2020, Number 6
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salud publica mex 2020; 62 (6)
Behavior and factors associated with anemia in Mexican women of childbearing age. Ensanut 2018-19
Shamah-Levy T, Mejía-Rodríguez F, García-Guerra A, Vizuet-Vega I, Méndez Gómez-Humarán I, Martínez-Domínguez J, De la Cruz-Góngora V
Language: Spanish
References: 42
Page: 767-776
PDF size: 345.78 Kb.
ABSTRACT
Objective. To study the behavior of anemia in 2006, 2012
and 2018-19, its severity and associated factors in Mexican
women between 20 and 49 years of age.
Materials and
methods. The Ensanut 2006, 2012 and 2018-19 has a
methodological design that allows comparisons between
them. Capillary hemoglobin (Hb) classified anemia with Hb
values ‹12dL. Pregnant women were excluded. Anemia was
associated with individual and sociodemographic factors using
a logit regression model.
Results. The reduction in anemia
from 2006 to 2012 was significant, but not the increase for
2018-19. Anemia was associated with a higher number of
pregnancies, and being 35 to 49 years of age. A BMI≥30 (k/
m
2), tertile 3 of wellness condition, not being indigenous
and living in the Center and Mexico City were protective
of anemia.
Conclusions. Anemia continues to be a public
health problem, especially in women 35 to 49 years of age
with more than four pregnancies.
REFERENCES
World Health Organization. Iron deficiency anemia: assessment, prevention, and control. A guide for programme managers. Geneva: OMS, 2011 [citado abril 13, 2020]. Disponible en: https://www.who.int/nutrition/publications/ micronutrients/anaemia_iron_deficiency/WHO_NHD_01.3/en/
Chaparro CM, Lutter CK. La anemia entre adolescentes y mujeres adultas jóvenes en América Latina y el Caribe: un motivo de preocupación. Washington, D. C.: OPS/OMS, 2008 [citado abril 13, 2020]. Disponible en: http://www.codajic.org/sites/www.codajic.org/files/Anemia%20Adolescencia% 20OPS.pdf
World Health Organization, Regional Office for the Eastern Mediterranean. Micronutrient deficiency disorders. Egipto: WHO/EMRO, 2002 [citado abril 13, 2020]. Disponible en: https://apps.who.int/iris/handle/ 10665/122090
Sustainable development solutions network. Goal 02. End hunger, achieve food security and improved nutrition, and promote sustainable agriculture. New York: SDSN, 2012 [citado abril 13, 2020]. Disponible en: https://indicators.report/goals/goal-2/
The SDG Knowledge Hub. New Indicators on AMR, Dispute Resolution, GHG Emissions Agreed for SDG Framework. Addis Ababa, Ethiopia: IISD SDG Knowledge Hub, 2019 [citado abril 13, 2020]. Disponible en: https:// sdg.iisd.org:/news/new-indicators-on-amr-dispute-resolution-ghg-emissions- agreed-for-sdg-framework/
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: https://www.insp. mx/resources/images/stories/Produccion/pdf/100722_cp3.pdf
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(supl 2):s190-8.
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(3):301-8. https://doi.org/10.21149/8820
Mejía-Rodríguez F, Mundo-Rosas V, Rodríguez-Ramírez S, Hernández-F M, García-Guerra A, Rangel-Baltazar E, et al. Alta prevalencia de anemia en mujeres mexicanas en pobreza, Ensanut 100k. Salud Publica Mex. 2019;61(6):841-5. https://doi.org/10.21149/10558
World Health Organization: Nutritional Anaemias: Tools for Effective Prevention and Control. Geneva: WHO, 2017 [citado abril 13, 2020]. Disponible en: https://www.who.int/publications/i/item/9789241513067
McClung JP, Gaffney-Stomberg E, Lee JJ. Female athletes: a population atrisk of vitamin and mineral deficiencies affecting health and performance. J Trace Elem Med Biol. 2014;28(4):388-92. https://doi.org/10.1016/j. jtemb.2014.06.022
Martín-Ruiz A, Rodríguez-Gómez I, Rubio C, Revert C, Hardisson A. Efectos tóxicos del tabaco. Rev Toxicol. 2004;21(2):64-71 [citado abril 13, 2020]. Disponible en: http://rev.aetox.es/wp/wp-content/uploads/hemeroteca/ vol21-23/208-463-1-SM.pdf
Jolly M, Sebire N, Harris J, Robinson S, Regan L. The risks associated with pregnancy in women aged 35 years or older. Hum Reprod. 2000;15(11):243-7. https://doi.org/10.1093/humrep/15.11.2433
Organización Mundial de la Salud. Directriz: Administración intermitente de suplementos de hierro y ácido fólico en mujeres menstruantes. Ginebra: OMS, 2011 [citado abril 13, 2020]. Disponible en: https://www. who.int/nutrition/publications/micronutrients/guidelines/guideline_iron_ folicacid_suppl_women/es/
Suchdev PS, Peña-Rosas JP, De-Regil LM. Multiple micronutrient powders for home (point of use) fortification of foods in pregnant women. Cochrane Datebase Syst Rev. 2015;(6):CD011158. https://doi. org/10.1002/14651858.CD011158.pub2
Shamah-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, Rivera-Dommarco J, López-Acevedo G, Rubio- Soto GM. Nutrición y Pobreza: política pública basada en evidencia. México: Banco Mundial de la Salud/Sedesol, 2008 [citado abril 13, 2020]. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid =S0036-36342009001000023
Neufeld LM, García-Guerra A, Quezada AD, Théodore F, Bonvecchio- Arenas A, Islas CD, et al. A Fortified food can be replaced by micronutrient supplements for distribution in a Mexican social protection program based on results of a cluster-randomized trial and costing analysis. J Nutr. 2019;149(suppl 1):2302S-9. https://doi.org/10.1093/jn/nxz176
Palma O, Shamah-Levy T, Franco A, Olaiz G, Mendez-Ramírez I. Metodología. In: Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, et al. (eds). Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca: Instituto Nacional de Salud Pública, 2006.
Romero-Martínez M, Shamah-Levy T, Franco-Núñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP, et al. Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013;55(supl 2):S332-40.
Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia- Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex. 2019;61(6):917-23. https://doi.org/10.21149/11095
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):392-9. https://doi. org/10.1590/S1020-49891999001100004
Organización Mundial de la Salud. Concentraciones de hemoglobina para diagnosticar la anemia y evaluar su gravedad. Ginebra: OMS, 2011 [citado mayo 5, 2020]. Disponible en: https://apps.who.int/iris/bitstream/ handle/10665/85842/WHO_NMH_NHD_MNM_11.1_spa.pdf?ua=1
Lohman TG, Roche AF, Martorell R (eds.) Anthropometric Standardization Reference Manual. Abridhed Edition. Champaign, Illinois: Human Kinetics Books Press, 1988.
Habicht JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. PAHO Bull. 1974;76:375-84.
World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Geneva: WHO, 1995 [citado abril 13, 2020]. Disponible en: https://apps.who.int/iris/handle/10665/37003
World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. WHO Technical Report Series, 894. Geneva: WHO, 2000 [citado abril 13, 2020]. Disponible en: https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. https://doi. org/10.1249/01.MSS.0000078924.61453.FB
Medina C, Barquera S, Janssen I. Validity and reliability of the International Physical Activity Questionnaire among adults in Mexico. Rev Panam Salud Publica. 2013;34(1):21-8.
Organización Mundial de la Salud. Recomendaciones mundiales sobre actividad física para la salud. Ginebra: OMS, 2010. [citado mayo 2, 2020]. Disponible en: https://www.who.int/dietphysicalactivity/factsheet_recommendations/ es/
Kolenikov S, Angeles G. The use of discrete data in principal component analysis: theory, simulations, and applications to socio-economic indices. Carolina: University of Carolina, 2004 [citado mayo 5, 2020]. Disponible en: https://www.measureevaluation.org/resources/publications/wp-04-85
Mehrotra M, Yadav S, Deshpande A, Mehrotra H. A study of the prevalence of anemia and associated sociodemographic factors in pregnant women in Port Blair, Andaman and Nicobar Islands. J Family Med Prim Care. 2018;7(6):1288-93. https://doi.org/10.4103/jfmpc.jfmpc_139_18
Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafei MA, Wallenburg HC. Effect of high parity on occurrence of anemia in pregnancy: a cohort study. BMC Pregnancy Childbirth. 2011;11(7):1-7. https://doi. org/10.1186/1471-2393-11-7
Katarzyna K, Fonseca-Centeno ZY, Pachón H, Jimenez-Soto AZ. Being overweight or obese is associated with lower prevalence of anemia among Colombian women of reproductive age. J Nutr. 2013;143(2):175- 81. https://doi.org/10.3945/jn.112.167767
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
Batis C, Rodríguez-Ramírez S, Ariza AC, Rivera JA. Intakes of energy and discretionary food in Mexico are associated with the context of eating: mealtime, activity, and place. J Nutr. 2016;146(9):1907S-15S. https:// doi.org/10.3945/jn.115.219857
Fischer NC, Shamah-Levy T, Mundo-Rosas V, Méndez-Gómez-Humarán I, Pérez-Escamilla R. Household food insecurity is associated with anemia in adult mexican women of reproductive age. J Nutr. 2014; 144(12):2066- 72. https://doi.org/10.3945/jn.114.197095
Kassebaum NJ, GBD 2013 Anemia Collaborators. 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
Shamah-Levy 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: https://www.redalyc.org/articulo. oa?id=10649093
Whitehead RD, Zhang M, Sternberg MR, Schleicher RL, Drammeh B, Mapango C, et al. Effects of preanalytical factors on hemoglobin measurement: A comparison of two HemoCue® point-of-care analyzers. Clin Biochem. 2017;50(9):513-20. https://doi.org/10.1016/j.clinbiochem. 2017.04.006
Jain A, Chowdhury N, Jain S. Intra- and inter-model reliability of Hemocue Hb 201+ and HemoCue Hb 301 devices. Asian J Transfus Sci. 2018;12(2):123-6. https://doi.org/10.4103/ajts.AJTS_119_17
Whitehead RD, Mei Z, Mapango C, Jefferds ME. Methods and analyzers for hemoglobin measurement in clinical laboratories and field settings. Ann NY Acad Sci. 2019;1450:147-71. https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC6709845/
Mason J, Martorell R, Saldanha L, Shrimpton R. Reduction of anaemia. Lancet Glob Health. 2013;1(1):e4-6. https://doi.org/10.1016/S2214- 109X(13)70009-3