CONICET | Buscador de Institutos y Recursos Humanos

Objectives: The aim of the present study was to analyze the nutritional status and body composition of childrenfrom San Rafael, Mendoza, avoiding urban and rural categorization by generating subpopulations as a function of theirsocio-environmental characteristics.Methods: A cross-sectional study was performed in 3,596 schoolchildren from 4.0 to 13.9 years of age. Body weight,height, upper arm circumference, and triceps skinfold were measured. Body mass index, total muscle, and fat areas ofthe arm were calculated. To estimate nutritional status and body composition, the NHANES III reference was used.The socio-environmental variables were surveyed using a structured questionnaire. These variables were processed bycategorical principal-component analysis (catPCA).Results: The catPCA allowed the differentiation of four groups, three with urban characteristics (high urban,medium urban, impoverished urban), and a rural group. Stunting occurred at a higher rate in the impoverished urbangroup, and the occurrence of underweight children was higher in the rural group. The prevalence of excess weight variedin the range of 20?26%. The latter value corresponded to children of the high urban group, who also did not showreduced muscle mass.Conclusion: Children from San Rafael presented differences in nutritional condition and body composition associatedwith pronounced socio-environmental heterogeneity. Thus, we could observe a gradient from the ?high urban? group, withbetter social, economic, and sanitation conditions and at the same time a more obesogenic environment to the?impoverished urban? and ?rural? groups, whose vulnerability reflected a higher prevalence of child undernutrition and theassociation with excess weight and reduced muscle mass.

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