Kwashiorkor como síntoma de maltrato y negligencia en Barcelona

Alcaina, M. Bonet; Roig, Antonio Martínez; Ferrer, J.M. Pujals; Combelles, O. Vall

doi:10.1016/s1695-4033(01)77551-0

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Another important risk factor for SAM is a child’s direct exposure to parental physical aggression. As the literature presented in the Introduction shows, evidence linking CAN to growth and development deficit has not been fully investigated in the developing world and is largely confined to developed countries 29 , 32–43,45 , 46 . Although almost all studies are case studies or clinical reports, one investigation using control groups showed an increased risk of growth failure among children with a history of CAN.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, in developed countries literature discussing the impact of parental violence on children’s growth and development has been evolving since the early 1960s, with a number of studies indicating that physical or sexual violence and negligence towards children negatively affect their social, behavioural, emotional, cognitive and physical development 27–31 . Several studies carried out in the USA and Europe have explicitly suggested a causal effect of child abuse and neglect (CAN) on substandard weight gain and growth 29,32–46 . Some studies report that up to half of abused children suffer from what has been described as ‘failure to thrive and dwarfism’ 32 , 34–36,44 , 47–49 .…”

Section: Introductionmentioning

confidence: 99%

“…Some studies report that up to half of abused children suffer from what has been described as ‘failure to thrive and dwarfism’ 32 , 34–36,44 , 47–49 . A recent investigation carried out in Spain points to the importance of diagnosing kwashiorkor as an indicator of ongoing child abuse 45 …”

Section: Introductionmentioning

confidence: 99%

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Parental violence and the occurrence of severe and acute malnutrition in childhood

Hasselmann

Reichenheim

2006

Paediatric Perinatal Epid

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Evidence from developed countries has linked family violence with severe acute malnutrition (SAM), yet no similar studies have been conducted in developing countries where the risk of SAM is higher. To redress this gap, the objective of this study was to explore the role of intimate partner violence (IPV) among caregivers as an independent risk factor for SAM. A hospital-based case-control (n = 172 : 345) study was carried out in six paediatric hospitals of Rio de Janeiro (1995-99). Cases comprised children (1-24 months) admitted with SAM (weight-for-height z-score < -2 SD). Controls were children of the same age admitted for non-traumatic surgery. Couple violence was gauged through the Conflict Tactics Scales from two perspectives: (a) two ordinal variables characterising the intensity of verbal and physical aggression based on scores, and (b) a four-level variable representing a pattern of increasing violence seriousness. Unconditional logistic regression analysis was performed to control for confounding factors. Parents of SAM cases had higher Conflict Tactics scores than parents of controls, indicating more severe partner violence. The adjusted odds ratio for the comparison of the highest to the lowest scores (10 vs. 0) was 4.15 (95% confidence interval 1.55, 11.15). Using the four-level variable for violence seriousness, a threefold SAM risk was found for children with parents reporting severe physical abuse, but not for those with parents reporting verbal aggression or more minor physical assaults. In addition to traditionally studied risk factors, the findings suggest that family violence may also play an important role in SAM among children. Moreover, these findings indicate that the risk for SAM is not associated with all types of IPV, but that children exposed to severe and recurrent events are more likely to be admitted for SAM. For the prevention or early detection of SAM, this result points to a specific population group requiring rigorous public health targeting, especially in terms of accurate detection of both SAM and IPV, as well as appropriate handling and follow-up of violent families.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parental violence and the occurrence of severe and acute malnutrition in childhood

Hasselmann

Reichenheim

2006

Paediatric Perinatal Epid

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Menores extranjeros en el sistema de protección de la Comunidad de Aragón (España)

Oliván-Gonzalvo

2004

Anales de Pediatría

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Malnutrition, a Rare Form of Child Abuse: Diagnostic Criteria

Piercecchi-Marti¹,

Louis-Borrione

Bartoli³

et al. 2006

Journal of Forensic Sciences

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Infantile malnutrition is often difficult to diagnose as it is rarely observed in industrialized countries. It may be associated with physical violence or occur in isolation. The essential clinical sign is height and weight retardation, but malnutrition also causes a variety of internal and bone lesions, which lead to neuropsychological sequelae and death. We report a rare case of death by malnutrition in a female child aged 6½ months. The infant presented height and weight growth retardation and internal lesions related to prolonged protein–energy malnutrition (fat and muscle wasting, thymic atrophy, liver steatosis) resulting in a picture of marasmus or kwashiorkor. We detail the positive and negative criteria that established the diagnosis of abuse, whereas the parents had claimed a simple dietary error.

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Kwashiorkor como síntoma de maltrato y negligencia en Barcelona

Cited by 3 publications

References 11 publications

Parental violence and the occurrence of severe and acute malnutrition in childhood

Parental violence and the occurrence of severe and acute malnutrition in childhood

Menores extranjeros en el sistema de protección de la Comunidad de Aragón (España)

Malnutrition, a Rare Form of Child Abuse: Diagnostic Criteria

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