018 to November 2020 in physical and electronic records from a pediatric reference center, including individuals with CF aged up to 18 years.

RESULTS:

The sample encompassed 72 individuals. Weight (p < 0.01), height (p < 0.01), and body mass index (BMI) (p = 0.043) were higher in 2020 than in 2018. There were no significant changes in BMI-Z (p = 0.977) and in percentiles of weight (p = 0.540), height (p = 0.458), and BMI percentile (p = 0.454) between both periods. Pancreatic insufficiency was observed in 91.7% of patients in 2020, and there were twice as many confirmed cases of diabetes compared to 2018. There was a 9.7% increase in individuals colonized by the oxacillin-sensitive Staphylococcus aureus (OSSA) (p = 0.039) and an 11.1% reduction in non-colonized individuals (p = 0.008).

CONCLUSION:

Although there was an increase in weight, height, and BMI from 2018 to 2020, there were no significant changes in BMI-Z and in percentiles of weight, height, and BMI percentile, suggesting that the anthropometric aspects of nutritional status did not change in this period of 2 years. Moreover, there was an increase in the prevalence of individuals colonized by OSSA and a reduction in the prevalence of individuals non-colonized with any bacteria.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Fibrose Cística / COVID-19 Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Pediatr Pulmonol Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Fibrose Cística / COVID-19 Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Pediatr Pulmonol Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos