2018, Number 3
<< Back Next >>
salud publica mex 2018; 60 (3)
Prevalence of anemia and consumption of iron-rich food groups in Mexican children and adolescents: Ensanut MC 2016
de la Cruz-Góngora V, Villalpando S, Shamah-Levy T
Language: English
References: 26
Page: 291-300
PDF size: 313.15 Kb.
ABSTRACT
Objective. To describe the prevalence of anemia and consumption
of iron rich groups among Mexican children and
adolescents who participated in the Halfway National Health
and Nutrition Survey, 2016.
Materials and methods. Our
study sample included children and adolescents who provided
full capillary hemoglobin data. Anemia was defined according
to WHO criteria. Logistic regression models were used
to explore the association among consumption of iron-rich
food groups, sociodemographic characteristics and anemia.
Results. In 2016, the prevalence of anemia was 26.9% in
children aged 1 to 4 years old, 12.5% in those aged 5 to 11,
and 9.6% in adolescents aged 12 to 19 years. Rates were the
highest among females who lived in the southern and central
parts of Mexico, belonged to an indigenous ethnic group and
fell within the first tercile of the Household Wealth Index.
Consumption of beef by preschoolers and viscera by adolescents
was associated with lower risk for anemia; higher
risk was associated with consumption of Liconsa milk and
non-heme iron by preschoolers.
Conclusions. Anemia is
highly prevalent in Mexican children and adolescents, affecting
mainly the poorest and youngest populations. Sources of
heme iron are the principal dietary factor associated with
low risk for anemia.
REFERENCES
World Health Organization. The Global Prevalence of Anemia in 2011. Geneve: WHO, 2015 [cited may, 2017]. Available from: http://apps.who.int/ iris/bitstream/10665/177094/1/9789241564960_eng.pdf?ua=1
Kassebaum NJ. The Global Burden of Anemia. Hematol Oncol Clin North Am. 2016;30(2):247-308. https://doi.org/10.1016/j.hoc.2015.11.002
De La Cruz-Góngora V, Villalpando S, Mundo-Rosas V, Shamah-Levy T. Prevalencia de anemia en niños y adolescentes mexicanos: Comparativo de tres encuestas nacionales. Salud Publica Mex. 2013;55(Suppl 2):180-9.
Gutiérrez JP, Rivera-Dommarco JA, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública, 2012 [cited may, 2017]. Available from: http://ensanut. insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf
Hermoso M, Vucic V, Vollhardt C, Arsic A, Roman-Viñas B, Iglesia-Altaba I, et al.The effect of iron on cognitive development and function in infants, children and adolescents: A systematic review. Ann Nutr Metab. 2011;59(2-4):154-65. https://doi.org/10.1159/000334490
Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007;77(1):44-51.
Nemeth E, Valore EV, Territo M, Schiller G, Lichtenstein A, Ganz T. Hepcidin, a putative mediator of anemia of inflammation, is a type II acute-phase protein. Blood. 2003;101(7):2461-3. https://doi.org/10.1182/ blood-2002-10-3235
Sánchez-Pimienta TG, López-Olmedo N, Rodríguez-Ramírez S, García- Guerra A, Rivera JA, Carriquiry AL, et al. High Prevalence of Inadequate Calcium and Iron Intakes by Mexican Population Groups as Assessed by 24-Hour Recalls. J Nutr. 2016;146(9):1874S-80S. https://doi.org/10.3945/ jn.115.227074
Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Méndez Gómez- Humarán I, Gaona-Pineda EB, Gómez-Acosta LM, et al. Diseño metodológico de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Salud Publica Mex. 2017;59(3):299-305. https://doi.org/10.21149/8593
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, Switzerland: World Health Organization, 2011 [cited January, 2015]. Available from: http://www.who.int/vmnis/indicators/haemoglobin.pdf
Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual: Abridged editon. Champaign, Ill: Hum Kinet Books, 1988;177.
World Health Organization. Interpretation Guide Nutrition Landscape Information System (NLIS). Geneva: WHO, 2010.
World Health Organization. WHO child growth standards: length/ height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: WHO, 2006 [cited April, 2016]. Available from: http://www.who.int/childgrowth/standards/ Technical_report.pdf
Ramírez-Silva I, Jiménez-Aguilar A, Valenzuela-Bravo D, Martinez-Tapia B, Rodríguez-Ramírez S, Gaona-Pineda EB, et al. Methodology for analysis of dietary information from Semi-quantitative Food Frequency Questionnaire of the Mexican National Health and Nutrition Survey 2012. Salud Publica Mex. 2016;58(6):629-38. https://doi.org/10.21149/spm.v58i6.7974
Rivera JA, Sotres-Alvarez D, Habicht JP, Shamah T, Villalpando S. Impact of the Mexican Program for Education, Health, and Nutrition (Progresa) on Rates of Growth and Anemia in Infants and Young Children. JAMA. 2004;291(21):2563. https://doi.org/10.1001/jama.291.21.2563
Rivera JA, Shamah T, Villalpando S, Monterrubio E. Effectiveness of a large-scale iron-fortified milk distribution program on anemia and iron deficiency in low-income young children in Mexico. Am J Clin Nutr. 2010;91(2):431-9. https://doi.org/10.3945/ajcn.2009.28104
Gupta P, Perrine C, Mei Z, Scanlon K. Iron, Anemia, and Iron Deficiency Anemia among Young Children in the United States. Nutrients. 2017;9(8):876.
De la Cruz-Góngora V, Villalpando S, Rebollar R, Shamah-Levy T, Méndez-Gómez Humarán I. Nutritional causes of anemia in Mexican children under 5 years. Results from the 2006 National Health and Nutrition Survey. Salud Publica Mex. 2012;54(2):108-15. https://doi.org/10.1590/ S0036-36342012000200006
Hutchinson C. A review of iron studies in overweight and obese children and adolescents: a double burden in the young? Eur J Nutr. 2016;55(7):2179-97. https://doi.org/10.1007/s00394-016-1155-7
Cepeda-Lopez AC, Osendarp SJM, Melse-Boonstra A, Aeberli I, Gonzalez-Salazar F, Feskens E, et al. Sharply higher rates of iron deficiency in obese Mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am J Clin Nutr. 2011;93(5):975-83. https://doi.org/10.3945/ajcn.110.005439
Syed S, Addo OY, De La Cruz-Góngora V, Ashour FAS, Ziegler TR, Suchdev PS. Determinants of anemia among school-aged children in Mexico, the United States and Colombia. Nutrients. 2016;8(7):387. https://doi. org/10.3390/nu8070387
García OP, Ronquillo D, Caamaño MC, Martínez G, Camacho M, López V, et al. Zinc, iron and vitamins A, C and E are associated with obesity, inflammation, lipid profile and insulin resistance in Mexican school-aged children. Nutrients. 2013;5(12):5012-30. https://doi.org/10.3390/nu5125012
Shamah-Levy T, Villalpando-Hernández S, Cuevas-Nassu L, Gaona- Pineda EB, Gómez-Humaran I, Rivera-Dommarco JA. Relationship of household food insecurity and anemia in children receiving the benefit from food assistance programs in San Luis Potosi, Mexico. FASEB J. 2015;29(Suppl 1):S585-S588.
Marangoni F, Corsello G, Cricelli C, Ferrara N, Ghiselli A, Lucchin L, et al. Role of poultry meat in a balanced diet aimed at maintaining health and wellbeing: An Italian consensus document. Food Nutr Res. 2015;59:1-11. https://doi.org/10.3402/fnr.v59.27606
Tapsell LC, Neale EP, Satija A, Hu FB. Foods, Nutrients, and Dietary Patterns: Interconnections and Implications for Dietary Guidelines. Adv Nutr An Int Rev J. 2016;7(3):445-54. https://doi.org/10.3945/an.115.011718
Jacobs DR, Steffen LM. Nutrients, foods, and dietary patterns as exposures in research: A framework for food synergy. Am J Clin Nutr. 2003;78(Suppl 3): 508S-513S. https://doi.org/10.1093/ajcn/78.3.508S