Nutritional profile of newborns of adolescent mothers supplemented with iron, in different concentrations, zinc and pholic acid
Keywords:
newborn infant, adolescence, pregnancy, supplementary feedingAbstract
The objective of this study was to evaluate the nutritional status of newborn infants of low income adolescent mothers, aged up to 18 years old, supplemented during pregnancy with iron, in different concentrations, zinc and folic acid. These mothers received prenatal care supervision in the Institute of Social Perinatology of Piauí, Dona Evangelina Rosa Maternity, located in the city of Teresina, Piauí, Northeast of Brazil. The adolescents were distributed at random into five groups: groups I and II received constant quantities of folicc acid (250 μg) and different iron concentrations, in the form of iron sulfate (120 and 80 mg, respectively); groups III and IV received constant quantities of folic acid (250 μg) associated to zinc sulfate (5 μg) and iron in the concentrations of 120 and 80 mg, respectively; and group V, considered control, received only 120 mg of iron (Institution routine). The evaluation of the nutritional status of 74 newborn infants was done through data referring to their age, weight, height and cephalic perimeter, on the occasion of their birth. According to the results, the averages of weight (3000 ± 418g), height ( 48.07 ± 2,15 cm) and cephalic perimeter (33.53 ± 1,50 cm) found in children of group V mothers (local routine) did not present significant differences in relation to the intervention groups. The newborn infants of adolescents supplemented with iron in different concentrations (120 and 80 mg), zinc and folic acid, presented a good nutritional profile. However, it was not observed, between the intervention groups and the control, significant differences in the pregnancy duration or in the nutritional status of the babies.
References
APGAR, J. Zinc and reproduction: an update. Journal Nutrition Biochemistry, Stoneham, v.3, n.3, p.266-278, 1992.
BAILEY, B., CERDA, J.J. Iron and folate nutriture during life cycle. World Review of Nutrition and Dietetics, London, v.56, p.56-92, 1988.
BAUMSLAG, N., EDELSTEIN, T., METZ, J. Reduction of incidence of prematurity by folic acid supplementation in pregnancy. British Medical Journal, London, v.1, n.687, p.16-17, 1970.
BLOT, I., DIALLO, D., TCHERNIA, G. Iron deficiency in pregnancy: effects on the newborn. Current Opinion in Hematology, Philadelphia, v.6, n.2, p.65-70, 1999.
CAMARANO, A.A. Fecundidade e anticoncepção da população de 15 a 19 anos. In: SEMINÁRIO GRAVIDEZ NA ADOLESCÊNCIA, 1998, Rio de Janeiro. Anais... Rio de Janeiro : USAID, 1998. p.35-46.
CAPURRO, H., KONICHEZKY, S., FONSECA, D., CALDEYRO-BARCIA, R. A simplified method for diagnosis of gestational age in the newborn infant. Journal of Pediatrics, St. Louis, v.93, n.1, p.120-122, 1978.
CARVALHO, E.M.M.O., COSTA, M.S.V., SAMPAIO, C.R., MOURA FÉ, M.B.L., SANTOS, M.R., MARTINS, M.S.J., PARENTE, J.V. Indicadores de risco gestational no Piauí. Revista do Hospital Getúlio Vargas, Teresina, v.1, n.2, p.84-87, 1992.
CAULFIELD, L.E., ZAVALETA, N., FIGUEROA, A., LEON, Z. Maternal zinc supplementation does not affect size at birth or pregnancy duration in Peru. Journal Nutrition, Bethesda, v.129, n.8, p.1563-1568, 1999.
DALY, L.E., KIRKE, P.N., MOLLOY, A., WEIR, D.G., SCOTT, J.M. Folate levels and neural tube defects: Implications for prevention. JAMA, Chicago, v.274, n.21, p.1698-1718, 1995.
ESCOLA PAULISTA DE MEDICINA. Centro de Informação em Saúde. Sistema de avaliação nutricional. São Paulo, 1990. [Software].
HAMBIDGE, K.M., KREBS, N.F., JACOBS, M.A., FAVIER, A.G., IKLE, D.N. Zinc nutricional status during pregnancy: a longitudinal study. American Journal of Clinical Nutrition, Bethesda, v.37, n.3, p.429-442, 1983.
HAYES, C.D. (Ed.). Risking of the future: adolescent sexuality, pregnancy, and childbearing. Washington DC : National Academy Press, 1987. v.1.
HEDIGER, M.L., SCHOLL, T.O., KHOO, C.S., FISCGER, R.F. New research findings in adolescent health. Journal Adolescent Health, New York, v.13, p.46, 1992.
ISLAM, M.A., HEMALATA, P., BHASKARAM, P., KUMAR, P.A. Leukocyte and plasm zinc in maternal and cord blood: their relationship to period of gestation and birth weight. Nutrition Research, New York, v.14, n.3, p.353-360, 1994.
KRAMER, M.S. Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin, of the World Health Organization, Geneva, v.65, n.5, p.663-637, 1987.
MARIOTONI, G.G.B., BARROS FILHO, A.A. A gravidez na adolescência é fator de risco para o baixo peso ao nascer? Jornal de Pediatria, Rio de Janeiro, v.74, n.2, p.107-113, 1998.
NATIONAL RESEARCH COUNCIL (USA). Recommended dietary allowances. 10.ed. Washington DC: National Academy of Sciences, 1989. 284p.
ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. Coletânea sobre saúde reprodutiva do adolescente brasileiro. Brasília, 1988. 255p.
ORGANIZACIÓN MUNDIAL DE LA SALUD. Necesidades de vitamina A, hierro, folate y vitamina B12. Geneva, 1987. p.61-73.
PESQUISA sobre saúde e demografia. Relatório BEMFAN. Rio de Janeiro, 1996. 47p.
PREZIOSI, P., PRUAL, A., GALAN, P., DAOUDA, H., BOUREIMA, H., HERCBERG, S. Effect of iron supplementation on the iron status of pregnant women: consequences for newborns. American Journal of Clinical Nutrition, Bethesda, v.66, n.5, p.1178-1182, 1997.
ROTHMAN, D. Folic acid in pregnancy. American Journal of Obstetrics Ginecology, St. Louis, v.108, n.1, p.149-175, 1970.
SANDSTEAD, H.H. Zinc in human nutrition. In: Disorders of mineral metabolism: trace minerals. New York : Academic Press, 1981. v.1, p.94-157.
SCHOLL, T.O., HEDIGE, R.M.L., FISCHER, R.L, SHEARER, J.W. Anemia vs iron deficiency: increased risk of preterm delivery in a prospective study. American Journal of Clinical Nutrition, Bethesda, v.55, n.5, p.985-988, 1992.
SCHOLL, T.O., HEDIGER, M.L. A review of the epidemiology of nutrition and adolescent pregnancy: maternal growth during pregnancy and its effect on the fetus. Journal of the American College of Nutrition, New York, v.12, n.2, p.101-107, 1993.
SEVER, L.E., EMANUEl, I. Is there a connection between maternal zinc deficiency and congenital malformations of the central nervous system in man? Teratology, New York, v.7, n.1, p.117, 1973.
SPIELGEL, S. Estatística não paramétrica. São Paulo : McGraw-Hill do Brasil, 1988. 354p.
STEPHENSON, L.S. Possible new developments in community control of iron-deficiency anemia. Nutrition Reviews, New York, v.53, n.2, p.23-30, 1995.
TAMURA, T., GOLDENBERG, R., FREEBERG, L.E., CLIVER, S.P, CUTTER, G.R., HOFFMAN, H.J. Maternal serum folate and zinc concentration and their relationships to pregnancy outcome. American Journal of Clinical Nutrition, Bethesda, v.56, n.2, p.365-370, 1992.
WORKING group on nutrition and pregnancy in adolescence. Relation of nutrition to pregnancy in adolescence. Clinical Obstetrics and Gynecology, Philadelphia, v.14, n.2, p.367-390, 1971.
YIP R. The challenge of controlling iron deficiency: sweet news from Guatemala. American Journal of Clinical Nutrition, Bethesda, v.61, n.5, p.1164-1165, 1995.
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