Segall-Corrêa, Ana MariaGonçalves, Neusa Nunes Da Silva E.Chalita, Liciana Vaz Arruda Silveira [UNESP]Russo-Leite, Gabriela PicarelliPadovani, Carlos Roberto [UNESP]Gonçalves, Aguinaldo2014-05-272014-05-272002-08-15Revista Panamericana de Salud Publica/Pan American Journal of Public Health, v. 12, n. 1, p. 19-25, 2002.1020-4989http://hdl.handle.net/11449/66952Objective. To assess factors determining growth in a group of children between 3 months and 6 years old enrolled in a public municipal (i.e., government-supported, not private) day-care center, in comparison to a group of children with similar characteristics but who were not enrolled in the center. Methods. A quasi-experimental study was designed to observe 444 children aged 3 to 72 months from a low-income neighborhood in the city of Sorocaba, in the state of São Paulo, Brazil. Two groups were studied: 164 children enrolled in a local municipal day-care center (intervention group) and 280 not receiving care at the center (nonintervention, comparison group) but instead being cared for at home. Both groups were seen four times over a period of 16 months. At each observation session, the children's weight and height were measured. Information was also collected on the mother's sociodemographic characteristics and the illnesses she had suffered as well as the child's weight and other health characteristics at birth, the child's illnesses in the 15 days before each observation, and any hospitalizations. Results. The children in both groups were from low-income families, with 65% of the families having an average monthly income below US$ 100; 80% of the mothers had received 8 years of schooling or less. Multivariate linear regression analysis showed that at the first observation (just before enrollment in the day-care center), birth weight was the only factor that explained the nutritional differences between the two groups. Subsequent analyses showed that being in day care was the factor that best explained the differences between the groups, especially in terms of the adequacy of weight for age, after controlling for birthweight, sex, age at the beginning of the study, and illnesses in the 15 days before an observation session. The nutritional impact of the intervention was significant as early as 3 months after being enrolled in day care. Conclusions. The nutritional benefits of the care provided at the center outweighed the negative effects sometimes seen in such centers, such as the greater morbidity that children in day-care centers often experience in comparison to children receiving care at home.19-25porbody heightbody weightBrazilchildchild developmentday carefemalehumaninfantmaleorganization and managementphysiologypreschool childsocioeconomicscontrolled studydemographylowest income groupmajor clinical studymultivariate analysisnutritionschoolBody HeightBody WeightChildChild Day Care CentersChild DevelopmentChild, PreschoolFemaleHumansInfantMalePublic SectorSocioeconomic FactorsEnglish AbstractHumanchild healthArtigo10.1590/S1020-49892002000700004S1020-49892002000700004Acesso aberto2-s2.0-0036328619S1020-49892002000700004.pdf8727897080522289