{"id":41777,"date":"2026-02-12T08:57:59","date_gmt":"2026-02-12T11:57:59","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=41777"},"modified":"2026-02-12T08:58:03","modified_gmt":"2026-02-12T11:58:03","slug":"desnutricao-e-avitaminoses-na-puericultura","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/","title":{"rendered":"Desnutri\u00e7\u00e3o energ\u00e9tico-proteica e avitaminoses: a problem\u00e1tica na Puericultura"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Desnutricao_Definicao_e_Etiologia\" >Desnutri\u00e7\u00e3o: Defini\u00e7\u00e3o e Etiologia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Avaliacao_Antropometrica_e_Classificacoes\" >Avalia\u00e7\u00e3o Antropom\u00e9trica e Classifica\u00e7\u00f5es<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Classificacao_de_Gomez_Modificada_por_Bengoa\" >Classifica\u00e7\u00e3o de Gomez (Modificada por Bengoa)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Classificacao_de_Waterlow\" >Classifica\u00e7\u00e3o de Waterlow<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Classificacao_da_OMS\" >Classifica\u00e7\u00e3o da OMS<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Formas_Clinicas_da_Desnutricao_Grave\" >Formas Cl\u00ednicas da Desnutri\u00e7\u00e3o Grave<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Marasmo_Deficiencia_Calorica_Global\" >Marasmo (Defici\u00eancia Cal\u00f3rica Global)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Kwashiorkor_Deficiencia_Proteica_Predominante\" >Kwashiorkor (Defici\u00eancia Proteica Predominante)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Complicacoes_Sistemicas\" >Complica\u00e7\u00f5es Sist\u00eamicas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Protocolo_de_Manejo_Hospitalar\" >Protocolo de Manejo Hospitalar<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Criterios_de_Internacao\" >Crit\u00e9rios de Interna\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Os_10_Passos_do_Tratamento_OMS\" >Os 10 Passos do Tratamento (OMS)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Vitaminas_e_Micronutrientes\" >Vitaminas e Micronutrientes<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Vitaminas_Hidrossoluveis_Complexo_B_e_C\" >Vitaminas Hidrossol\u00faveis (Complexo B e C)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Vitaminas_Lipossoluveis_K-E-D-A\" >Vitaminas Lipossol\u00faveis (K-E-D-A)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/desnutricao-e-avitaminoses-na-puericultura\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-1024x576.jpg\" alt=\"\" class=\"wp-image-41787\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-12T085140.229.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Neste artigo, voc\u00ea vai dominar a<strong> desnutri\u00e7\u00e3o e as avitaminoses<\/strong> na pediatria com um enfoque pr\u00e1tico para as provas. Revisamos desde as classifica\u00e7\u00f5es cl\u00e1ssicas (Gomez e Waterlow) at\u00e9 o passo a passo do tratamento hospitalar e as principais car\u00eancias vitam\u00ednicas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-desnutricao-definicao-e-etiologia\"><span class=\"ez-toc-section\" id=\"Desnutricao_Definicao_e_Etiologia\"><\/span><strong>Desnutri\u00e7\u00e3o: Defini\u00e7\u00e3o e Etiologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A desnutri\u00e7\u00e3o \u00e9 uma condi\u00e7\u00e3o patol\u00f3gica decorrente, primariamente, da baixa oferta alimentar, apresentando forte correla\u00e7\u00e3o com determinantes socioecon\u00f4micos.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Impacto:<\/strong> Al\u00e9m da elevada mortalidade, gera morbidade significativa, incluindo piora do desenvolvimento neuropsicomotor (DNPM) e d\u00e9fice cognitivo.<\/li>\n\n\n\n<li><strong>Causas Secund\u00e1rias:<\/strong> Infec\u00e7\u00f5es de repeti\u00e7\u00e3o, neoplasias e s\u00edndromes de m\u00e1 absor\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Avaliacao_Antropometrica_e_Classificacoes\"><\/span><strong>Avalia\u00e7\u00e3o Antropom\u00e9trica e Classifica\u00e7\u00f5es<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O diagn\u00f3stico nutricional depende da faixa et\u00e1ria e do par\u00e2metro avaliado.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-gomez-modificada-por-bengoa\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Gomez_Modificada_por_Bengoa\"><\/span><strong>Classifica\u00e7\u00e3o de Gomez (Modificada por Bengoa)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Utilizada para crian\u00e7as hospitalizadas <strong>menores de 2 anos<\/strong>, onde o peso \u00e9 o indicador mais sens\u00edvel.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>C\u00e1lculo:<\/strong> (Peso da crian\u00e7a \/ Peso do p50 para a idade) X 100.<\/li>\n\n\n\n<li><strong>Estratifica\u00e7\u00e3o:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Eutr\u00f3fico:<\/strong> 91 a 110%.<\/li>\n\n\n\n<li><strong>Leve (Grau I):<\/strong> 76 a 90%.<\/li>\n\n\n\n<li><strong>Moderada (Grau II):<\/strong> 61 a 75%.<\/li>\n\n\n\n<li><strong>Grave (Grau III):<\/strong> 60% ou presen\u00e7a de edema.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-waterlow\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Waterlow\"><\/span><strong>Classifica\u00e7\u00e3o de Waterlow<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Utilizada para crian\u00e7as entre <strong>2 e 10 anos<\/strong>, permitindo diferenciar processos agudos de cr\u00f3nicos. Avalia dois \u00edndices: Altura\/Idade (E\/I) e Peso\/Estatura (P\/E).<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"541\" height=\"350\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-54.png\" alt=\"\" class=\"wp-image-41778\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-54.png 541w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-54-300x194.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-54-150x97.png 150w\" sizes=\"auto, (max-width: 541px) 100vw, 541px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-da-oms\"><span class=\"ez-toc-section\" id=\"Classificacao_da_OMS\"><\/span><strong>Classifica\u00e7\u00e3o da OMS<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Utiliza o Z-score. Define-se <strong>Desnutri\u00e7\u00e3o Grave<\/strong> se Z-score &lt; -3.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1019\" height=\"428\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55.png\" alt=\"\" class=\"wp-image-41779\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55.png 1019w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55-300x126.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55-768x323.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55-1000x420.png 1000w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55-150x63.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-55-696x292.png 696w\" sizes=\"auto, (max-width: 1019px) 100vw, 1019px\" \/><figcaption class=\"wp-element-caption\">Exemplo de representa\u00e7\u00e3o do Z-score. Fonte: <a href=\"https:\/\/docs.oracle.com\/cloud\/help\/pt_BR\/pbcs_common\/PFUSU\/insights_metrics_Z-Score.htm\">https:\/\/docs.oracle.com\/cloud\/help\/pt_BR\/pbcs_common\/PFUSU\/insights_metrics_Z-Score.htm<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Formas_Clinicas_da_Desnutricao_Grave\"><\/span><strong>Formas Cl\u00ednicas da Desnutri\u00e7\u00e3o Grave<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A desnutri\u00e7\u00e3o grave caracteriza-se por circunfer\u00eancia braquial &lt; 115 mm, Z-score &lt; -3 ou presen\u00e7a de edema bilateral.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Marasmo_Deficiencia_Calorica_Global\"><\/span><strong>Marasmo (Defici\u00eancia Cal\u00f3rica Global)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fisiopatologia:<\/strong> Adapta\u00e7\u00e3o metab\u00f3lica \u00e0 fome cr\u00f4nica.<\/li>\n\n\n\n<li><strong>Cl\u00ednica:<\/strong> Emagrecimento extremo (perda de tecido adiposo e muscular), f\u00e1cies senil (&#8220;cabe\u00e7a grande para o corpo&#8221;), pele seca e fina, hipotonia e irritabilidade. O apetite costuma estar preservado.<\/li>\n\n\n\n<li><strong>Sinais de Gravidade:<\/strong> Bradicardia, hipotens\u00e3o e hipotermia severos. <strong>Aus\u00eancia de edema<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Kwashiorkor_Deficiencia_Proteica_Predominante\"><\/span><strong>Kwashiorkor (Defici\u00eancia Proteica Predominante)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fisiopatologia:<\/strong> Ingesta cal\u00f3rica adequada, mas proteica insuficiente. O edema decorre de hipoalbuminemia, estresse oxidativo e altera\u00e7\u00e3o do microbioma.<\/li>\n\n\n\n<li><strong>Cl\u00ednica:<\/strong> <strong>Edema<\/strong> (pode evoluir para anasarca), hepatomegalia (esteatose), altera\u00e7\u00f5es de cabelo (fino, hipopigmentado\/sinal da bandeira), dermatose (hiperqueratose\/hiperpigmenta\u00e7\u00e3o) e apatia intensa.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"674\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-674x1024.jpeg\" alt=\"\" class=\"wp-image-41780\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-674x1024.jpeg 674w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-197x300.jpeg 197w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-768x1167.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-1011x1536.jpeg 1011w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-276x420.jpeg 276w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-150x228.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-300x456.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20-696x1058.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-20.jpeg 1053w\" sizes=\"auto, (max-width: 674px) 100vw, 674px\" \/><figcaption class=\"wp-element-caption\">Crian\u00e7a com Kwashiorkor. Fonte: <a href=\"https:\/\/pt.wikipedia.org\/wiki\/Kwashiorkor#\/media\/Ficheiro:Starved_girl.jpg\">https:\/\/pt.wikipedia.org\/wiki\/Kwashiorkor#\/media\/Ficheiro:Starved_girl.jpg<\/a><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Complicacoes_Sistemicas\"><\/span><strong>Complica\u00e7\u00f5es Sist\u00eamicas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A desnutri\u00e7\u00e3o afeta m\u00faltiplos \u00f3rg\u00e3os, muitas vezes mascarando quadros infecciosos graves:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Imunol\u00f3gico:<\/strong> Disfun\u00e7\u00e3o imune. Infec\u00e7\u00f5es (pneumonia, ITU, sepse) podem ocorrer <strong>sem febre, taquicardia ou taquipneia<\/strong>.<\/li>\n\n\n\n<li><strong>Gastrointestinal:<\/strong> Atrofia da mucosa, insufici\u00eancia pancre\u00e1tica ex\u00f3crina.<\/li>\n\n\n\n<li><strong>Hep\u00e1tico:<\/strong> Esteatose, hipoalbuminemia, risco de hipoglicemia.<\/li>\n\n\n\n<li><strong>Cardiovascular:<\/strong> Risco de insufici\u00eancia card\u00edaca e desidrata\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Protocolo_de_Manejo_Hospitalar\"><\/span><strong>Protocolo de Manejo Hospitalar<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Criterios_de_Internacao\"><\/span><strong>Crit\u00e9rios de Interna\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>&lt; 6 meses:<\/strong> Edema bilateral, Z-score &lt; -3 ou falha de ganho de peso ambulatorial.<\/li>\n\n\n\n<li><strong>> 6 meses:<\/strong> Anorexia, complica\u00e7\u00f5es m\u00e9dicas (choque, desidrata\u00e7\u00e3o, infec\u00e7\u00e3o grave, anemia grave), hipotermia ou edema grave.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Os_10_Passos_do_Tratamento_OMS\"><\/span><strong>Os 10 Passos do Tratamento (OMS)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O tratamento divide-se em tr\u00eas fases cronol\u00f3gicas:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Fase I: Estabiliza\u00e7\u00e3o (Semana 1)<\/strong><\/h4>\n\n\n\n<p>O objetivo \u00e9 restaurar fun\u00e7\u00f5es celulares, n\u00e3o ganhar peso.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Hipoglicemia:<\/strong> Prevenir\/tratar (&lt; 54 mg\/dL).<\/li>\n\n\n\n<li><strong>Hipotermia:<\/strong> Prevenir\/tratar (&lt; 35\u00baC).<\/li>\n\n\n\n<li><strong>Desidrata\u00e7\u00e3o:<\/strong> Preferir TRO. Hidrata\u00e7\u00e3o EV apenas se choque.<\/li>\n\n\n\n<li><strong>Eletr\u00f3litos:<\/strong> Corrigir K+, Mg+, P. <strong>N\u00e3o dar Ferro<\/strong> nesta fase (aumenta estresse oxidativo e risco de infec\u00e7\u00e3o).<\/li>\n\n\n\n<li><strong>Infec\u00e7\u00e3o:<\/strong> Antibioticoterapia emp\u00edrica de amplo espectro para todos.<\/li>\n\n\n\n<li><strong>Micronutrientes:<\/strong> Iniciar suplementa\u00e7\u00e3o (exceto ferro).<\/li>\n\n\n\n<li><strong>Dieta:<\/strong> In\u00edcio cauteloso.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Fase II: Reabilita\u00e7\u00e3o (Semanas 2-7)<\/strong><\/h4>\n\n\n\n<ol start=\"8\" class=\"wp-block-list\">\n<li><strong>Catch-up:<\/strong> Dieta hiperproteica e hipercal\u00f3rica para recupera\u00e7\u00e3o de peso.\n<ul class=\"wp-block-list\">\n<li><em>Marco:<\/em> Retorno do apetite e redu\u00e7\u00e3o do edema.<\/li>\n\n\n\n<li><strong>Ferro:<\/strong> Iniciar suplementa\u00e7\u00e3o nesta fase.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Fase III: Acompanhamento<\/strong><\/h4>\n\n\n\n<ol start=\"9\" class=\"wp-block-list\">\n<li>Estimula\u00e7\u00e3o do DNPM e suporte emocional.<\/li>\n\n\n\n<li>Prepara\u00e7\u00e3o para alta e seguimento.<\/li>\n<\/ol>\n\n\n\n<p><strong>Alerta:<\/strong> A <strong>S\u00edndrome de Realimenta\u00e7\u00e3o<\/strong> ocorre na 1\u00aa semana, caracterizada por reten\u00e7\u00e3o h\u00eddrica, arritmias e rabdomi\u00f3lise. O principal marcador \u00e9 a <strong>hipofosfatemia<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Vitaminas_e_Micronutrientes\"><\/span><strong>Vitaminas e Micronutrientes<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Vitaminas_Hidrossoluveis_Complexo_B_e_C\"><\/span><strong>Vitaminas Hidrossol\u00faveis (Complexo B e C)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>N\u00e3o s\u00e3o armazenadas (exceto B12).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B1 (Tiamina):<\/strong> Berib\u00e9ri (ICC\/neurite) e Encefalopatia de Wernicke.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"654\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21.jpeg\" alt=\"\" class=\"wp-image-41781\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21.jpeg 1000w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21-300x196.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21-768x502.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21-642x420.jpeg 642w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21-150x98.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-21-696x455.jpeg 696w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\">Manifesta\u00e7\u00e3o do Berib\u00e9ri. Fonte: <a href=\"https:\/\/biblioteca.cofen.gov.br\/guia-de-consulta-para-vigilancia-epidemiologica-assistencia-e-atencao-nutricional-dos-casos-de-beriberi\/\">https:\/\/biblioteca.cofen.gov.br\/guia-de-consulta-para-vigilancia-epidemiologica-assistencia-e-atencao-nutricional-dos-casos-de-beriberi\/<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B2 (Riboflavina):<\/strong> Queilite, glossite, fotofobia.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"563\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24.jpeg\" alt=\"\" class=\"wp-image-41784\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24.jpeg 1000w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24-300x169.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24-768x432.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24-746x420.jpeg 746w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24-150x84.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-24-696x392.jpeg 696w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\">Glossite Geogr\u00e1fica. Fonte: <a href=\"https:\/\/drauziovarella.uol.com.br\/doencas-e-sintomas\/lingua-geografica-glossite-migratoria-benigna-ou-eritema-migratorio\/\">https:\/\/drauziovarella.uol.com.br\/doencas-e-sintomas\/lingua-geografica-glossite-migratoria-benigna-ou-eritema-migratorio\/<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B3 (Niacina):<\/strong> Pelagra (Dermatite em \u00e1reas expostas, Diarreia, Dem\u00eancia).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"696\" height=\"463\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-57.png\" alt=\"\" class=\"wp-image-41786\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-57.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-57-300x200.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-57-631x420.png 631w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-57-150x100.png 150w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><figcaption class=\"wp-element-caption\">Manifesta\u00e7\u00e3o da Pelagra. Fonte: <a href=\"https:\/\/sergiofranco.com.br\/saude\/pelagra\">https:\/\/sergiofranco.com.br\/saude\/pelagra<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B6 (Piridoxina):<\/strong> Convuls\u00f5es neonatais, anemia microc\u00edtica.<\/li>\n\n\n\n<li><strong>B12 (Cobalamina) e B9 (Folato):<\/strong> Anemia megalobl\u00e1stica. A defici\u00eancia de B12 (comum em vegetarianos\/veganos) causa sintomas neurol\u00f3gicos (ataxia, parestesias, regress\u00e3o do DNPM).<\/li>\n\n\n\n<li><strong>Vitamina C:<\/strong> Escorbuto (dor \u00f3ssea, pseudoparalisia, hemorragias).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"793\" height=\"487\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23.jpeg\" alt=\"\" class=\"wp-image-41783\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23.jpeg 793w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23-300x184.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23-768x472.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23-684x420.jpeg 684w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23-150x92.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-23-696x427.jpeg 696w\" sizes=\"auto, (max-width: 793px) 100vw, 793px\" \/><figcaption class=\"wp-element-caption\">Manifesta\u00e7\u00e3o bucal do escorbuto. Fonte: <a href=\"https:\/\/eapgoias.com.br\/o-que-e-escorbuto\/\">https:\/\/eapgoias.com.br\/o-que-e-escorbuto\/<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Vitaminas_Lipossoluveis_K-E-D-A\"><\/span><strong>Vitaminas Lipossol\u00faveis (K-E-D-A)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Possuem dep\u00f3sito corporal e risco de intoxica\u00e7\u00e3o.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Vitamina A (Retinol)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Defici\u00eancia:<\/strong> Cegueira noturna (sinal precoce), xerostomia, Manchas de Bitot, queratomal\u00e1cia.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"627\" height=\"467\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56.png\" alt=\"\" class=\"wp-image-41785\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56.png 627w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56-300x223.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56-564x420.png 564w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56-150x112.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-56-485x360.png 485w\" sizes=\"auto, (max-width: 627px) 100vw, 627px\" \/><figcaption class=\"wp-element-caption\">Mancha de Bitot em conjuntiva temporal. Fonte: <a href=\"https:\/\/www.analesdepediatria.org\/es-manchas-bitot-por-dficit-vitamina-articulo-S1695403309005943\">https:\/\/www.analesdepediatria.org\/es-manchas-bitot-por-dficit-vitamina-articulo-S1695403309005943<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Profilaxia (Megadose):<\/strong>\n<ul class=\"wp-block-list\">\n<li>6 a 11 meses: 100.000 UI.<\/li>\n\n\n\n<li>12 a 59 meses: 200.000 UI (a cada 6 meses).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Toxicidade:<\/strong> Hipertens\u00e3o intracraniana (abaulamento de fontanela), v\u00f4mitos, pele seca.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Vitamina D (Calcitriol)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Defici\u00eancia (Raquitismo):<\/strong> Falha na mineraliza\u00e7\u00e3o \u00f3ssea.\n<ul class=\"wp-block-list\">\n<li><em>Sinais:<\/em> Craniotabes, ros\u00e1rio raqu\u00edtico, alargamento de ep\u00edfises (punhos), arqueamento de ossos longos, atraso na denti\u00e7\u00e3o.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"240\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-22.jpeg\" alt=\"\" class=\"wp-image-41782\" style=\"width:391px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-22.jpeg 240w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-22-225x300.jpeg 225w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-22-150x200.jpeg 150w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><figcaption class=\"wp-element-caption\">Crian\u00e7a com raquitismo infantil por desnutri\u00e7\u00e3o. Fonte: <a href=\"https:\/\/celsorizzi.blogspot.com\/2011\/06\/raquitismo-nutricional.html\">https:\/\/celsorizzi.blogspot.com\/2011\/06\/raquitismo-nutricional.html<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Profilaxia Universal:<\/strong>\n<ul class=\"wp-block-list\">\n<li>&lt; 1 ano: 400 UI\/dia.<\/li>\n\n\n\n<li>1 ano: 600 UI\/dia (at\u00e9 2 anos).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Vitamina K<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fun\u00e7\u00e3o:<\/strong> Cofator de coagula\u00e7\u00e3o (II, VII, IX, X).<\/li>\n\n\n\n<li><strong>Defici\u00eancia:<\/strong> Doen\u00e7a hemorr\u00e1gica do RN (TP e TTPa alargados). Requer profilaxia ao nascer.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"seja-um-medcofer\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\"><strong>MedCofer<\/strong><\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma metodologia que j\u00e1 aprovou mais de<strong>&nbsp;35 mil residentes no pa\u00eds!<\/strong>&nbsp;Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"v2SWD3wuOWg\"><iframe loading=\"lazy\" title=\"Aleitamento materno e alimenta\u00e7\u00e3o com a Dra. Amira Saleh\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/v2SWD3wuOWg?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Confira o guia sobre desnutri\u00e7\u00e3o energ\u00e9tico-proteica e avitaminoses na puericultura, com classifica\u00e7\u00e3o, formas cl\u00ednicas, complica\u00e7\u00f5es sist\u00eamicas, protocolo da OMS e mais!<\/p>\n","protected":false},"author":21,"featured_media":41787,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[120],"tags":[3562,3560,3561,3559,3558],"ppma_author":[3617],"class_list":{"0":"post-41777","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pediatria","8":"tag-classificacao-de-gomez","9":"tag-kwashiorkor","10":"tag-marasmo","11":"tag-vitaminas-hidrossoluveis","12":"tag-vitaminas-lipossoluveis"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - 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