scarica il libro in formato pdf - Giorgio Bedogni
scarica il libro in formato pdf - Giorgio Bedogni
scarica il libro in formato pdf - Giorgio Bedogni
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4.5 Conclusione<br />
L'impiego degli <strong>in</strong>dicatod antropometrici delle state nutrizionale _<br />
In concl us ione, gli <strong>in</strong>dicatori antropo111c trici devono csscre prefcri bi l111cnte<br />
impiegati <strong>in</strong> 111aniera dire tta c <strong>in</strong> base all 'cvidenza d i t<strong>il</strong>l significalO./<strong>il</strong>l1ziollale associato.<br />
II falto che, Ile ljo/low-up d i un lra ttamento dietelico od aitro, <strong>il</strong> pazientc<br />
scrva da "contrallo d i s6 stesso" p LIO ovviare <strong>il</strong>l parle a <strong>il</strong>e limitazioni dcri vanti<br />
dall ' impiego di valori di rifcrimcl1lo ottellul i <strong>in</strong> popolazioni di fferenli , come quclla<br />
statunitensc. Come abbiamo gia osscrvato al Cap. I, l""occhio cl<strong>in</strong>ico" puo cssere<br />
obictt ivo nella stima della stalo di Il ul ri zione atluale ma 11011 e sumcientemcnte<br />
obiett ivo per valutare mod{/icaziolli della state Ilutrizionalc (20). L' impiego<br />
degli <strong>in</strong>dicalO ri ant rapomctrici all ' <strong>in</strong>tcrno di cqu3zioni preditti vc della massa<br />
grassa 0 di a lt'ri compartimcnti corporei dovrebbe csserc, almeno almo l11cnto, lasciato<br />
prefcri b<strong>il</strong>mcnte alia ricerca.<br />
4.6 Bibliografia<br />
1. Johnston FE, Ouyang Z. Choos<strong>in</strong>g 6. Waterlow K, Buz<strong>in</strong>a R. Keller W. Lane<br />
appropriate reference data for the JM, Nichaman MZ. Tanner JM . The<br />
anthropometric assessment of presen tation an d use of height and<br />
nutritional status. In: Himes JH, editor. weight data for compar<strong>in</strong>g the<br />
Anthropometric assessment of nutritional status of groups of ch<strong>il</strong>dren<br />
nutritional status. NY: W<strong>il</strong>ey-liss; 1991 . under the age of 10 years. Bull. World<br />
p. 337·46. Health Organ. 1977;55:489·98.<br />
2. World Health Organization. Physical 7. Cole TJ. Growth charts for both cross-<br />
status: the use and <strong>in</strong>terpretation of sectional and longitud<strong>in</strong>al data. Stat.<br />
anthropometry. World Health Med. 1994;13:2477-92.<br />
Organization: Geneva; 1995. 8. Habicht Jp, Martorell R. Yarbrough C,<br />
3. <strong>Bedogni</strong> G, Borghi A. Battist<strong>in</strong>i N, Mal<strong>in</strong>a RM, Kle<strong>in</strong> RE . Height and weight<br />
Pr<strong>in</strong>cipi di valutazione delio stato standards for preschool ch<strong>il</strong>dren. How<br />
nutrizionale. M<strong>il</strong>ano: EDRA; 1999. relevant are ethnic differences <strong>in</strong> growth<br />
4. Cameron N. Measurement issues related potential? Lancet 1974;1:611-4.<br />
to the anthropometric assessment of 9. World Health Organ ization. Use and<br />
nutritional status. In: Himes JH, editor. Interpretation of anthropometric<br />
Anthropometric assessment of Indicators of nutritional status. Bull.<br />
nutritional status. NY: W<strong>il</strong>ey-Liss; 1991 . World Health Organ. 1986:929-41.<br />
p. 347-64. 10. World Health Organization. Measur<strong>in</strong>g<br />
5. Frisancho A. Anthropometric Standards change <strong>in</strong> nutritional status: guidel<strong>in</strong>es for<br />
for the Assessment of Growth and the assess<strong>in</strong>g the nutritional impact of<br />
Nutritional Status. Ann Arbor: The supplementary feed<strong>in</strong>g programmes.<br />
University of Michigan Press: 1990. World Health Organization: Geneva; 1983.<br />
V I<br />
-137
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