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“THE WEIGHT OF A DIAGNOSIS”

A CATANZARO 1 ; ALBERTO ANTACLE 1 ; B PÉREZ 1 ; BLACONA, D 1 ; BORSETTA E 1 ; DELFINA SERRANOS SUASNÁBAR 1 ; F LARRIERA 1 ; F LEIVA 1 ; FEDERICO BARRICHELLO 1 ; FERNANDO RENTERÍA 1 ; G DEL CATILLO 1 ; G GORGO 1 ; GISELA BUSTAMANTE MARTINETTO 1 ; K CANALES 1 ; L ZEITTER 1 ; M D'URSO 1 ; M HARADUCK 1 ; M LÓPEZ 1 ; M SUÁREZ 1 ; MAGDALENA BUERO 1 ; MARÍA ALEJANDRA HERRERA 1 ; MARÍA BELÉN ELÍAS 1 ; MARÍA DOLORES PONCE DE LEÓN 1 ; MARÍA LUZ ELWART 1 ; MARIANA LATORRACA 1 ; MELISA FITZSIMONS 1 ; N FURNARI 1 ; NADIA YANINA CAJAL 1 ; ROCÍO DANIELA LOPEZ FRÍAS 1 ; SAMANTA DEGUER 1 ; SOFÍA GARCÍA PINTO 1 ; V CORCUERA 1 ; VERONICA HEREDIA 1
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The nutritional estate is a sign in children´s health. Aim: to describe the nutritional estate of children from 1 to 5 who attended O.S.Pe.Con. during the year 2014 and to know the impact of the diagnosis of underweight or obesity in the family. Multicenter qualitative and quantitative study. Quantitative component: descriptive cross section study. 891 medical histories of children from 1 to 5 years old were revised. Qualitative component: 9 semi-structured interviews were performed to parents whose children were diagnosed with obesity or underweight. An interpretative analysis was carried out according to supported theory. Triangulation and data convergence. Results: Out of the total number of children analyzed, 52% were percentile, using the growth curve weight/age. The nutritional estate found was euthrophic in 71% of cases, obesity in 6% and underweight in 4%. When using BMI/age curve, the nutritional estate was modified to euthrophic in 60% of cases, obesity in 14% and underweight in 1%, resulting the concordance of data in 24% underweight, 79% euthrophic and 96% obesity. The qualitative analysis showed the acceptance of the diagnosis, factors like denial, fear or guilt for the nutritional estate of their children appear. The communication between the doctor and the family appears like an essential factor to understand and solve problems. Taking into account the diversity of factors related with the causes of underweight and obesity, to optimize the use of tools for an accurate diagnosis results necessary, which allows to improve eating conduct and to incorporate healthy habits in our patients.