Anthropometric indices and serum retinol levels of children under age five years from the State of Paraíba, Brazil
Keywords:
Growth, Vitamin A deficiency, Nutritional status, Vitamin AAbstract
Objective
This study assessed the relationship between anthropometric indices and the serum retinol level of children under age five years from the State of Paraíba.
Methods
This cross-sectional, population-based study measured the serum retinol level of 1,205 children to determine their vitamin A status and assessed their weight-for-height and height-for-age to determine their nutritional status.
Results
Stunted children aged 6 to 12 months had lower serum retinol levels than normal-height children (p=0.02).
Conclusion
The association between stunting and low serum retinol levels in young children shows their greater vulnerability to vitamin and growth deficits.
References
Milagres RCRM, Nunes LC, Sant’Ana HMP. A deficiência de vitamina A em crianças no Brasil e no mundo. Ciênc Saúde Coletiva. 2007; 12(5):1253-66.
World Health Organization. Global prevalence of vitamin A deficiency in populations at risk 1995-2005: WHO global database on vitamin A deficiency. Geneva: WHO; 2009.
Geraldo RRC, Paiva SAR, Pitas AMCS, Godoy I, Campana AO. Distribuição da hipovitaminose A no Brasil nas últimas quatro décadas: ingestão alimentar, sinais clínicos e dados bioquímicos. Rev Nutr. 2003; 16(4):443-60. doi: 10.1590/S1415-52732003000400008.
Brasil. Ministério da Saúde. Pesquisa nacional sobre demografia e saúde da criança e da mulher. Brasília: MS; 2008.
Valente SLS, Thiapó AP, Souza GG, Saunders C, Ramalho A. Micronutrientes na gestação e lactação. Rev Bras Saúde Matern Infant. 2007; 7(3):237-44.
Brasil. Ministério da Saúde. Carências de micronutrientes. Brasília: MS; 2007.
West Jr KP. Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr. 2002; 132(9):2857S-66.
Ramakrishnan U, Aburto N, McCabe G, Martorell R. Multimicronutrient interventions but not vitamin a or iron interventions alone improve child growth: Results of 3 meta-analyses. J Nutr. 2004; 134(10): 2592-602.
Bhandari N, Bahl R, Taneja S. Effect of micronutrient supplementation on linear growth of children. Br J Nutr. 2001; 85(Suppl 2):131S-7.
Carvalho LG, Saldiva SRDM, Rosa TEC, Lei DLM. Evolução do estado nutricional de crianças submetidas a um programa de suplementação alimentar em município do Estado de São Paulo. Rev Nutr. 2009; 22(2):207-17. doi: 10.1590/S1415-52732009000200003.
Mwanri L, Worsley A, Ryan P, Masika J. Supplemental vitamin A improves anemia and growth in anemic school children in Tanzania. J Nutr. 2000; 130(11): 2691-96.
Figueroa Pedraza D, Queiroz D. Micronutrientes no crescimento e desenvolvimento infantil. RBCDH. 2011; 21(1):155-70.
Paiva AA, Cagliari MPP, Queiroz D, Souto RA, Brito VRS, França ISX. Programa nacional de suplementação de Vitamina A no Estado da Paraíba: uma análise a partir do relato de profissionais da Equipe de Saúde da Família. Epidemiol Serv Saúde. 2011; 20(3):373-83.
Furr HC, Tanumiharjo S, Olson JA. Training manual for assessing vitamin A status by use the modified relative dose response assays. Ames: Iowa State University; 1992.
World Health Organization. Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1995. WHO Technical Report Series, 854.
World Health Organization. Length/height-for- age, weight-for-age, weight-for-length, weight-forheight and body mass index-for-age: Methods and development. Geneva: WHO; 2006.
Singh M. Role of micronutrients for physical growth and mental development. Indian J Pediatr. 2004; 71(1):59-62.
Khandait DW, Vasudeo ND, Zodpey SP, Kumbhalkar DT, Koram MR. Subclinical vitamin A deficiency in undersix children in Nagpur, India. Southeast Asian J Trop Med Public Health. 1998; 29(2):289-92.
Khatib IMD, Elmadfa I. High prevalence rates of anemia, vitamin A deficiency and stunting imperil the health status of Bedouin schoolchildren in North Badia, Jordan. Ann Nutr Metab. 2009; 55(4):358-67.
Maslova E, Mora-Plazas M, Forero Y, López-Arana S, Baylin A, Villamor E. Are vitamin A and iron deficiencies re-emerging in urban Latin America? A survey of schoolchildren in Bogota, Colombia. Food Nutr Bull. 2009; 30(2):103-11.
Assis AMO, Prado MS, Freitas MCS, Cruz MM. Deficiência de vitamina A e desnutrição energético-protéica em crianças de localidades do semi-árido baiano. Rev Nutr. 1997; 10(1):70-8.
Castejón HV, Ortega P, Díaz ME, Amaya D, Gomez G, Ramos M, et al. Prevalence of sub-clinical vitamin A deficiency and malnutrition in slum children in Maraicabo-Venezuela. Arch Latinoam Nutr. 2001; 51(1):25-32.
Hautvast JL, Tolboom JJM, Kafwembe EM, Musonda RM, Mwanakasal V, Van Staveren WA, et al. Severe linear growth retardation in rural
Zambian children: The influence of biological variables. Am J Clin Nutr. 2000; 71:550-9.
Lartey A, Manu A, Brown KH, Peerson JM, Dewey KG. Predictors of growth from 1 to 18 months among breast-fed Ghanaian infants. Eur J Clin Nutr. 2000; 54(1):41-9.
Chen K, Li TY, Chen L, Qu P, Liu YX. Effects of vitamin A, vitamin A plus iron and multiple micronutrient-fortified seasoning powder on
preschool children in a suburb of Chongqing, China. J Nutr Sci Vitaminol. 2008; 54(6):440-7.
Mitter SS, Oriá RB, Kvalsund MP, Pamplona P, Joventino ES, Mota RMS, et al. Apolipoprotein E4 influences growth and cognitive responses to micronutrient supplementation in shantytown children from Northeast Brazil. Clinics. 2012; 67(1):11-8.
Zhang X, Ke Cheng K, Qu P, Liu YX, Li TY. Effect of biscuits fortified with different doses of vitamin A on indices of vitamin A status, haemoglobin and physical growth levels of preschool children in Chongqing. Public Health Nutr. 2010; 13(9):1462-71.
Hadi H, Stoltzfus RJ, Dibley MJ, Moulton LH, West Jr KP, Kjolhede, et al. Vitamin A supplementation selectively improves the linear growth of Indonesian preschool children: Results from a randomized controlled trial. Am J Clin Nutr. 2000; 71(2):507-13.
Borges CVD, Veiga APB, Barroso GS, de Jesus EFO, Serpa RFB, Moreira S, et al. Associação entre concentrações séricas de minerais, índices antropométricos e ocorrência de diarreia entre crianças de baixa renda da região metropolitana do Rio de Janeiro. Rev Nutr. 2007; 20(2):159-69. doi: 10.1590/S1415-52732007000200005.
Lima AAM, Soares AM, Lima NL, Mota RMS, Maciel BLL, Kvalsund MP, et al. Vitamin A supplementation effects on intestinal barrier function, growth, total parasitic, and specific Giardia spp. infections in Brazilian children: A prospective randomized, doubleblind, placebocontrolled trial. J Pediatr Gastroenterol Nutr. 2010; 50(3):309-15.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Daiane de QUEIROZ, Adriana de Azevedo PAIVA, Jacqueline Santos da Fonsêca Almeida GAMA, Zilka Nanes LIMA, Dixis FIGUEROA PEDRAZA
This work is licensed under a Creative Commons Attribution 4.0 International License.
