Background Cow’s milk protein allergy (CMPA) is a common allergy in infants and can affect proper growth and development. This study verified factors associated with the evolution of the nutritional status (NS) among infants with CMPA fed with hypoallergenic formulas (HF). Methods This is a longitudinal study of infants (n = 1036) participating on a governmental program in Brazil. Researchers assessed Nutritional status before HF treatment (T1) and after HF treatment (T2). The causality of exposure variables on the evolution of NS was verified by Multinomial Logistic Regression (MLR). Results We observed an increase in anthropometric indexes analyzed with statistically significant results (p < 0.01). The weight/age and height/age scores showed a significant reduction in infants with nutritional deficit. The Body Mass Index (BMI) showed a decrease in the number of infants with nutritional deficit (< -2 z-score). On the other hand, there was an increase in those classified as at risk of overweight, overweight and obese. MLR showed that those who remained < 12 months in the program had a lower odds ratio (95% CI = 0.355–0.906; p = 0.018) to have inadequate NS with increasing BMI. Preterm infants were 4 times more likely (CI 95% = 1.520–10.694; p = 0.005) to have their BMI decreased and those who received nutritional counseling had a lower odds ratio (CI 95% = 0.411–0.953; p = 0.029) to maintain adequate NS. Conclusion The program has a significant impact on the NS of infants with CMPA. The constant management and implementation of differentiated criteria according to the evolution of NS for the supply of HF is fundamental in the continuity of this public policy.
A crise sanitária imposta pela pandemia de COVID-19 proporcionou mudanças nas universidades, as quais precisaram organizar-se para garantir o desenvolvimento das atividades acadêmicas, como a realização de projetos de extensão. O objetivo do presente trabalho foi relatar o uso da internet e de mídias sociais, como estratégias extensionistas, desenvolvidas pelo ‘Projeto Boas Práticas de Manipulação em Serviços de Alimentação: Avaliação e Orientação para a Produção de Alimentos Seguros’ durante a pandemia de COVID-19. As atividades relatadas foram realizadas entre abril de 2020 e maio de 2022 pela equipe extensionista. Reuniões remotas foram realizadas para reorganizar as atividades propostas, tais como: elaboração de materiais instrucionais e criação de um perfil no Instagram. Três cartilhas sobre temas na área de segurança de alimentos e COVID-19 foram elaboradas. Além disso, foram compartilhados conteúdos relacionados ao tema do projeto no Instagram, o que totalizou 91 publicações. Cartilhas e rede social apresentaram repercussão no público-alvo e demonstraram a importância de adaptar-se a atividade extensionista. Conclui-se que a importância de usar a internet e as redes sociais em atividades extensionistas é evidente, pois agregaram valor ao processo de aprendizagem dos discentes envolvidos e proporcionam ao público-alvo maior alcance ao projeto de extensão.
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