Risk factors for anemia in infants enrolled in public or philanthropic day-care centers in São Paulo city, Brazil
Keywords:
anemia, child day care centers, risk factors, infantAbstract
Objective
To identify and quantify the risk factors for anemia in infants enrolled in public or philanthropic day care centers in São Paulo city and discuss the impact of the actions of day care centers in controlling this specific nutritional deficiency.
Methods
Cross-sectional study comprising 212 infants of two public and three philanthropic day care centers. Interviews with the mothers, collection of blood by digital puncture and anthropometry were performed. Anemia was characterized by hemoglobin levels below 11g/dL. A logistic regression model for risk factors between groups of infants with and without anemia was adjusted.
Results
The prevalence of anemia was 51.9%. The final logistic model comprised 4 variables: presence of one or more siblings under 5 years of age (Odds Ratio=2.57; p=0.005), attending day care centers that are managed exclusively by the government (Odds Ratio=2.12; p=0.020), less than 2 months of exclusive breastfeeding (Odds Ratio=1.88; p=0.044), age under 15 months (Odds Ratio=2.32; p=0.006).
Conclusion
The high prevalence of anemia evidences the inefficiency of the studied day care centers in controlling and preventing this nutritional deficiency; therefore, it is up to the health planner to consider the identified and quantified risks for anemia when elaborating control and prevention programs.
References
Brasil. Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. Censo escolar 2005 [banco de dados na Internet]. Brasília [citado 17 jan 2006]. Disponível em: http://www.inep.gov.br/basica/censo/Escolar/resultados.htm
Palma D, Oliva CAG, Taddei JAAC, Fagundes Neto U. Diarréia aguda: perdas hídricas fecais em lactentes hospitalizados e sua correlação com agentes etiológicos e a presença de lactose na dieta. Arq Gastroenterol. 1997; 34(3):186-95.
Suárez Ojeda EN. El enfoque de riesgo en la atención perinatal y materno-infantil. Bol Of San Panam. 1982; 92(6):482-93
Torres MAA, Sato K, Queiroz SS. Anemia em crianças menores de dois anos atendidas nas unidades básicas de saúde no estado de São Paulo. Rev Saúde Pública. 1994; 28(4):290-4.
Monteiro CA, Szarfarc SC, Mondini L. Tendência secular da anemia na infância na cidade de São Paulo (1984-1996). Rev Saúde Pública. 2000; 34(6): 19-25.
Almeida CAN, Ricco RG, Del Ciampo LA, Souza AM, Pinho AP, Dutra de Oliveira JE. Factors associated with iron deficiency anemia in Brazilian preschool children. J Pediatr (Rio J). 2004; 80(3): 229-34.
Santos I, César JA, Minten G, Valle N, Neumann NA, Cercato E. Prevalência e fatores associados à anemia entre menores de seis anos de idade em Pelotas, RS. Rev Bras Epidemiol. 2004; 7(4): 403-15.
Machado EHS, Brasil ALD, Palma D, Taddei JAAC. Condição nutricional e prevalência de anemia em crianças matriculadas em creches beneficentes. Rev Paul Pediatria. 2005; 23(1):21-6.
Queiroz SS, Torres MAA. Anemia ferropriva na infância. J Pediatr (Rio J). 2000; 76(Supl 3): S298-S304.
Tantracheewathorn S, Lohajaroensub S. Incidence and risk factors of iron deficiency anemia in term infants. J Med Assoc Thai. 2005; 88(1):45-51.
Lozoff B, Wolf AW, Jimenez E. Iron-deficiency anemia and infant development: effects of extended oral iron therapy. J Pediatr. 1996; 129(3):382-9.
Batista Filho M. Da fome à segurança alimentar: retrospecto e visão prospectiva. Cad Saúde Pública. 2003; 19(4):872-3.
Beghin I, Cap M, Dujardin B. A guide to nutritional assessment. Geneva: WHO; 1988.
Rosemblit J, Abreu CR, Szterling LN, Kutner JM, Hamerschalak N, Frutuoso P, et al. Evaluation of three methods for hemoglobin measurement in blood donor setting. Rev Paul Med. 1999; 117(3): 108-12.
De Maeyer EM. Preventing and controlling iron deficiency anaemia through primary health care. Geneva: WHO; 1989.
Word Health Organization. Physical status: the use and interpretation of anthropometry. Geneva; 1995. Technical Report Series, 854.
Dean AG, Arner TG, Sangam S, Sunki GG, Friedman R, Lantinga M, et al. Epi Info 2000, a database and statistics program for public health professionals for use on Windows 95, 98, NT, and 2000 computers. Atlanta, GA: Centers for Disease Control and Prevention; 2000.
Osório MM, Lira PI, Ashworth A. Factors associated with Hb concentration in children aged 6-59 months in the State of Pernanbuco, Brazil. Br J Nutr. 2004; 91(2):307-15.
Brunken GS, Guimarães LV, Fisberg M. Anemia em crianças de creches públicas. J Pediatr (Rio J). 2002; 78(1):50-6.
Devincenzi MU, Colugnati FA, Sigulem DM. Protective factors for iron deficiency anemia: prospective study in low-income infants. Arch Latinoam Nutr. 2004; 54(2):174-9.
Spinelli MGN, Marchioni DML, Souza JMP, Souza SB, Szarfarc SC. Fatores de risco para anemia em crianças de 6 a 12 meses no Brasil. Rev Panam Salud Publica. 2005; 17(2):84-91.
Silva LSM, Giugliani ELJ, Aerts DRGC. Prevalência e determinantes de anemia em crianças de Porto Alegre, RS, Brasil. Rev Saúde Pública. 2001; 35(1):66-73.
Hadler MCCM, Juliano Y, Sigulem DM. Anemia do lactente: etiologia e prevalência. J Pediatr (Rio J). 2002; 78(4):321-6.
Assis AMO, Barreto ML, Gomes GSS, Prado MS, Santos NS, Santos LMP, et al. Childhood anemia prevalence and associated factors in Salvador, Bahia, Brazil. Cad Saúde Pública. 2004; 20(6): 1633-41.
Dewey KG, Cohen RJ, Rivera LL, Brown KH. Effects of age of introduction of complementary foods on iron status of breast-fed infants in Honduras. Am J Clin Nutr. 1998; 67(5):878-84.
Oliveira MAA, Osório MM. Consumo de leite de vaca e anemia ferropriva na infância. J Pediatr (Rio J). 2005; 81(5):361-7.
Taddei JAAC, Cannon MJ, Warner L, Souza PC, Vitalle S, Palma D, et al. Nutritional gains of underprivileged children attending a day care center in São Paulo City, Brazil: a nine month follow-up study. Rev Bras Epidemiol. 2000; 3(1/3): 29-37.
Silva EMK, Goihman S, Nóbrega FJ. Implantação do programa assistencial de saúde em creches no município de Embu (1985-7). Rev Bras Saúde Esc. 1996; 4(1/2):43-50.
World Health Organization. Iron deficiency anaemia - assessment, prevention and control: a guide for programme managers. Geneva; 2001.
Freire WB. Strategies of the Pan American Health Organization/World Health Organization for the control of iron deficiency in Latin America. Nutr Rev. 1997; 55(6):183-8.
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Copyright (c) 2023 Tulio KONSTANTYNER, José Augusto de Aguiar Carrazedo TADDEI, Domingos PALMA
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