Abstract
This paper analyzes aspects relevant to the nutritional situation in Costa Rica and to a lesser extent the rest of Central America. The nutritional problems have been dealt in a realistic way trying to avoid magnification of the situation. The available data show that calorie-protein malnutrition, anemia and goiter are the problems that, in that order, should receive attention in public health planning. Deficient maternal education and infection of the child play a preponderant role in the etiology of calorie-protein malnutrition and anemia. Analyses presented here show the convenience to revise periodically the criteria used to characterize the nutritional status, in order to adequately plan health actions. Also, the necessity to carry out basic and applied research in the field is emphasized. The future of the nutritional situation is uncertain for the majority of the Central American countries. However, some demographic indicators reveal that nations such as Costa Rica probably will reach an adequate nutrition in a not too distant future.References
Arroyave, G. 1971. Standards for the diagnosis of vitamin deficiency in man, p. 88-100. In Metabolic adaptation and nutrition. PAHO. Sci. Pub. No. 222.
Ascoli, W., & G. Arroyave 1970. Epidemiología del bocio endémico en Centro América. Relación entre prevalencia y excreción urinaria de yodo. Arch. Latinoamer. Nutr., 20: 309-320
Beisel, W. R. 1972. Interrelated changes in host metabolism during generalized infectious illness. Amer. J. Clin. Nutr., 25: 1254-1260.
Enderica, R. 1974. Cociente entre porcentajes de mortalidad y población menor de cinco años, como indicador demográfico del Estado Nutricional. Arch. Latinoamer. Nutr., 24: 423-429
Escapini, H. 1969. Vitamin A deficiency: its ocular stigmata, p. 127-132. In Proc. West. Hemisph. Nutr. Congr. II. Amer. Med. Assoc. Chicago.
Gómez, F., R. Ramos-Galván, S. Frenk, J .Cravioto, R. Chávez,& J. Vázquez 1956. Mortality in second and third degree malnutrition. J. Trop. Pediat., 2: 77-83.
Gopalan, C. 1968. Kwashiorkor and marasmus: Evolution and distinguisJúng features. In R. A. McCance & E. M. Widdowson (eds.), Calorie deficiencies and protein deficiencies. Churchill, London.
Hansman, C. 1970. Anthropometry and related data, p. 103-154. In R. W. McCammon (ed.), Human growth and development. Charles C. Thomas, Springfield, III.
INCAP-COC 1972. Nutritional evaluation of the population of Central America and Panama, 1965-1967. DHEW Publ. No. (HSM) 72-8120. 165 pp.
INCAP-OIR 1969. Evaluación nutricional de la población de Centro América y Panamá. Costa Rica. INCAP, Guatemala. 133 pp. + 5 apéndices.
Jackson, R. L., & G. Kelly 1945. Growth charts for use in pediatric practices. J. Pediat., 27: 215-229.
Jelliffe, D. B., & E.F.P. Jelliffe (eds.) 1971. The uniqueness of human milk. Amer. J. Clin. Nutr., 24: 968-969.
Layrisse, M. 1968. lron deficiency anemia in South America, p. 171-174. In Proc. West. Hemisph. Nutr. Congr. II. Amer. Med. Assoc., Chicago.
Mata, L. J. 1975. The Children of Santa María Cauqué. A prospective lield study of health and growth. (en prensa).
Mata, L. J., E. Mohs, C. Albertazzi, & W. Vargas 1975. Criterios para la caracterización del estado Nutricional. (en preparación).
Mata, L. J., J. J. Urrutia, & B. García 1967. Effect of infection and diet on child growth: Experience in a Guatemalan village, p. 112-126. In G. E. W. Walstenholme & M. O'Connor (eds.). Nutrition and inlection. Ciba Fnd. Study Grp. No. 31. Little Brown, Boston.
Mata, L. J., J. J. Urrutia, & A. Lechtig 1971. Infection and nutrition of children of a low socioeconomic rural community. Amer. J. Clin. Nutr., 24 : 249-259.
Mata, L. J., J. J. Urrutia, R. A. Krokmal. & C. Joplin 1975. Survival and physical growth in infancy and early childhood, b y birth weight and gestational age. Study in a Guatemalan village. Amer. J. Dis. Child., 129: 561-566.
Menchu, M. T., G. Arroyave, & M. Flores 1973. Recomendaciones dietéticas diarias para Centro América y Panamá. INCAP Publ. No. E-709, Guatemala. 33 pp.
Organización Mundial de la Salud 1974. Malnutrición y desarrollo mental. Crónica OMS, 28: 103-110.
Puffer, R. R., & C. V. Serrano. 1973. Patterns of mortality in childhood. PAHO Sci. Publ. No. 262. XIX + 470 pp.
Rosenberg, I. H., W. R. Beisel, J. E. Gordon, M. Katz, G. T. Keusch, D. Luckey, & L. J. Mata. 1974. Infant and child enteritis-malabsorption-malnutrition: the potential of limited studies with low-dose antibiotic feeding. Amer. J. Clin. Nutr., 27: 304-309.
Schenk, E. A., F. A. Klipstein, & J. T. Tomasini 1972. Morphologic characteristícs of jejunal biopsies from asymptomatic Haitians and Puerto Ricans. Amer. J. Clin. Nutr., 25: 1080-1083.
Scrimshaw, N. S., C. E. Taylor, & J. E. Gordon 1959. Interactions of nutrítion and infection. Amér. J. Med. Sci., 237: 367-403.
SIECA 1973. Estadísticas Sociales. SIECA, Guatemala. 88 pp.
Valverde, V., W. Vargas, I. Rawson, G. Calderón, R. Rosabal. & R. Gutiérrez 1975. La deficiencia calórica en preescolares del área rural de Costa Rica. Arch.
Latinoamer. Nutr., (en prensa).
Villarejos. V. M.O J. A. Osborne. F. J. Payne, & J. A. Alguedas 1971. Heights of children in urban an rural Costa Rica. J. Trop. Ped.& Environ. Child Hlth., 17: 31-43.
Wannemacher, R. W., H. L. Dupont, R. S. Pekaret, M. C. Powanda, A. Schwartz, R. B. Hornick, & W. R. Beisel 1972. An endogenous mediator of depression of aminoacids and trace metals in serum during typhoid fever. J. Inf Dis., 126: 77-86.
Waterlow, J. c., & H. E. Rutishauser 1974. Malnutrition in man, p. 13-26. In Early malnutrition and mental development. Swedish Nutrition Foundation No. XII.
World Health Organization 1973. Trace elements in human nutrition. Wld. Hld. Org. Techn. Rep. Ser., No. 532. 64 pp.
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