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2007, Number 4

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Gac Med Mex 2007; 143 (4)

Frecuencia de helmintiasis intestinal y su asociación con deficiencia de hierro y desnutrición en niños de la región occidente de México

Gutiérrez-Rodríguez C, Trujillo-Hernández B, Martínez-Contreras A, Pineda-Lucatero A, Millán-Guerrero RO

Language: Spanish
References: 28
Page: 297-300
PDF size: 51.28 Kb.


ABSTRACT

Objective. To determine intestinal helminthiasis frequency and its association with malnutrition and iron deficiency.
Material and Methods. An analytical cross-over study was carried out on children in the municipality of Comala, Colima, Mexico. Coproparasitoscopic exams in series of three using the Kato-Katz technique were performed in all children. To evaluate the degree of malnutrition, the following anthropometric indices were determined: means and z-scores for weight/height, height/age, weight/age. Severe, moderate and minimal iron deficiency was considered when ferritin was: ≤ 12 ng/ml, 12 to 18 ng/mL and 19 to 24 ng/mL, respectively.
Results. 243 children were studied with an average age of 65.3 ± 8.7 months. 60.9% (n = 148) of the children showed a decrease in ferritin levels and 2.5% (n = 6) had anemia. 16% (n = 39) had trichuriasis, 6.9% (n = 17) ascariasis and 5.3% (n = 13) had both parasites. Trichiura infection was associated with declining health (OR 11.0, CI 3.9-30.8; p‹0.001) and with iron deficiency, with cutoff points of ‹24 ng ( OR 2.0, CI 1.0-3.9, p = 0.02) and ‹18 ng/ dL (OR 2.2, CI 1.2-4.2, p= 0.009). Ascaris infection was not associated with malnutrition or iron deficiency.
Conclusions. Trichiura infection was associated with declining health and slight and moderate degrees of iron deficiency.


REFERENCES

  1. Layrisse M, Chavez JF, Mendez-Castellanos H, Bosch V, Tropper E, Bastardo B, et al. Early response to the effect of iron fortification in the Venezuelan population. Am J Clin Nutr 1996;64:90-907.

  2. Fondo de las Naciones Unidas para la Infancia. El progreso de las Naciones 1996. Nueva York: UNICEF house, 1996:23.

  3. Oski FA. Iron deficiency in infancy and childhood. N Eng J Med 1993;329:190-193.

  4. Savioli L, Bundy D, Tomkins A. Intestinal parasitic infections: a soluble public health problem. Royal Society of Tropical Medicine and Hygiene 1992;86:353-354.

  5. Sackey ME, Weigel MM, Armijos RX. Predictors and nutritional consequences of intestinal parasitic infections in rural Ecuadorian children. J Trop Pediatr 2003;49:17-23.

  6. Levi I, Gaspar N, Reisemberg K, Porath A, Yerushalmi R, Gilad J, Schlaeffer F. Iron-deficiency anemia related to ancylostoma doudenale infection amon Ethiopan immigrants to Israel. Harefuah 2003;142:606-608.

  7. Brito LL, Barreto ML, Silva Rde C, Assis AM, Reis MG, Parraga IM, et al. Moderate- and low-intensity co-infections by intestinal helminths andSchistosoma mansoni, dietary iron intake, and anemia in Brazilian children. Am J Trop Med Hyg 2006;75:939-944.

  8. Schiefke I, Schmaschke R, Ott R, Schiefke F, Mossner J, Schubert S. Tropical and subtropical helminthoses. Internist (Berl) 2006;47:801-804.

  9. Khieu V, Odermatt P, Mel Y, Keluangkhot V, Strobel M. Anaemia in a school of rural Cambodia: detection, prevalence, and links with intestinal worms and malnutrition. Bull Soc Pathol Exot 2006;99:115-118.

  10. Bhargava A, Jukes M, Lambo J, Kihamia CM, Lorri W, Nokes C, et al. Anthelmintic treatment improves the hemoglobin and serum ferritin concentrations of Tanzanian schoolchildren. Food Nutr Bull 2003;24:332-342.

  11. Lozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med 1991;325:687-94.

  12. Rosado JL, Bourges H, Saint-Martin B. Deficiencia de vitaminas y minerales en México. Una revisión crítica del estado de la información: I Deficiencia de minerales. Salud Publica Mex 1995;35:130-139.

  13. Habicht JP, Matorel R, Yarbrough C. Heigh and weght standards for preschool children. How relevant are ethnic differences in growth potential? Lancet 1974;1(7858):611-614.

  14. Dallman P. Changing iron needs from birth thorugh adolescente. In y. S. S. Forom J (Ed.), Nutritional anemias. Switzerland: NESTEC LTD.1992

  15. Lozoff B, Jimenez E, Wolf A. Lonf-term developmental outcome of infants with iron deficiency. N Engl J Med 1991;325:687:694.

  16. Preziosi P, Prual A, Galan P, Daouna H, Boureima H, Hercberg S. Effect of iron suplementation on the iron status of pregnant women: consequences for newborns. Am J Clin Nutr 1997;66:1178-1182.

  17. Freire W. La anemia por deficiencia de hierro: estrategias de la OPS/OMS para combatirla. Salud Pub Mex 1998;40:199-205.

  18. Calvo EB, Ganso N. Prevalence of iron deficiency in children aged 9-24 mo from a large urban area of Argentina. Am J Clin Nutr 1990;52:534-540.

  19. Chacin-Bonilla, Dikdan Y, Guanipa N, Villalobos R. Prevalence of Entamoeba histolytica and other intestinal parasites in a neighborhood of the Mara Municipality, Zulia, State, Venezuela. Rev Invest Clin 1990;31:3-15.

  20. Oberhelman RA, Guerrero ES, Fernández ML, Silio M, Mercado D, Comiskey N, et al. Correlations between intestinal parasitosis, physical growth, and psicomotor development among infants and children from rural Nicaragua. Am J Trop Med Hyg 1998;58:470-475.

  21. Lara-Aguilera R, Aguilar-Bucio MT, Martínez-Toledo JL. Teniasis, amibiasis y otras parasitosis intestinales en niños de edad escolar del estado de Michoacán, México. Bol Med Hosp Infant Mex 1990;47:153-159.

  22. Gamboa MI, Basualdo JA, Kozubsky L, Costas E, Cueto-Rua E. Prevalence of intestinal parasitosis within tree population groups in La Plata, Argentina. Eur J Epidemiol 1998;14:55-61.

  23. Dorea RC, Salata E, Padovani CR, dos Anjos GL. Control of parasitic infections among school children in the peri-urban area de Botucatu, Sao Paulo, Brazil. Rev Soc Bras Med Trop 1996;29:425-430.

  24. Dávila-Gutiérrez C, Trujillo-Hernández B, Vásquez C, Huerta M. Prevalencia de parasitosis intestinales en niños de zonas urbanas del estado de Colima, México. Bol Med Hosp Infant Mex 2001;58:234-239.

  25. Agudelo GM, Cardona OL, Posada M, Montoya MN, Ocampo NE, Marin CM, et al. Prevalence of iron-deficiency anemia in schoolchildren and adolescents, Medellin, Colombia. Rev Panam Salud Publica 1999:13;376-386.

  26. Tsuyuoka R, Bailey JW, Nery Guimaraes AM, Gurgel RQ, Cuevas LE. Ane mia and intestinal parasitic infections in primary school students in Aracaju, Sergipe, Brazil. Cad Saude Publica 1999;15:413-421.

  27. Brito LL, Barreto ML, Silva Rde C, Assis AM, Reis MG, Paraga I, et al. Risk factors for iron-deficiency anemia in children and adolescents with intestinal helminthic infections. Rev Panam Salud Publica 2003;14:422-431.

  28. Ferreira MR, Souza W, Perez EP, Lapa T, Carvalho AB, Furtado A, et al. Intestinal helminthiasis and anaemia in youngsters from Matriz da Luz, district of Sao Lourenco da Mata, state of Pernambuco, Brazil. Mem Inst Oswaldo Cruz 1998;93:289-293.




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