Revista Paulista de Pediatria

ABSTRACT Objective: To evaluate the intake of ultra-processed foods by children under 24 months of age from the city of Montes Claros and identify factors associated with this consumption. Methods: This is a population-based cross-sectional study with data collected from households through interviews. A questionnaire assessed the sociodemographic conditions of the family, maternal and child characteristics, and food consumption. We adopted a multivariate model to identify factors associated with the intake of ultra-processed foods. Results: A total of 545 children participated in this study, of whom 74.3% consumed some kind of ultra-processed food. The factors most strongly associated with this consumption were children older than six months, infants who were not breastfed, households with up to three residents, and the main caregiver of the child being someone other than the mother. Conclusions: Children under 24 months start consuming ultra-processed products at an early age, replacing foods considered natural and healthy. This study can contribute to guide health professionals in counseling families about feeding in the first years of life, emphasizing the proper introduction of complementary feeding and discouraging the consumption of ultra-processed products.

RESUMO Objetivo: Analisar a literatura científica referente à avaliação da imagem corporal em crianças por meio de uma revisão integrativa da literatura. Fontes de dados: Foi realizado um cruzamento das palavras-chave “body image” AND “child” nas bases de dados Scopus, Medline e Biblioteca Virtual de Saúde. A pesquisa eletrônica foi feita com base nos estudos publicados de janeiro de 2013 até janeiro de 2016, com o intuito de verificar os mais atuais sobre o tema. Os critérios de exclusão foram: estudos em duplicata; cujos resumos não estivessem disponíveis; não empíricos; que não avaliassem algum componente da imagem corporal; cuja amostra não considerasse a idade alvo da presente pesquisa (crianças de 0 a 12 anos); que considerassem populações clínicas; e estudos não disponíveis na íntegra. Síntese dos dados: Foram identificadas 7.681 referências e, após critérios de exclusão, 33 estudos foram analisados. Os resultados apontaram que as dimensões perceptiva e atitudinal, com foco na insatisfação corporal, têm sido exploradas, sendo avaliadas principalmente por escalas de silhuetas. Programas de intervenção foram desenvolvidos internacionalmente para prevenir o desenvolvimento de imagem corporal negativa em crianças. Conclusões: As pesquisas incluídas na presente revisão avaliaram aspectos específicos da imagem corporal de crianças, especialmente a percepção corporal e a insatisfação corporal. Recomenda-se o desenvolvimento de instrumentos específicos para crianças que busquem avaliar diferentes dimensões da imagem corporal, tendo em vista a promoção do bem-estar psicossocial dos indivíduos ao longo de todo o desenvolvimento humano.

ABSTRACT Objective: Recently, there have been reports of children with severe inflammatory syndrome and multiorgan dysfunction associated with elevated inflammatory markers. These cases are reported as presenting the Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19. In this study, we describe with parental permission a case of MIS-C in an infant with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Case description: A seven-month-old infant, with SARS-CoV-2 infection and a history of extreme preterm birth and very low weight at birth, with an initial course of mild respiratory symptoms and abrupt progression to vasoplegic shock, myocarditis and hyperinflammation syndrome, shown by high levels of troponin I, ferritin, CRP, D-dimer and hypoalbuminemia. Despite the intensive care provided, the child developed multiple organ dysfunction and died. Comments: Patients with a history of extreme prematurity may present with MIS-C in the presence of COVID-19 and are a group of special concern.

Objective: To identify literature evidences related to actions to promote family's presence during cardiopulmonary resuscitation and invasive procedures in children hospitalized in pediatric and neonatal critical care units. Data sources : Integrative literature review in PubMed, SciELO and Lilacs databases, from 2002 to 2012, with the following inclusion criteria: research article in Medicine, or Nursing, published in Portuguese, English or Spanish, using the keywords "family", "invasive procedures", "cardiopulmonary resuscitation", "health staff", and "Pediatrics". Articles that did not refer to the presence of the family in cardiopulmonary resuscitation and invasive procedures were excluded. Therefore, 15 articles were analyzed. Data synthesis : Most articles were published in the United States (80%), in Medicine and Nursing (46%), and were surveys (72%) with healthcare team members (67%) as participants. From the critical analysis, four themes related to the actions to promote family's presence in invasive procedures and cardiopulmonary resuscitation were obtained: a) to develop a sensitizing program for healthcare team; b) to educate the healthcare team to include the family in these circumstances; c) to develop a written institutional policy; d) to ensure the attendance of family's needs. Conclusions: Researches on these issues must be encouraged in order to help healthcare team to modify their practice, implementing the principles of the Patient and Family Centered Care model, especially during critical episodes.