Maternal and child health journal · 2026
Malnutrition in Children with Congenital Zika Virus Syndrome: A Systematic Review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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da Silva Deysiane Santiago, Dos Santos Letícia Karla Cunha, Barbosa Suamy Sales, Costa Ádila Danielly Souza, Arrais Nivia Maria Rodrigues, Ribeiro Karla Danielly da Silva, Lopes Márcia Marilia Gomes Dantas
Аннотация
OBJECTIVE: We examined previous studies to describe growth deviations in children with Congenital Zika virus Syndrome (CZS), and to determine the factors associated with malnutrition.
STUDY DESIGN: Protocol of systematic review registered on the PROSPERO platform under code CRD42023460505. The searches were conducted in SciELO, LILACS, Embase, Scopus, and PubMed/MEDLINE databases, as well as in dissertation and thesis repositories. The eligibility criteria required that the publications must be observational, cross-sectional, cohort, or case-control studies conducted with children with microcephaly associated with CZS, which presented results (z-score) of anthropometric indices of weight-for-age, height-for-age, weight-for-height, and/or body mass index (BMI)-for-age; written in English, Portuguese, or Spanish; and published between 2010 and 2023. The z-score values from anthropometric indices and the factors associated with malnutrition (wasting, underweight, overweight, or stunting) were extracted.
RESULTS: Eleven studies met our inclusion criteria. In these studies, children's ages ranged from 0 to 48 months. Malnutrition was identified as stunting (14.3% to 57.1%), underweight (14.3% to 54.4%), wasting (4.3% to 48.0%), and, to a lesser extent, as overweight (4.6% to 68.6%). The association of these indices was examined in relation to dysphagia, absence or duration of breastfeeding, delayed introduction of complementary feeding, consumption of ultra-processed foods, and feeding route.
CONCLUSION: It was possible to identify short stature, wasting, excess weight, and inappropriate eating practices in children with CZS.
STUDY DESIGN: Protocol of systematic review registered on the PROSPERO platform under code CRD42023460505. The searches were conducted in SciELO, LILACS, Embase, Scopus, and PubMed/MEDLINE databases, as well as in dissertation and thesis repositories. The eligibility criteria required that the publications must be observational, cross-sectional, cohort, or case-control studies conducted with children with microcephaly associated with CZS, which presented results (z-score) of anthropometric indices of weight-for-age, height-for-age, weight-for-height, and/or body mass index (BMI)-for-age; written in English, Portuguese, or Spanish; and published between 2010 and 2023. The z-score values from anthropometric indices and the factors associated with malnutrition (wasting, underweight, overweight, or stunting) were extracted.
RESULTS: Eleven studies met our inclusion criteria. In these studies, children's ages ranged from 0 to 48 months. Malnutrition was identified as stunting (14.3% to 57.1%), underweight (14.3% to 54.4%), wasting (4.3% to 48.0%), and, to a lesser extent, as overweight (4.6% to 68.6%). The association of these indices was examined in relation to dysphagia, absence or duration of breastfeeding, delayed introduction of complementary feeding, consumption of ultra-processed foods, and feeding route.
CONCLUSION: It was possible to identify short stature, wasting, excess weight, and inappropriate eating practices in children with CZS.