Exceso de proteínas en la pobreza: La paradoja del exceso de peso en niños colombianos

Abstract

The objective was to describe the total caloric value (TCV) derived from macronutrients in children under 18 years in relation to overweight in four Colombian cities between 2009-2011. Two 24 hour dietary recalls were measured in 505 children between 0 and 17 years, 51% living in urban areas. Nutritional status was calculated based on anthropometry. We used linear regression to test the association between TCV and excess weight. Overweight in children without stunting was 6.2%. Overweight (BMI>=25) was 16.3% overall, with 18.2% overweight in urban areas and 14.2%, in rural (p= 0.253). Children who were overweight usually consumed 0.25 g/kg/day more protein (95% CI 0.11 to 0.40), 0.18 g/kg /day less fat (95%; -0.25 to -0.11) and 1.80 g/kg/day less carbohydrates (95% CI -2.50 to -1.10) compared to those without overweight, for all differences p< 0.0001. Overweight subjects consumed 0.8% more protein derived TCV than those without excess weight, p= 0.006. Being overweight was associated with TCV in Colombian children, particularly energy derived from protein consumption and also it was associated with the quantities/day of milk intake.