Banca de DEFESA: CAROLINE DOS SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CAROLINE DOS SANTOS
DATE: 19/04/2024
TIME: 13:00
LOCAL: https://conferenciaweb.rnp.br/sala/monica-leila- portela-de-santana
TITLE:

Nutritional deficiencies in children and adolescents with Avoidant/Restrictive Food Intake Disorder: A scoping review. 

KEY WORDS:

Avoidant/restrictive food intake disorder, ARFID, feeding and eating disorders, nutritional deficiency

PAGES: 49
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUBÁREA: Desnutrição e Desenvolvimento Fisiológico
SUMMARY:

Introduction: Avoidant/Restrictive Food Intake Disorder (ARFID) is characterized by avoidance or restriction of food intake, with persistent failure to meet appropriate nutritional and/or energy needs, resulting in weight loss and/or nutritional deficiencies requiring nutritional supplementation. ARFID is identified in different age groups, but it is more common in children and adolescents. Objective: This dissertation aimed to explore current evidence on nutritional deficiencies in children and adolescents with ARFID. Method: Data from non-empirical studies were used, consisting of a scoping review conducted according to the Joanna Briggs Institute methodology, aimed at investigating nutritional deficiencies in children and adolescents with Avoidant/Restrictive Food Intake Disorder (ARFID). The acronym PCC guided the main research question. The research was conducted in three stages: 1) initial search in Medline/PubMed to identify possible descriptors; 2) search using the terms "Feeding and Eating Disorders", "Avoidant Restrictive Food Intake Disorder", "malnutrition", in the following databases: Medline (PubMed), Embase (Elsevier), the Latin American and Caribbean Health Sciences Literature (LILACS), Web of Science, PsycINFO and Google Scholar (gray literature); 3) checking the reference lists of identified studies. EndNote was used to remove duplicates, and two independent reviewers conducted a full reading of the articles. Data extraction was performed by two independent reviewers, and a third reviewer checked the extraction. Results: Of the 3273 records retrieved, 24 were included in the review, comprising 13 descriptive studies, eight observational studies, and three narrative reviews. Laboratory and anthropometric assessments were most commonly used for nutritional deficiency screening. The main findings included malnutrition, deficiencies in fat-soluble vitamins (A, D, E, and K), B-complex vitamins, vitamin C, iron, zinc, electrolytes, and compromised bone health. Aggravation of nutritional deficiencies resulted in diagnoses of anemia, Wernicke's encephalopathy, retinopathy, scurvy, osteoporosis, and myelodysplasia. Malnutrition was more common in male children and in school-age, and the severity of malnutrition decreased with advancing age. Despite the high prevalence of malnutrition and limited food repertoire, a preference for high-calorie and ultra-processed foods may favor the development of overweight and obesity. No relationship was observed between nutritional deficiencies and ethnic origin, family income, or maternal education level. Conclusions: School-age children and male children with ARFID appear to be more nutritionally vulnerable and even with nutritional supplementation, they presented nutrient deficiencies. There is a significant risk of developing severe diseases due to nutrient deficiencies caused by ARFID. Children and adolescents with symptoms of ARFID may benefit from early and frequent examinations to guide the adequacy of micronutrient intake.

COMMITTEE MEMBERS:
Presidente - 1194475 - MONICA LEILA PORTELA DE SANTANA
Externa à Instituição - JERUSA DA MOTA SANTANA - UFRB
Externa à Instituição - RENATA ALVES MONTEIRO - UnB