2019, Number 5
Complementary feeding practices, sociodemographic characteristics and their association with anemia in Peruvian children aged 6-12 months
Language: Spanish
References: 30
Page: 801-816
PDF size: 922.42 Kb.
ABSTRACT
Introduction: There are few studies that associate anemia with complementary feeding practices in cities of the provinces of Peru.Objective: To determine the characteristics of complementary feeding practices, sociodemographic characteristics and their association with anemia in children between 6 and 12 months of age from Cusco-Peru between August – December, 2017.
Material and Methods: A cross-sectional and analytical study based on the data from 360 mothers and children was carried out. The complementary feeding practices were evaluated through a semi-structured questionnaire, and their association with the variable of interest "anemia" was calculated. The crude (cPR) and adjusted (aPR) prevalence ratios were estimated using linear and generalized Poisson regression models and log link function, with their respective 95 % confidence intervals (95 % CI). Pvalues <0.05 were considered significant.
Results: The prevalence of anemia was 68,3 %. Associated factors were: living in poverty (aPR 1.27, p= 0.002), receiving an inadequate daily diversity of foods (aPR 1.13, p= 0.038); receiving an inadequate daily amount of food (aPR 1.15, p=0.036) and supplementation with porridge (aPR 1.51, p= 0.002). Iron supplementation (aPR 0.33, p <0.001) was a protective factor.
Conclusions: Living in poverty has been associated with anemia as well as some complementary feeding practices. These findings could be modified through proper follow-up in home visits and appropriate assignment of personnel for this activity.
REFERENCES
Ministerio de Salud del Perú. Documento técnico: Consejería Nutricional en el marco de la atención de salud Materno Infantil [Internet]. Lima: Instituto Nacional de Salud; [Internet]. 2010. [Consultado: 25/11/2018]. Disponible en: http://www.ins.gob.pe/insvirtual/images/otrpubs/p df/Consejeria.nutricional.pdf
Agostoni C, Decsi T, Fewtrell M, Goulet O, Kolacek S, Koletzko B, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. [Internet]. 2008; 46(1):99-110. [Cited: 25/11/2018]. Available from: https://journals.lww.com/jpgn/fulltext/2008/01000/ Complementary_Feeding__A_Commentary_by_the_ ESPGHAN.21.aspx
Instituto Nacional de Estadística e Informática. Capítulo 10: Lactancia y nutrición de niñas, niños y mujeres. En: Encuesta Demográfica y de Salud Familiar - ENDES 2017 [Internet]. Lima; [Internet]. 2017. [Consultado: 23/11/2018]. Disponible en: https://www.inei.gob.pe/media/MenuRecursivo/pub licaciones_digitales/Est/Lib1525/pdf/cap010.pdf
Vargas-Vázquez A, Bado R, Alcázar L, Aquino O, Rodríguez A, Novalbos JP. Efecto de un suplemento nutricional a base de lípidos en los niveles de hemoglobina e indicadores antropométricos en niños de cinco distritos de Huánuco, Perú. Rev Perú Med Exp Salud Publica. [Internet]. 2015; 32(2):237-44. [Consultado: 25/11/2018]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_artte xt&pid=S1726- 46342015000200004&lng=es&nrm=iso&tlng=es
Munayco CV, Ulloa-Rea ME, Medina-Osis J, Lozano- Revollar CR, Tejada V, Castro-Salazar C, et al. Evaluación del impacto de los multimicronutrientes en polvo sobre la anemia infantil en tres regiones andinas del Perú. Rev Peru Med Exp Salud Publica. [Internet]. 2013; 30(2):229-34. [Consultado: 25/11/2018]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_artte xt&pid=S1726- 46342013000200011&lng=es&nrm=iso&tlng=es
Ministerio de Salud del Perú. Guía Técnica: Procedimiento para la determinación de la hemoglobina mediante Hemoglobinómetro Portátil [Internet]. Lima; [Internet]. 2013. [Consultado: 23/11/2018]. Disponible en: https://web.ins.gob.pe/sites/default/files/Archivos/c enan/van/tecnica_vigilancia_nutricional/bioquimica/ Determinaci%C3%B3n_hemoglobina_mediante_hem oglobin%C3%B3metro_portatil.pdf
Ministerio de Economía y Finanzas. Certeza N° 2. ¿Qué son las necesidades básicas insatisfechas? Centro de Investigación e Innovación de Pregrado. Oficina de Becas Pregrado. Programa Nacional de Becas y Crédito Educativo. [Internet]. 2015. [Consultado: 24/11/2018]. Disponible en: https://www.mef.gob.pe/es/?option=com_content& view=article&id=370&Itemid=100412
Machado K, Alcarraz G, Morinico E, Briozzo T, Gutiérrez S, Machado K, et al. Iron deficiency anemia in children younger than 1 year old users of CASMUIAMPP: prevalence and associated factors. Arch Pediatría Urug. [Internet]. 2017; 88(5):254-60. [Cited: 20/07/2019]. Available from: http://www.scielo.edu.uy/scielo.php?script=sci_abst ract&pid=S1688- 12492017000500254&lng=en&nrm=iso&tlng=en
Velázquez-Hurtado JE, Rodríguez Y, González M, Astete-Robilliard L, Loyola-Romaní J, Vigo WE, et al. Factores asociados con la anemia en niños menores de tres años en Perú: análisis de la Encuesta Demográfica y de Salud Familiar, 2007-2013. Biomédica. [Internet]. 2016; 36(2):220-9. [Consultado: 23/11/2018] Disponible en: https://www.revistabiomedica.org/index.php/biome dica/article/view/2896/3183
Yang W, Li X, Li Y, Zhang S, Liu L, Wang X, et al. Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study. BMC Public Health. [Internet]. 2012;12(1):1127. [Cited: 24/11/2018]. Available from: https://bmcpublichealth.biomedcentral.com/articles /10.1186/1471-2458-12-1127
Iglesias Vázquez L, Valera E, Villalobos M, Tous M, Arija V. Prevalence of Anemia in Children from Latin America and the Caribbean and Effectiveness of Nutritional Interventions: Systematic Review and Meta–Analysis. Nutrients. [Internet]. 2019; 11(1):183. [Cited: 28/07/2019]. Available from: https://www.mdpi.com/2072-6643/11/1/183
Tarqui-Mamani C, Álvarez-Dongo D, Gómez- Guizado G, Rosales-Pimentel S. Diversidad alimentaria en los niños peruanos de 6 a 35 meses. An Fac Med. [Internet]. 2016; 77(3):219-24. [Cited: 20/07/2019]. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstr act&pid=S1025- 55832016000300004&lng=es&nrm=iso&tlng=es
Rojas-Guerrero N, Spinoza-Bernardo S. Prácticas maternas de alimentación en niños de 6 a 24 meses atendidos en establecimientos de salud de Lima e Iquitos. An Fac Med. [Internet]. 2019; 80(2): 157-2. [Cited: 25/07/2019]. Disponible en: https://revistasinvestigacion.unmsm.edu.pe/index.p hp/anales/article/view/16408
Woldie H, Kebede Y, Tariku A. Factors Associated with Anemia among Children Aged 6–23 Months Attending Growth Monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia. J Nutr Metab. [Internet]. 2015; 2015:9. [Cited: 24/11/2018]. Available from: https://www.hindawi.com/journals/jnme/2015/9286 32/
Morán-Tello A, Rodríguez-Rodríguez D, Rojas- Córdova M, Canchaya-Álvarez R. I. Efecto de la administración de sulfato ferroso dos veces por semana para la reducción de la anemia en niños de 6 a 35 meses de edad, durante 6 meses y durante 12 meses de suplementación en comunidades rurales de Ancash, Perú. Rev ECIPerú. [Internet]. 2012;9(1):5. [Cited: 28/07/2019]. Disponible en: https://revistas.eciperu.net/index.php/ECIPERU/artic le/view/163
Jaber L, Rigler S, Taya A, Tebi F, Baloum M, Yaniv I, et al. Iron polymaltose versus ferrous gluconate in the prevention of iron deficiency anemia of infancy. J Pediatr Hematol Oncol. [Internet]. 2010;32(8):585-8. [Cited: 24/11/2018]. Available from: https://journals.lww.com/jphoonline/ Abstract/2010/11000/Iron_Polymaltose_Vers us_Ferrous_Gluconate_in_the.3.aspx
Aydin A, Gur E, Erener-Ercan T, Can G, Arvas A. Comparison of Different Iron Preparations in the Prophylaxis of Iron-deficiency Anemia. J Pediatr Hematol Oncol. [Internet]. 2017; 39(7):495-9. [Cited: 24/11/2018]. Available from: https://journals.lww.com/jphoonline/ Abstract/2017/10000/Comparison_of_Differe nt_Iron_Preparations_in_the.3.aspx