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Boletín Médico del Hospital Infantil de México

2007, Number 6

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Bol Med Hosp Infant Mex 2007; 64 (6)

Socioeconomic and dietary factors associated with iron deficiency in children from a rural area in Mexico

Orozco-Alatorre LG, Romero-Velarde E, Vásquez-Garibay EM, Nápoles-Rodríguez F

Language: Spanish
References: 15
Page: 370-376
PDF size: 145.13 Kb.


ABSTRACT

Introduction. Objective: To identify socioeconomic and dietary variables associated with iron deficiency in children from a rural area in Mexico.
Methods. Cross-sectional study in 132 children free from infectious or chronic diseases. Dependent variable: serum ferritin (SF) concentration; socioeconomic background and food frequency intake: as independent variables. A personal interview was conducted and serum concentrations of hemoglobin and SF were measured. Risk of iron deficiency was calculated with the odds ratio.
Results. Median age 87.0 months. Legumes and milk were the foods most frequently consumed, followed by junk food and eggs. The findings in preschool children were the following: 20% with anemia, 19.6% with SF ‹10 µg/L and 60.9 ‹20 µg/L; whereas findings in schoolchildren were: 7.4, 14.8 y 44.4%, respectively. Wall construction material (adobe) and inadequate disposal of trash and feces were associated with SF ‹10 µg/L; a higher number of children were associated to SF ‹20 µg/L.
Conclusion. Adverse environmental conditions and higher number of children were associated with iron deficiency. Prevention programs need to consider these characteristics to be more effective.


REFERENCES

  1. Stoltzfus R. Summary: Implications for research and programs. J Nutr. 2001; 131: 697S-701S.

  2. Beard J. Recent evidence from human and animal studies regarding iron status and infant development. J Nutr. 2007; 137: 524S-30S.

  3. Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, González-de Cossío T, Hernández-Prado B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2001.

  4. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, et al. Encuesta Nacional de Salud y Nutrición. Cuernavaca, México: Instituto Nacional de Salud Pública; 2006.

  5. Villalpando S, Shamah-Levy T, Ramírez-Silva CI, Mejía-Rodríguez F, Rivera JA. Prevalence of anemia in children 1 to 12 years of age. Results from a nationwide probabilistic survey in Mexico. Salud Publica Mex. 2003; 45 (Suppl 4): S490-S8.

  6. Villalpando S, García-Guerra A, Ramírez-Silva CI, Mejía-Rodríguez F, Matute G, Shamah-Levy T, et al. Iron, zinc and iodide status in Mexican children under 12 years and women 12-49 years of age. A probabilistic national survey. Salud Publica Mex. 2003; 45 (Suppl 4): S520-S9.

  7. Schneider JM, Fujii ML, Lamp CL, Lonnerdal B, Dewey KG, Zidenberg-Cherr S. Anemia, iron deficiency, and iron deficiency anemia in 12-36-month-old children from low-income families. Am J Clin Nutr. 2005; 82: 1269-75.

  8. Keskin Y, Moschonis G, Dimitriou M, Sur H, Kocaoglyu B, Hayran O, et al. Prevalence of iron deficiency among schoolchildren of different socio-economic status in urban Turkey. Eur J Clin Nutr. 2005; 59: 64-71.

  9. Neuman NA, Tanaka OY, Szarfarc SC, Guimaraes PRV, Victora CG. Prevalencia e factores de risco para anemia no Sul do Brasil. Rev Saude Publica. 2000; 34: 53-63.

  10. De Almeida CAN, Ricco RG, del Ciampo LA, Souza AM, Pinhu AP, Dutra-de Oliveira JE. Factors associated with iron deficiency anemia in Brazilian preschool children. J Pediatr (Rio J). 2004; 80: 229-34.

  11. Mejía-Aranguré JM, Fajardo-Gutiérrez A, Gómez-Delgado A, Cuevas-Urióstegui ME, Hernández-Hernández DM, Garduño-Espinoza J, et al. El tamaño de muestra: un enfoque práctico en la investigación clínica pediátrica. Bol Med Hosp Infant Mex. 1995; 52: 381-91.

  12. Vásquez-Garibay EM, Romero-Velarde E. Valoración del estado de nutrición del niño en México. Parte I. Bol Med Hosp Infant Mex. 2001; 58: 476-90.

  13. National Center for Health Statistics. Growth curves for children birth- 18 years. Washington. DC: National Center for Health Statistics, (Vital and Health Statistics. Series 11: # 165 [DHEW publication # 78– 1650]), 1977.

  14. Fomon SJ. Hierro. En: Fomon SJ, editor. Nutrición del lactante. Madrid: Mosby/Doyma Libros; 1995. p. 236-57.

  15. Vásquez-Garibay EM, Romero-Velarde E, Nápoles-Rodríguez F, Nuño-Cosío ME, Trujillo-Contreras F, Sánchez-Mercado O. Prevalencia de deficiencia de hierro y yodo, y parasitosis en niños de Arandas, Jalisco, México. Salud Publica Mex. 2002; 44: 195-200.




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