medigraphic.com
Instituto Nacional de Salud Pública

2019, Number 6

<< Back Next >>

salud publica mex 2019; 61 (6)

High prevalence of anemia in Mexican women in poverty, Ensanut 100k

Mejía-Rodríguez F, Mundo-Rosas V, Rodríguez-Ramírez S, Hernández-F M, García-Guerra A, Rangel-Baltazar E, Gómez-Acosta LM, Shamah-Levy T

Language: Spanish
References: 45
Page: 841-851
PDF size: 296.70 Kb.


ABSTRACT

Objective. To estimate the prevalence and distribution of anemia in Mexican women and their association with sociodemographic factors and diet diversity. Materials and methods. We analyzed information of women in childbearing age. The Ensanut 100k is a probabilistic survey that overrepresents households with less economic capacity. Anemia was estimated using hemoglobin concentration. We collected sociodemographic and health information, food insecurity, and dietary diversity. Results. 34.3% of the women presented anemia, belong to tertile 3 of welfare status is a protective factor for anemia (OR= 0.26, 95%CI 0.16-0.61), and living in a household with food security, as well as high diversity of the diet in rural women (OR= 0.57, 95%CI 0.36-0.92). Conclusions. It is necessary to implement actions of detection and early attention of the anemia in women in childbearing age, identification of its underlying causes, strengthening and reformulation of strategies to prevent it.


REFERENCES

  1. Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet. 2011;378:2123-35. https://doi.org/10.1016/S0140-6736(10)62304-5

  2. World Health Organization, United Nations University, UNICEF. Iron deficiency anaemia, assessment, prevention and control: a guide for programme managers. Ginebra: WHO, 2001 [citado marzo 17, 2019]. Disponible en: http://apps.who.int/iris/bitstream/10665/66914/1/WHO_ NHD_01.3.pdf

  3. Yi SW, Han YJ, Ohrr H. Anemia before pregnancy and risk of preterm birth, low birth weight and small-for-gestational-age birth in Korean women. Eur J Clin Nutr. 2013;67(4):337-42. https://doi.org/10.1038/ ejcn.2013.12

  4. Sachdev H, Gera T, Nestel P. Effect of iron supplementation on mental and motor development in children: systematic review of randomised controlled trials. Public Health Nutr. 2005;8(2):117–132. https://doi. org/10.1079/PHN2004677

  5. Hsu HS, Li CI, Liu CS, Lin CC, Huang KC, Li TC, et al. Iron deficiency is associated with increased risk for cardiovascular disease and all-cause mortality in the elderly living in long-term care facilities. Nutrition. 2013;29:737-743. https://doi.org/10.1016/j.nut.2012.10.015

  6. Organización Mundial de la Salud. Nutrición de la madre, el lactante y el niño pequeño. Informe de la Secretaría. 69 Asamblea Mundial de la Salud. A69/7 Punto 12.1 del orden del día provisional [documento en internet]. Ginebra: OMS, 2016 [citado abril 10, 2019]. Disponible en: http://apps. who.int/gb/ebwha/pdf_files/WHA69/A69_7-sp.pdf?ua=1&ua=1

  7. FAO, FIDA, UNICEF, PMA, OMS. El estado de la seguridad alimentaria y la nutrición en el mundo. Fomentando la resiliencia climática en aras de la seguridad alimentaria y la nutrición. Roma: FAO, 2018 [citado marzo 17, 2019]. Disponible en: http://www.fao.org/3/i9553es/i9553es.pdf

  8. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006 [citado marzo 17, 2019]. Disponible en: http://ensanut.insp. mx/informes/ensanut2006.pdf

  9. Shamah-Levy T, Villalpando S, Mundo-Rosas V, De la Cruz-Gongora V, Mejía-Rodríguez F, Méndez Gómez-Humarán I. Prevalence of anemia in reproductive-age Mexican women, 99-2012. Salud Publica Mex. 2013;55(suppl2):S190-8 [citado marzo 17, 2019]. Disponible en: https:// www.ncbi.nlm.nih.gov/pubmed/24626695

  10. Shamah-Levy T, Mejía-Rodríguez F, Méndez Gómez-Humarán I, de la Cruz-Góngora V, Mundo-Rosas V, Villalpando-Hernández S. Tendencia en la prevalencia de anemia entre mujeres mexicanas en edad reproductiva 2006-2016. Ensanut MC 2016. Salud Publica Mex. 2018;60:301-8. https:// doi.org/10.21149/8820

  11. De Benoist B, McLean E, Egli I, Cogswell M, eds. Worldwide prevalence of anaemia 1993–2005: WHO global database on anaemia. Ginebra: WHO Press, 2008 [citado marzo 17, 2019]. Disponible en: http://whqlibdoc.who. int/publications/2008/9789241596657_eng.pdf

  12. Shama-Levy T, Villalpando-Hernandez S, Rivera-Dommarco JA, Cuevas- Nasu L. Impacto de oportunidades en el estado de nutrición y anemia de niños y mujeres en edad fértil: componente rural. En: González de Cossio T, López-Acevedo G, Rivera-Dommarco J, Rubio-Soto GM. Nutrición y Pobreza: política pública basada en evidencia. México: Banco Mundial de la Salud, SEDESOL, 2008 [citado abril 5, 2019]. Disponible en: http:// siteresources.worldbank.org/MEXICOINSPANISHEXT/Resources/NutricionyPobreza. pdf

  13. Neufeld L, Garcia-Guerra A, Fernandez-Gaxiola AC, Rivera-Dommarco JA. Impacto de oportunidades en alimentación y nutrición en niños y mujeres en zonas urbanas. En: González de Cossio T, López-Acevedo G, Rivera-Dommarco J, Rubio-Soto GM. Nutrición y Pobreza: política pública basada en evidencia. México: Banco Mundial de la Salud, SEDESOL, 2008 [citado abril 5, 2019]. Disponible en: http://siteresources.worldbank.org/ MEXICOINSPANISHEXT/Resources/NutricionyPobreza.pdf

  14. García-Guerra A, Neufeld L, Domínguez-Islas CP, García-Feregrino R, Hernández-Cabrera A. Effect of three supplements with identical micronutrient content on anemia in Mexican children. FASEB J. 2008;22:677 [citado abril 5, 2019]. Disponible en: https://www.fasebj.org/action/doSear ch?AllField=Effect+of+three+supplements+with+identical+micronutrient+ content+on+anemia+in+Mexican+children

  15. Neufeld L, Sotres-Alvarez D, Flores-López L, Tolentino-Mayo L, Jiménez-Ruiz J, Rivera-Dommarco J. Estudio sobre el consumo de los suplementos Nutrisano y Nutrivida en niños y mujeres de zonas urbanas beneficiarios de Oportunidades. Evaluación externa de impacto del Programa Oportunidades 2004. Cuernavaca: Instituto Nacional de Salud Pública, 2005 [citado abril 5, 2019]. Disponible en: https://evaluacion. prospera.gob.mx/es/docs/p_docs2004.php

  16. Organización Panamericana de la salud, Organización Mundial de la Salud. La anemia entre adolescentes y mujeres adultas jóvenes en América Latina y El Caribe: Un motivo de preocupación [citado abril 5, 2019]. Disponible en: http://www.codajic.org/sites/www.codajic.org/files/Anemia%20 Adolescencia%20OPS.pdf

  17. Gaona-Pineda EB, Martínez-Tapia B, Arango-Angarita A, Valenzuela-Bravo D, Gómez-Acosta LM, Shamah-Levy T, Rodríguez-Ramírez S. Consumo de grupos de alimentos y factores sociodemográficos en población mexicana. Salud Publica Mex. 2018;60:272-82. https://doi.org/10.21149/8803

  18. Martin-Prével Y, Allemand P, Wiesmann D, Arimond M, Ballard T, Deitchler M, et al. Moving forward on choosing a standard operational indicator of women’s dietary diversity. Roma: FAO, 2015 [citado marzo 17, 2019]. Disponible en: https://cgspace.cgiar.org/handle/10568/72450

  19. Zerfu TA, Umeta M, Baye K. Dietary diversity during pregnancy is associated with reduced risk of maternal anemia, preterm delivery, and low birth weight in a prospective cohort study in rural Ethiopia. Am J Clin Nutr. 2016;103(6):1482-8. https://doi.org/10.3945/ajcn.115.116798

  20. Meng L, Wang Y, Li T, Loo-Bouwman C, Zhang Y, Man-Yau Szeto I. Dietary diversity and food variety in Chinese children aged 3–17 years: are they negatively associated with dietary micronutrient inadequacy? Nutrients. 2018;10(11):1674. https://doi.org/10.3390/nu10111674

  21. Romero-Martínez M, Shamah-Levy I, Cuevas Nasu L, Gaona-Pineda EB, Gómez-Acosta LM, Mendoza-Alvarado LR, et al. Metodología de la Encuesta Nacional de Salud y Nutrición para localidades con menos de 100 000 habitantes (Ensanut 100k). Salud Publica Mex. 2019;61(5)678-84. https://doi.org/10.21149/10539

  22. Shamah-Levy T, Villalpando-Hernández S, Rivera-Dommarco J. Manual de procedimientos para proyectos de nutrición. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006 [citado junio 25, 2019]. Disponible en: http://www.salud.gob.mx/unidades/cdi/documentos/proy_nutricion.pdf

  23. Instituto Nacional de Estadística, Geografía e Informática. Conteo de Población y Vivienda 2010. Resultados definitivos. Tabulados Básicos. Mexico: INEGI, 2010.

  24. Cohen JH, Haas JD. Hemoglobin correction factors for estimating the prevalence of iron deficiency anemia in pregnant women residing at high altitudes in Bolivia. Rev Panam Salud Publica. 1999;6(6):392-99. https://doi. org/10.1590/S1020-49891999001100004

  25. Denova-Gutiérrez E, Ramírez-Silva I, Rodríguez-Ramírez S, Jiménez- Aguilar A, Shamah-Levy T, Rivera-Dommarco JA. Validity of a food frequency questionnaire to assess food intake in Mexican adolescent and adult population. Salud Publica Mex. 2016;58(6):617-28. https://doi. org/10.21149/spm.v58i6.7862

  26. Rodríguez-Ramírez S, Mundo-Rosas V, Jiménez-Aguilar A, Shamah-Levy T. Methodology for the analysis of dietary data from the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009;51(suppl 4):S523-9. https://doi.org/10.1590/S0036-36342009001000007

  27. Rodríguez SC, Hotz C, Rivera JA. Bioavailable dietary iron is associated with hemoglobin concentration in mexican preschool children. J Nutr. 2007;137(10):2304-10. https://doi.org/10.1093/jn/137.10.2304

  28. Collings R, Harvey LJ, Hooper L, Hurst R, Brown TJ, Ansett J, King M, Fairweather-Tait SJ. The absorption of iron from whole diets: a systematic review. Am J Clin Nutr. 2013;29;98(1):65-81. https://doi.org/10.3945/ ajcn.112.050609

  29. Kolenikov S, Angeles G. The use of discrete data in principal component analysis: theory, simulations, and applications to socio-economic indices. CPC/MEASURE; Working paper no. WP-04-85 Carolina: University of Carolina, 2004 [citado abril 5, 2019]. Disponible en: 2004.https://www. measureevaluation.org/resources/publications/wp-04-85

  30. Comité Científico de la ELCSA. Escala Latinoamericana de Seguridad Alimentaria (ELCSA): manual de uso y aplicaciones. Santiago de Chile: Organización de las Naciones Unidas para la Agricultura y la Alimentación, 2012 [citado octubre 31, 2019]. Disponible en: http://www.fao.org/3/ai3065s. pdf

  31. Habitch JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno (standardization of anthropometric methods in the field). PAHO Bull. 1974;76:375-84 [citado abril 5, 2019]. Disponible en: https://moodle.ufsc.br/pluginfile.php/817383/mod_resource/content/0/ Habicht%20-%20COMO%20PADRONIZAR%20MEDIDAS%20BIOLOGICAS% 20-%201974.pdf

  32. WHO Anthro for personal computers, version 3.2.2, 2011: Software for assessing growth and development of the world´s children. Ginebra: WHO, 2010 [citado abril 5, 2019]. Disponible en: https://www.who.int/ childgrowth/software/en/

  33. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660-7. https://doi. org/10.2471/blt.07.043497

  34. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Ginebra: WHO, 1995 [citado abril 5, 2019]. Disponible en: https://www.who.int/childgrowth/publications/physical_status/en/

  35. World Health Organization. Obesity: preventing and managing the global epidemic, Report of a WHO consultation on obesity WHO, Technical Report Series, 894. Ginebra: WHO, 2000 [citado abril 5, 2019]. Disponible en: https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/

  36. Mundo-Rosas V, Vizuet-Vega NI, Martínez-Domínguez J, Morales- Ruán MC, Pérez-Escamilla R, Shamah-Levy T. Evolución de la inseguridad alimentaria en los hogares mexicanos: 2012-2016. Salud Publica Mex. 2018;60:309-18. https://doi.org/10.21149/8809

  37. Ruel MT. Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. Food Nutr Bull. 2003;24(2):231-2. https://doi.org/10.1177/156482650302400217

  38. Mirmiran P, Azadbakht L, Azizi F. Dietary diversity within food groups: an indicator of specific nutrient adequacy in Tehranian women. J Am Coll Nutr. 2006;25(4):354-61. https://doi.org/10.1080/07315724.2006.1071 9546

  39. Shamah T, Villalpando S, Mundo V, Cuevas L, Rivera J. Lecciones aprendidas en la evaluación de Liconsa. Salud Publica Mex. 2007;49 [citado abril 5, 2019]. Disponible en: http://www.redalyc.org/articulo.oa?id=10649093

  40. Whitehead RDJr, Mei Z, Mapango C, Jefferds MED. Methods and analyzers for hemoglobin measurement in clinical laboratories and field settings. Ann N Y Acad Sci. 2019. https://doi.org/10.1111/nyas.14124

  41. Hotez PJ, Brooker S, Bethony JF, Bottazzi ME, Loukas A, Xiao S. Hookworm Infection. N Engl J Med. 2004;351:799-807. https://doi.org/10.1056/ NEJMra032492

  42. Hotez P. Empowering Girls and Women through Hookworm Prevention. Am J Trop Med Hyg. 2018;98(5):1211-2. https://doi.org/10.4269/ ajtmh.17-0934

  43. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1211-59. https://doi.org/10.1016/S0140-6736(17)32154-2

  44. Gitagia MW, Ramkat RC, Mituki DM, Termote C, Covic N, Cheserek MJ. Determinants of dietary diversity among women of reproductive age in two different agro-ecological zones of Rongai Sub-County, Nakuru, Kenya. Food Nutr Res. 2019;63:1-10. https://doi.org/10.29219/fnr.v63.1553

  45. Organización Mundial de la Salud. Metas mundiales para 2025. Para mejorar la nutrición de la madre, el lactante y el niño pequeño. Ginebra: WHO Press [citado abril 5, 2019]. Disponible en: https://www.who.int/ nutrition/global-target-2025/es/




2020     |     www.medigraphic.com