Vitamin A deficiency in school children of the rural area in Minas Gerais, Brazil
Keywords:
causality, Vitamin A deficiency, school childrenAbstract
Objective
The objective of this study was to verify the occurrence of vitamin A deficiency in school children of the rural
area of Novo Cruzeiro, Minas Gerais, Brazil, as well as to identify the possible predisposing factors for such
occurrence.
Methods
The sample comprised 241 school children, ranging from 6 to 14 years of age, from four rural schools of the
region. The serum levels of retinol were interpreted by the criteria of the Interdepartmental Committee on
Nutrition National Defense. The epidemiological significance of the vitamin A deficiency was evaluated according
to the World Health Organization criteria. As predisposing factors for vitamin A deficiency, the following
conditions were considered: intestinal parasitism, protein-energy malnutrition, inadequate ingestion of vitamin
A food sources, and per capita family income. Statistical analysis was carried out using Chi-square test.
Results
Vitamin A deficiency was identified in 29.0% of the subjects, 23.2% of the children presented stunting, and
8.7% were malnourished, according to the body mass index. In 63.1% of the subjects, inadequate ingestion
of retinol sources was verified, while 78.8% of the subjects presented some type of intestinal parasite. Most
school-children families (87.1%) had per capita monthly incomes bellow ¼ of the minimum wage; the rest of
the families were situated respectively in the ranges: (10.4%)>¼ to ≤½ minimum wage; (2.1%) >½ to ≤1
minimum wage; and ( 0.4 %) >1 minimum wage.
Conclusion
Vitamin A deficiency among school children was found to be a public health problem in the studied area.
Nonetheless, no significant statistic association between vitamin A deficiency and the factors selected as
predisposing ones was observed.
References
Araújo RL, Araújo MBDG, Siero RO, Machado RDP, Leite BV. Diagnóstico da hipovitaminose A e anemia nutricional. Estudo realizado na população do Vale do Jequitinhonha, Minas Gerais. Rev Bras Med. 1986; 43(8):225-8.
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.
World Health Organization. Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programmes. Geneva: WHO; 1996. Micronutrient Series.
Tee ES. Carotenoids and retinoids in human nutrition. Crit Rev Food Sci Nutr. 1992; 31(1-2): 103-63.
Sedgh G, Herrera MG, Nestel P, El Amin A, Fawzi WW. Dietary vitamin A intake and nondietary factors are associated with reversal of stunting in children. J Nutr. 2000; 130 (10):2520-6.
Semba RD. The role of vitamin A and related retinoids in immune function. Nutr Rev. 1998; 56(1 Pt 2): 538-48.
World Health Organization Working Group. An evaluation of infant growth: the use and interpretation of antropometry in infants. Bull WHO. 1995; 2(7):165-74.
MacLaren DS, Frigg M. Sight and life manual on vitamin A deficiency disorders (VADD). 2nd ed. 2001.
Monteiro CA. O mapa da pobreza no Brasil. Dados do IPEA. 1993; 16:18-31.
Peliano AMTM, coordenador. O mapa da fome II: informações sobre a indigência por municípios de federação. Brasília: Instituto de Pesquisa Econômica Aplicada; 1993. Documento de Política, nº 15.
Instituto Brasileiro de Geografia e Estatística [Internet]. Novo Cruzeiro, Minas Gerais. Disponível em: http:/www.ibge.net/cidadesat/default.php
Carr TH, Price EA. Color reactions attributed to vitamin A. Biochem J. 1926; 20:497-501.
Interdepartmental Committee on Nutrition for National Defense. Manual for nutrition survey. 2nd ed. Washington (DC): Government Priting Office; 1963.
Rosner B, Prineas R, Loggie J, Daniel SR. Percentiles for body mass index in U.S. children 5 to 17 years of age. J Pediatrics. 1998; 132(2):211-22.
Margets BM, Cade JE, Osmond C. Comparison of a food frequency questionnaire with a diet record. Int J Epidemiol. 1989; 18(4):868-73.
Recommended Dietary Allowances. 10th ed. Washington (DC): National Academy Press; 1989.
Pessoa SB, Martins AV. Parasitologia médica. 11. ed. Rio de Janeiro: Guanabara Koogan; 1982.
Santos LMP, Dricot JM, Asciuth LS, Dricot-d’ans C. Xerophthalmia in the state of Paraíba, northest of Brazil: clinical findings. Am J Clin Nutr. 1983; 38:139-44.
Roncada MJ, Wilson D, Okani ET, Amini S. Prevalência de hipovitaminose A em pré-escolares de município de área metropolitana de São Paulo Brasil. Rev Saúde Pública. 1984; 18:218-24.
Araújo RL, Araújo MBDG, Machado RDP, Braga AA, Leite BV, Oliveira JR. Evaluation of a program to overcome vitamin A and iron deficiencies in areas of poverty in Minas Gerais, Brazil. Arch Latinoam Nutr. 1987; 37(1):9-22.
Carvalho CMG, Farfan BCW, Venconsky R. Prevalência de hipovitaminose A em crianças da periferia do Município de São Paulo, Brazil. Cad Saúde Pública. 1995; 11(1): 85-96.
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):2691-6.
Castejon HV, Ortega P, Diaz 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.
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; 29:289-92.
De Pee S, West CE, Permaesih D, Martuti S, Muhila l, Hautvast JGAJ. Orange fruit is more effective than are dark-green, leafy vegetables in increasing serum concentrations of retinol and β carotene in schoolchildren in Indonesia. Am J Clin Nutr. 1998; 68(5):1058-67.
Batista Filho, M. Projeto fome zero: a importância da divulgação científica de seus resultados. Rev Bras Saúde Materno Infantil. 2003; 3(1):7-8
Hoffmann RA. Distribuição de renda no Brasil no período 1993-99 [mimeografado]. Campinas: Universidade Estadual de Campinas, Instituto de Economia; 2001.
Scorali C. Prevalence and distribution of soil-transmitted helminth (STH) infections in urban and indigenous schoolchildren in Ortigueira State of Parana, Brasil: implications for control. Trop Med Intern Health. 2000; 4(5):302-7.
Curtale EF, Vaidya Y, Muhila l, Tilden RLI. Ascariasis, hookworm infection and serum retinol amongst children in Nepal. Panminerva Med. 1994; 36(1):19-21.
Friis H, Mwananiki D, Omondi B, Muniv E, Magnussen P, Geissler W et al. Serum retinol concentrations and schistosoma mansoni, intestinal helminths and malarial parasitemia: a cross-sectinal study in Kenya preschool and primary school children. Am J Clin Nutr. 1997; 66(3):665-71.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Margarete Aparecida SANTOS, Eliane Garcia REZENDE, Joel Alves LAMOUNIER, Márcio Antônio Moreira GALVÃO, Élido BONOMO, Romário Cerqueira LEITE
This work is licensed under a Creative Commons Attribution 4.0 International License.