<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0212-1611</journal-id>
<journal-title><![CDATA[Nutrición Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Nutr. Hosp.]]></abbrev-journal-title>
<issn>0212-1611</issn>
<publisher>
<publisher-name><![CDATA[Grupo Arán]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0212-16112019000200267</article-id>
<article-id pub-id-type="doi">10.20960/nh.2193</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Association between food insecurity and perinatal risk factors with hearing problems in preterm birth]]></article-title>
<article-title xml:lang="es"><![CDATA[Asociación entre la inseguridad alimentaria y factores de riesgo prenatales con problemas de audición en prematuros]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Chávez]]></surname>
<given-names><![CDATA[Á. M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monroy Torres]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[V. H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University Observatory of Food and Nutritional Security of the State of Guanajuato  ]]></institution>
<addr-line><![CDATA[Guanajuato ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Guanajuato Campus Leon Laboratory of Environmental Nutrition and Food Safety. Department of Medicine and Nutrition]]></institution>
<addr-line><![CDATA[Guanajuato ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Division of Sciences and Engineering  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>267</fpage>
<lpage>274</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0212-16112019000200267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0212-16112019000200267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0212-16112019000200267&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  hearing disorders in the premature newborns impact on their development and language and therefore, on their quality of life. Several risk factors have been associated to these conditions, but little is known about socioeconomic, nutrition factors and food security.  Objective:  to analyze the association between food security and prenatal risk factors in newborns with hearing disorders.  Material and methods:  study of 35 cases and 105 controls in premature newborns from 30 to 37 weeks of gestation (WG) in a public hospital. The working tool was a questionnaire to collect data about the maternal medical record and the anthropometry of the newborn, as well as the risk factors for the auditory function, sociodemographic aspects, and food security with its respective classification and food habits.  Results:  the principal perinatal risk factor associated to hearing impairment was the use of gentamycin (ototoxic drug) in 18.1% of the total (OR: 5.61 [1.29-24.50]). Severe food insecurity was associated with auditory disfunctions in 27.2% of cases and in 2.8% of controls (OR: 12.75 [2.89-56.16]). There were differences between the groups regarding the education level (cases: 50% of the mothers finished or interrupted primary education level vs controls with 19%; Ji2 = 0.008). The anthropomorphic variables showed differences in weight, length and cephalic perimeter for the newborns (p &lt; 0.000).  Conclusion:  severe food insecurity, exposure to gentamycin and low education level of the mother had a significant association with auditory impairments in preterm children. For these newborns, variables like weight, length and cephalic perimeter at the moment of birth were lower than in controls. These initial findings point to the important role that environmental risks, like food insecurity, have in auditory impairments in addition to those previously described.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  las alteraciones auditivas en el recién nacido prematuro impactan en su desarrollo y lenguaje y por ende a la calidad de vida. Se conocen varios factores de riesgo asociados a estas alteraciones, pero poco sobre los aspectos socioeconómicos, nutricionales y de inseguridad alimentaria.  Objetivo:  analizar la asociación con la inseguridad alimentaria y los factores de riesgo prenatales en prematuros con problemas de audición.  Material y métodos:  estudio de 35 casos y 105 controles, en prematuros de 30 a 37 SDG de un hospital público, realizado a través de una encuesta donde se recopilaron datos del expediente materno y del recién nacido (antropometría), así como factores de riesgo para alteración auditiva, aspectos sociodemográficos, seguridad alimentaria con sus respectivas clasificaciones y tipo de alimentación.  Resultados:  el principal factor de riego perinatal asociado a las alteraciones auditivas fue la administración de gentamicina (antibiótico ototóxico) en 18,1% de los casos (OR: 5,61 [IC = 1,29-24,50]). La inseguridad alimentaria severa se asoció con las alteraciones auditivas, en 27,2% de casos y en 2,8% de controles (OR: 12,75 [IC = 2,89-56,16]). Además, se encontraron diferencias entre los grupos para el nivel de escolaridad (casos: 50% de las madres tuvieron primaria terminada o incompleta vs. controles con 19%; Ji2 = 0,008) y Las variables antropométricas presentaron diferencias en peso, longitud y perímetro cefálico (p &lt; 0,000).  Conclusión:  la inseguridad alimentaria severa, exposición a gentamicina, el nivel de escolaridad de la madre, tuvieron una asociación significativa con las alteraciones auditivas en el prematuro. Variables como el peso, longitud y perímetro cefálico al nacimiento presentaron valores inferiores en el grupo casos. Estos primeros hallazgos, reflejan riesgos ambientales como la inseguridad alimentaria en las alteraciones auditivas además de las ya conocidas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Premature birth]]></kwd>
<kwd lng="en"><![CDATA[Hearing loss]]></kwd>
<kwd lng="en"><![CDATA[Risk factors]]></kwd>
<kwd lng="en"><![CDATA[Nutritional status]]></kwd>
<kwd lng="es"><![CDATA[Prematuro]]></kwd>
<kwd lng="es"><![CDATA[Pérdida auditiva]]></kwd>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[Estado nutricional]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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