title: [Nutritional state associated with social determinants in Arhuaco children aged less than 5 years-old].
abstract: OBJECTIVE
  Misinformation concerning indigenous communities is an obstacle to ascertaining their healthcare status; however, the role of malnutrition concerning their morbidity and mortality is unquestionable. The aim of this study was to ascertain food security levels and identify social determinants and their association with the nutritional status of children aged less than five years-old.
  
  
  METHODS
  This was a cross-sectional, analytical study of an Arhuaco population which used non-probability sampling for convenience. Anthropometry included analyzing weight, length and head circumference based on WHO 2006 references for nutritional diagnosis. Social determinants were obtained using an instrument adapted from the Pan American Health Organization (PAHO). Relevant ethical considerations were taken into account.
  
  
  RESULTS
  169 children were evaluated and 132 surveys conducted. Growth delay regarding size was less frequent in children aged less than 6 months (p=0.03)and acute malnutrition was higher in those who went to see a traditional doctor first (p=0.01) and whose mothers had no formal schooling (p=0.05); the latter association was also found regarding obesity (p=0.00) and in those having risk factors concerning neurodevelopment too (p=0.00). Nutritional transition was higher in males (p=0.03), in children lacking complete vaccination (p=0.03) and in those whose mothers had 4 or fewer children (p=0.00).
  
  
  CONCLUSIONS
  Strategies aimed at taking action regarding acute malnutrition and being overweight must be formulated, plans for monitoring growth in this population must be promoted and communication between traditional and Western medicine must be optimized, involving mothers as the main actors.
authors.affiliation: Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia, maria.tarazona@unisabana.edu.co.
authors.forename: Mónica
authors.initials: M
authors.lastname: Arias
authors.affiliation: Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia, maria.tarazona@unisabana.edu.co.
authors.forename: María C
authors.initials: MC
authors.lastname: Tarazona
authors.affiliation: Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia, maria.tarazona@unisabana.edu.co.
authors.forename: Francisco
authors.initials: F
authors.lastname: Lamus
authors.affiliation: Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia, maria.tarazona@unisabana.edu.co.
authors.forename: Carlos
authors.initials: C
authors.lastname: Granados
mesh_terms: D002675:Child, Preschool; D003105:Colombia; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007199:Indians, South American; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009752:Nutritional Status; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires