Perfil epidemiológico do beribéri notificado de 2006 a 2008 no Estado do Maranhão, Brasil

Padilha, Estela Maura; Fujimori, Elizabeth; Borges, Ana Luíza Vilela; Sato, Ana Paula Sayuri; Gomes, Murilo Novaes; Branco, Maria dos Remédios Freitas Carvalho; Santos, Henrique Jorge dos; Lermen, Nulvio

doi:10.1590/s0102-311x2011000300006

“…b Moreover, results of localized studies registered persistent iron defi ciency anemia in pre-school children in Ilha Bela (São Paulo, Southeastern Brazil), 4 outbreaks of beriberi in Maranhão 19 and inadequate vitamin A, 20,28 C, 1,28 E 25,28 and B12 26 intake. What is more, documented levels of obesity among Brazilians are high and increasing.…”

Section: Marina Camposmentioning

confidence: 99%

Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos

Araújo¹,

Bezerra²,

Barbosa³

et al. 2013

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OBJECTIVE: To estimate energy and nutrient intake and prevalence of inadequate micronutrient intake among Brazilian adults. METHODS:Data from the National Dietary Survey, from the [2008][2009] Household Budget Survey, were used. Food consumption was evaluated through food record on two non-consecutive days. A total of 21,003 individuals (52.5% women), between 20-59 years old, participated in the survey. Usual nutrient intake was estimated according to the National Cancer Institute method. The Estimated Average Requirement (EAR) cut-off points were used to determine the prevalence of inadequate micronutrient intake. For manganese and potassium, the Adequate Intake (AI) was used as cut-off. Sodium intake was compared with the Tolerable Upper Intake Level (UL). The probability approach was used to determine the prevalence of inadequate iron intake. The data were analyzed according to the location of the household (urban or rural) and macro regions of Brazil. RESULTS:The mean energy intake was 2,083 kcal among men and 1,698 kcal among women. Prevalence of inadequacy equal to or greater than 70% were observed for calcium among men and magnesium, vitamin A, and sodium among both men and women. Prevalence equal to or greater than 90% were found for calcium in women and vitamins D and E in both genders. Prevalence lower than 5% were found for iron in men and for niacin in men and women. In general, prevalence of inadequate intake was higher in the rural area and in the Northeast region. CONCLUSIONS:Energy intake was higher among individuals who live in urban areas and in the North region. The greatest risk groups of inadequate micronutrient intake were women and those living in rural areas and in the Northeast region.

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“…Diseases caused by deficiency of specifi c micronutrients have been verifi ed; for example, the prevalence of anemia in children and non-pregnant women varies between 21% and 29% respectively and inadequate serum levels of vitamin A vary between 17% and 12% respectively. b Moreover, results of localized studies registered persistent iron defi ciency anemia in pre-school children in Ilha Bela (São Paulo, Southeastern Brazil), 4 outbreaks of beriberi in Maranhão 19 and inadequate vitamin A, 20,28 C, 1,28 E 25,28 and B12 26 intake. What is more, documented levels of obesity among Brazilians are high and increasing.…”

mentioning

confidence: 99%

Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos

Araújo

¹

,

Bezerra

²

,

Barbosa

³

et al. 2013

View full text Add to dashboard Cite

OBJECTIVE: To estimate energy and nutrient intake and prevalence of inadequate micronutrient intake among Brazilian adults. METHODS:Data from the National Dietary Survey, from the [2008][2009] Household Budget Survey, were used. Food consumption was evaluated through food record on two non-consecutive days. A total of 21,003 individuals (52.5% women), between 20-59 years old, participated in the survey. Usual nutrient intake was estimated according to the National Cancer Institute method. The Estimated Average Requirement (EAR) cut-off points were used to determine the prevalence of inadequate micronutrient intake. For manganese and potassium, the Adequate Intake (AI) was used as cut-off. Sodium intake was compared with the Tolerable Upper Intake Level (UL). The probability approach was used to determine the prevalence of inadequate iron intake. The data were analyzed according to the location of the household (urban or rural) and macro regions of Brazil. RESULTS:The mean energy intake was 2,083 kcal among men and 1,698 kcal among women. Prevalence of inadequacy equal to or greater than 70% were observed for calcium among men and magnesium, vitamin A, and sodium among both men and women. Prevalence equal to or greater than 90% were found for calcium in women and vitamins D and E in both genders. Prevalence lower than 5% were found for iron in men and for niacin in men and women. In general, prevalence of inadequate intake was higher in the rural area and in the Northeast region. CONCLUSIONS:Energy intake was higher among individuals who live in urban areas and in the North region. The greatest risk groups of inadequate micronutrient intake were women and those living in rural areas and in the Northeast region.

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“…TDDs have recently occurred in French Guiana (Mosnier et al, 2017), Brazil (Cerroni et al, 2010; Padilha et al, 2011), and Cuba (Macias-Matos et al, 1996) (Table 3). From 1991 to 1994, Cuba experienced an outbreak of apparent TDDs affecting over 50,000 individuals (Cuba Neuropathy Field Investigation Team, 1995).…”

Section: Prevalence and Distribution Of Thiamin Insufficiency And Tddmentioning

confidence: 99%

Thiamin deficiency in low- and middle-income countries: Disorders, prevalences, previous interventions and current recommendations

Johnson

¹

,

Fischer

²

,

Thacher

³

et al. 2019

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Background: Thiamin deficiency is a major public health concern in several low-and middle-income countries (LMICs)current attention to the problem is lacking. Aim: This review discusses prevalence of thiamin insufficiency and thiamindeficiency disorders (TDDs) in LMICs, outlines programmatic experience with thiamin interventions, and offers recommendations to improve public-health and research attention to thiamin in LMICs. Discussion: Thiamin insufficiency, i.e. low-blood-thiamin status, is endemic among several Southeast Asian countries: Cambodia (70-100% of infants and 27-100% of reproductive-age women); Laos (13% of hospitalized infants); Thailand (16-25% of children and 30% of elderly adults). Thiamin deficiency accounts for up to 45% of under-5 deaths in Cambodia, 34% of infant deaths in Laos, and 17% of infant deaths in Myanmar. Deficiency also exists in Africa, Asia, and the Americas, but these instances have typically been isolated. Exclusively breastfed infants of thiamin-deficient mothers are at highest risk for TDD and related death. Intervention strategies that have been employed to combat thiamin deficiency include food processing, fortification, supplementation, dietary diversification, and dietary behaviors, all of which have shown varying levels of effectiveness. Conclusions: We recommend universal thiamin-fortification of context-specific staple-foods in LMICs as a promising solution, as well as thiamin supplementation, particularly for pregnant and lactating women. Food processing regulations, dietary diversification, and modification of dietary behaviors to increase consumption of thiamin-rich foods may provide benefits in some circumstances, especially in countries without universal fortification programs or in populations dependent on food aid.

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Perfil epidemiológico do beribéri notificado de 2006 a 2008 no Estado do Maranhão, Brasil

Cited by 13 publications

References 13 publications

Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos

Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos

Consumo de macronutrientes e ingestão inadequada de micronutrientes em adultos

Thiamin deficiency in low- and middle-income countries: Disorders, prevalences, previous interventions and current recommendations

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