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Instituto Nacional de Salud Pública

2003, Number S4

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salud publica mex 2003; 45 (S4)

Prevalence of anemia in children 1 to 12 years of age. Results from a nationwide probabilistic survey in Mexico

Villalpando S, Shamah-Levy T, Ramírez-Silva CI, Mejía-Rodríguez F, Rivera JA

Language: English
References: 30
Page: 490-498
PDF size: 119.38 Kb.


ABSTRACT

Objective. To describe the epidemiology and analyze factors associated with iron deficiency anemia in a probabilistic sample of the Encuesta Nacional de Nutrición 1999 (ENN-99) [National Nutritional Survey 1999 (NNS-99)]. Material and Methods. The sample included 8 111 children aged 1 to 12 years, and was nationaly representative by rural and urban strata and by four geographical regions. Capillary hemoglobin was measured using a portable photometer (HemoCue). The analysis of the determining factors of anemia was performed by odds ratios derived from a logistic regression model and multiple regression models. Results. The prevalence of anemia was 50% in infants ‹2 years of age, with no significant differences between urban and rural strata or among regions. It varied between 14 and 22% in 6-11 year-old children and was higher in the South region and among the indigenous children. Dietary intake of iron was 50% of the recommended daily allowance in children ‹2 years of age, but not in older children. Phytate (≈500-800 mg/d) and tannin (≈19 mg/d) intakes were very high in children over 7 years of age. Hemoglobin was positively associated with nutritional status of children (p=0.01), socioeconomic status (p range 0.05-0.001), duration of lactation in children under 2 years of age (p=0.1), and iron and calcium intake (p=0.02), but not with folic acid or vitamin B12 intake. Hemoglobin was negatively associated with maternal education (p=0.01) in older children, but not in those under 2 years of age. Conclusions. We present evidence of an alarming national epidemic of anemia, particularly marked in children 12 to 24 months of age. The control of anemia should be considered as an urgent national concern given its grave consequences on the physical and mental development of these children and on their long-term health.


REFERENCES

  1. United Nations Administrative Committee on Coordination Nutrition (ACC/SCN) 4TH Report on the world nutrition situation. Nutrition throughout the life cycle. Sub-Committee on Geneva:ACC/SCN, 2000.

  2. Iyengar GV, Nair PP. Global outlook on nutrition and the environment: Meeting the challenges of the next millennium. Sci Total Environ 2000;249:331-346.

  3. Comission on the Nutrition Challenges of the 21st Century. Ending malnutrition by 2020: An agenda for change in the millennium. Final report to the ACC/SCN. Food Nutr Bull 2000;21:3-88.

  4. Sayed NE, Gad A, Nofal L, Netti G. Assessment of the prevalence and potential determinants of nutritional anemia in Upper Egypt. Food Nutr Bull 1999;20:417-421.

  5. Freire WB. La anemia por deficiencia de hierro, estrategias de OPS/OMS para combatirla. Salud Publica Mex 1998;40:199-205.

  6. Beard JL, Tobin BW. Iron status and exercise. Am J Clin Nutr 2000;72(Suppl):594S-597S.

  7. Menéndez C, Todd J, Alonso PL, Francis N, Lulant S, Ceesay S et al. The effects of iron supplementation during pregnancy, given by traditional birth attendants, on the prevalence of anemia and malaria. Trans R Soc Trop Med Hyg 1994;88:590-593.

  8. Preziosi P, Prual A, Galán P, Daouda H, Boureima H, Hercberg S. Effects of iron supplementation on iron status of pregnant women: Consequences for newborns. Am J Clin Nutr 1997;66:1178-1182.

  9. Rosado JL, Bourges H, SainT-Martin B, Deficiencias de vitaminas y minerales en México. Una revisión crítica del estado de la información: I. Deficiencia de minerales, Salud Publica Mex 1995;37:13-19.

  10. Loría A, Sánchez ML, García J, Piedras J. Anemia nutricional III. Deficiencia de hierro en niños menores de 7 años de edad y de baja condición socioeconómica. Rev Invest Clin 1971;23:11-19.

  11. Allen LH, Rosado JL, Casterline JE, López P, Muñoz E, García PO et al. Lack of hemoglobin response to iron supplementation in anemic Mexican preschoolers with multiple micronutrient deficiencies. Am J Clin Nutr 2000;71:1485-1494.

  12. Rivera DR, Ruiz AR, Carrillo JH, Hernández AB, Sosa S. Prevalencia de anemia en una muestra de escolares de la ciudad de Durango. Bol Med Hosp Infant Mex 1979;36:507-517.

  13. Instituto Nacional de Salud Pública. Encuesta Nacional de Nutrición 1999. Tomo I. Niños menores de 5 años. Cuernavaca Morelos, INSP, 2000:14-24.

  14. Johns WL, Lewis SM. Primary health screening by haemoglobinometry in a tropical community. Bull World Health Organ 1989;67:627-633.

  15. Hudson-Thomas M, Brigham KC, Simmons WK. An evaluation of the HemoCue for measuring haemoglobin in field studies in Jamaica. Bull World Health Organ 1994;72:423-426.

  16. Ruiz-Argüelles G, Llorente-Peters A. Predicción algebraica de parámetros de serie roja de adultos sanos residentes en alturas de 0 a 2 670 metros. Rev Invest Clin 1981;33:191-193.

  17. International Nutritional Anemia Consultative Group (INACG). Guidelines for the Control of Maternal Nutritional Anemia. A report of the International Nutritional Anemia Consultative Group Washington, DC: INACG, 1989.

  18. World Health Organization. The prevalence of anemia in women: A tabulation of available information. Geneva Maternal Health and Safe Motherhood Programme 1992.

  19. Morales J, Babinsky V, Bourges H, Camacho ME. Tablas de Composición de Alimentos Mexicanos. México, DF: Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán” 2000.

  20. Muñoz M, Chávez A, Pérez-Gil F, Roldán JA, Hernández S, Ledesma JA, et al. Tablas de valor nutritivo de los alimentos de mayor consumo en México. México,DF: Editorial Pax 1996.

  21. Department of Agriculture, Agricultural Research Service. USDA Nutrient Database for Standard Reference, Release 13. Washington, DC: USA, 1999.

  22. Scherer H, Senser F, comp. Food Composition and Nutrition Tables. Der Zusament Setzung der Lebensmittell, Nährwert-Tabellenjon behalf of the Bundersministerium für Ernährung, Land Wirts Shaft und Forstew, London, UK: Medpharm Scientific and CRC Press (Pub), 2000.

  23. Instituto de Nutrición de Centro américa y Panamá. Tabla de composición de alimentos. Guatemala, CA: INCAP, 1994.

  24. University of California. World Food Dietary Assessment System. V 2.0, Berkley: University of California, USA, 1997.

  25. Bhargava M, Iyer PU, Kumar R, Ramji S, Kapani V, Bhargava SK. Relationship of maternal serum ferritin with foetal serum ferritin, birth weight and gestation. J Trop Pediatr 1991;37:149-152.

  26. Colomer J, Colomer C, Gutiérrez D, Jubert A, Nolasco A, Donat J, et al.Anemia during pregnancy as a risk factor for infant iron deficiency: Report from the Valencia Infant Anemia Cohort (VIAC) Study. Pediatr Perinatal Epidemiol 1990;4:196-204.

  27. Saarinen UM, Simmes MA. Iron absorption from breast milk, cow’s milk, and iron-supplemented formula: An opportunistic use of changes in the total body iron determined by hemoglobin, ferritin and body weight in 132 infants. Pediatr Res 1979;13:143-147.

  28. Dallman PR. Iron deficiency in the weanling: A nutritional problem on the way to resolution. Acta Pediatr Scand 1986;323(suppl):59-67.

  29. Shamah-Levy T, Villalpando-Hernández S, Rivera-Dommarco J, Mejía-Rodríguez F, Camacho-Cisneros M, Monterrubio-Flores E. Anemia in a probabilistic sample of Mexican Women: A public health problem. Salud Publica Mex 2003;45(Suppl):.

  30. Pérez-Expósito AB. Anemia y deficiencia de micronutrimentos en mujeres mexicanas de 12 a 49 años de edad (Tesis de maestría). Instituto de Salud Pública Carlos III, Madrid España: 2001.




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