medigraphic.com
Instituto Nacional de Salud Pública

2002, Number 3

Next >>

salud publica mex 2002; 44 (3)

Prevalence of iron and iodine deficiency and parasitosis in children from Arandas, Jalisco, Mexico..

Vásquez-Garibay EM, Romero-Velarde E, Nápoles-Rodríguez F, Nuño-Cosío ME, Trujillo-Contreras F, Sánchez-Mercado O

Language: Spanish
References: 19
Page: 195-200
PDF size: 47.81 Kb.


ABSTRACT

Objective. To estimate the prevalence of iron deficiency, iodine deficiency and parasitosis in children attending the Instituto Alteño para el Desarrollo de Jalisco ((Highlands Institute for Development of Jalisco State, INADEJ), Arandas, Jalisco, Mexico. Material and Methods. A cross-sectional study was conducted between 1997 and 1999, among 432 children aged 12 to 120 months attending the INADEJ. Measurements included hematological values, urine iodine concentration, and presence of parasites. Student’s t test chi square tests were used for parametric and nonparametric analysis. Results. The prevalence figures of anemia (20 vs 7.4%, p=0.007) and iron deficiency (60.9 vs 44.4%, p=0.02) were higher in preschool than in school children. Iodine deficiency was found in 29% (10.5% moderate or severe) and parasitosis in 47.2% of children, mainly E. histolytica (30.2%) and G. lamblia (28.9%). Low income, male gender and lack of social security policy holding were associated to parasitosis. Conclusions. The high prevalence rates of iron deficiency, iodine deficiency, and parasitosis, should be addressed by state health services with effective interventions to restrain these preventable diseases.


REFERENCES

  1. Instituto Nacional de Salud Pública. Encuesta Nacional de Nutrición 1999. Tomo I. Niños menores de cinco años. Cuernavaca, Morelos: INSP, 2000.

  2. ACC/SNC. Iodine deficiency disorders update. Fourth Report on the World Nutrition Situation. Ginebra: ACC/SCN in collaboration with International Food Policy Research Institute (IFPRI), 2000: 23-29.

  3. Noguera ZA. Eliminar la deficiencia de yodo: un reto de fin de siglo. Bol Oficina Sanit Panam 1994; 117(6): 483-494.

  4. Dirección General de Epidemiología. Encuesta para definir áreas con deficiencias de yodo. Endeyo. México, D.F.: Secretaría de Salud, 1994.

  5. Rosado JL, Bourges H, Saint-Martin B. Vitamin and mineral deficiency in Mexico. A critical review of the state of the art I. Mineral deficiency. Salud Publica Mex 1995; 37(2):130-109.

  6. Solomons NW. La lactosa y sus implicaciones en Gastroenterología. Cuadernos de Nutrición 1997;20(4):21-28.

  7. Klish WJ, Kessler BH, Katz M. Parasitic diseases: Entamoeba histolytica, Giardia lamblia, Ascaris lumbricoides. En: Oski FA, DeAngelis CC, Feigin RD, Warshaw JB, ed. Principles and Practice of Pediatrics. Philadelphia, (PA): JB Lippincott Com. 1990: 1268-1289.

  8. Lilienfeld AM, Lilienfeld DE. Epidemiología experimental: I. Ensayos clínicos. En: Lilienfeld AM, Lilienfeld DE, ed. Fundamentos de Epidemiología. Wilimington (Delaware): Addison-Wesley Iberoamericana, 1987:230-247.

  9. Kumate J, Gutiérrez G, Muñoz O, Santos JI. Manual de infectología. 3a. edición. México, D.F.: Méndez Editores, 1992:116-127.

  10. Fomon SJ. Nutrition of normal infants. St. Louis: Missouri Mosby, 1993: 239-260.

  11. United Nation´s Children Fund/United Nations University/World Health Organization/Micronutrient Iniciative. Preventing iron deficiency in women and children: Technical consensus on key issues. Technical workshop, october 7-9, Boston and Ottawa: International Nutrition Foundation and MI, 1999.

  12. De Andraca I, Castillo M, Walter T. Psychomotor development and behavior in iron-deficient anemic infants. Nutr Rev 1997; 55: 125-132.

  13. Pollitt E. Iron deficiency and educational deficiency. Nutr Rev 1997; 55:133-141.

  14. Pollitt E. Early iron deficiency and later mental retardation. Am J Clin Nutr 1999; 69: 4-5.

  15. Lozoff B. Explanatory mechanisms for poorer development in irondeficient anemic infants. En: Pan American Health Organization, The World Bank, and Tropical Metabolism Research Unit, ed. Nutrition, health and child development. 1998 Cd.: casa editora, Scientific Publication No. 566: 162-178.

  16. Hurtado EK, Claussen AH, Scott KG. Early childhood anemia mild or moderate mental retardation. Am J Clin Nutr 1999; 69:115-119.

  17. Bellamy C. El estado mundial de la infancia 1998. Fondo de las Naciones Unidad para la Infancia. Nueva York (NY): UNICEF, 1998.

  18. Hetzel BS. Iodine deficiency disorders (IDD) and their eradication. Lancet 1983; 2: 1126-1129.

  19. WHO/UNICEF/ICCIDD. Progress towards the elimination of iodine deficiency disorders (IDD). Ginebra: WHO, 1999;WHO/NHD/99.4.




2020     |     www.medigraphic.com