Infections and nutritional status of internationally adopted children in France

International Adoption of Children with Special Needs in Spain

International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at a reference Spanish unit between 2016 and 2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, a median age of 27 months [IQR:17-39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were congenital surgical malformations (40.3%), hematological (22.6%), and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79% of the children. After evaluation, 14% were diagnosed with weight and growth delay, and 17.5% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). According to our series, the pre-adoption reports of children with special needs appear accurate, with a low rate of new diagnoses. Pre-existing conditions were confirmed in almost 80% of cases.

Trends in body size and prevalence of underweight and overweight in 7–9 year old children from eastern Poland between 2006 and 2021

Malnutrition and the overnutrition of children and adolescents is a severe problem in most countries. Aim of the study: Determination of fifteen-year changes in body height, and BMI in girls and boys living in towns and villages in eastern Polish voivodeships. In 2006, 2016, and 2021 a study was conducted on children and adolescents living in the Podlaskie, Lubelskie, and Podkarpackie voivodeships (7048 girls and 7686 boys aged 7–9 years). Body mass index (BMI) was calculated based on height and weight measurements. In the calendar age groups, arithmetic means and dissemination measures for body height and BMI were calculated on particular time periods of the study. The statistical significance of the differences between the groups was conducted using the ANOVA analysis of variance and the Newmann-Keuls test. From the research material, study participants exhibiting underweight, overweight and those falling within a normal range of weight-to-height proportions were selected taking into account places of residence (town, village). The statistical significance of the differences between the number of people classified into the above-described groups was determined using the χ² test. In the analysed period in groups of girls, a systematic increase in body height was observed. However, in boys, such tendency was found only in rural residents. In the period of 2006–2016, greater changes in BMI were found in girls from rural areas and boys from cities. The opposite observation was recorded in the 2016–2021 period. In the years between 2006 and 2021, the incidence of both underweight and normal BMI decreased, while the incidence of overweight and obesity increased. Our results indicate the need for conducting systematic research assessing the nutritional status of young people living in the Lubelskie and Podlaskie voivodships, as well as an in-depth analysis of the causes of malnutrition and undertaking educational activities.

Parasitic Infections in Internationally Adopted Children: A Twelve-Year Retrospective Study

Parasitic infections (PIs) are among the most frequent infectious diseases globally. Previous studies reported discrepant results regarding the prevalence of PIs in internationally adopted children (IAC). Data from IAC referred to our paediatric university hospital in 2009–2021 were collected to evaluate the frequency of PIs by the use of stool microscopic examination, antigen assays for Giardia lamblia and Cryptosporidium parvum, and serological tests for Toxocara canis, Strongyloides stercoralis, Schistosoma mansoni, Echinococcus spp., Taenia solium, and Trypanosoma cruzi. Uni- and multivariate logistic regression analyses were performed to evaluate risk factors for PIs and eosinophilia. The proportion of IAC with at least one positive test was 26.83% (640/2385); 2.13% (n = 51) had positive tests for 2 or 3 parasites. A positive assay for helminthic infection was retrieved in 11.07% of children (n = 264), and 17.86% (n = 426) presented with eosinophilia. The most common positive tests were anti-Toxocara canis antibodies (n = 312; 13.8%), followed by positive stool antigen for Giardia lamblia (n = 290; 12.16%), and positive microscopic stool examination for Blastocystis hominis (n = 76; 3.19%). A statistically significant association was found between PIs and region of origin (children from Latin America and Africa were more likely to present PIs than children from Eastern Europe), age 5–14 years, and eosinophilia. No significant association was observed between PIs and gender, vitamin D deficiency, or anemia. In conclusion, PIs are relevant in IAC and an accurate protocol is needed to evaluate IAC once they arrive in their adoptive country.