Anemia como problema de saúde pública: uma realidade atual

Filho, Malaquias Batista; Souza, Ariani Impieri de; Bresani, Cristiane Campello

doi:10.1590/s1413-81232008000600027

Cited by 50 publications

(50 citation statements)

References 9 publications

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“…The prevalence of anemia in Maringá-PR was much lower to the ratio of 30 to 40% estimated for pregnant women in Brazil (1) , whereas in Cuiabá-MT the percentage was significantly higher, but still lower than the estimated to Country. Certainly, it should be considered that in Cuiabá-MT there was a high percentage of pregnant adolescents, with low weight, previous abortions and more than two previous pregnancies.…”

Section: Discussionmentioning

confidence: 55%

“…Iron-deficiency anemia has been recognized as being the most prevalent nutritional deficiency in the world, behaving as an endemic disease with a cosmopolitan character occurring in every continent, geoeconomic block, and social group (1) . Despite this trans-social and pan-geographic trait attributed to iron-deficiency anemia, its occurrence is associated to inadequate socio-environmental conditions.…”

Section: Introductionmentioning

confidence: 99%

“…In Brazil, although there are no national studies with consistent data, it has been referred that this problem affects about 30-40% of the pregnant women (1) . In women of reproductive age (15 to 49 years), the National Demographics and Health Research (PNDS, abbreviation in Portuguese) (3) found prevalence of 30%, with significant regional differences.…”

Section: Introductionmentioning

confidence: 99%

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Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

Fujimori

Sato

Araújo

et al. 2009

Rev. esc. enferm. USP

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We aimed to analyze anemia distribution in pregnant women who were attending health services in two cities in the South and Mid-West Regions in Brazil. This is a retrospective cross-sectional study developed from 954 and 781 medical records data in Cuiabá-MT and Maringá-PR. We collected data of social and demographic features as well as pre-natal care. Women who presented hemoglobin lower then 11g/dL were considered having anemia. Social inequity between the two cities was evident. Pregnant women from Cuiabá-MT were significantly poorer then those from Maringá-PR. Anemia prevalence was higher and means of hemoglobin were lower in Cuiabá-MT, apart from gestational age. We found that the age, marital status, number of previous pregnancies, nutritional status and gestational trimester were associated with the level of hemoglobin. Regional differences in the occurrence of anemia are social determined and should be considered in the proposal of interventions in the public health field.

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Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

Fujimori

Sato

Araújo

et al. 2009

Rev. esc. enferm. USP

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“…The proportion of pregnant women without a partner increased from one fourth in the Before mandatory flour fortification group to one third in the After fortification group. As the occurrence of anemia is dependent on negative socioeconomic-environmental conditions 2,17 and women without a partner usually tend to have greater financial difficulties, this difference could cause the After fortification group to have a higher prevalence of anemia and lower Hb levels, although this was not observed here. The effect of flour fortification remained, despite pregnant women with a partner having a mean Hb concentration that was 0.30g/dL higher than that of pregnant women without a partner in the multiple analysis, which controlled confounding variables.…”

Section: Discussionmentioning

confidence: 57%

“…Unlike the decreasing trend of other nutritional deficits, anemia continues to be present in all continents and social groups, although its occurrence remains associated with negative socio--environmental conditions [1][2] .…”

Section: Introductionmentioning

confidence: 99%

Níveis de hemoglobina e prevalência de anemia em gestantes atendidas em unidades básicas de saúde, antes e após a fortificação das farinhas com ferro

Araújo

Uchimura

Fujimori

et al. 2013

Rev. bras. epidemiol.

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Avaliaram-se níveis de hemoglobina-Hb e prevalência de anemia em gestantes, antes e após a fortificação das farinhas. Estudo de avaliação do tipo antes e depois, com amostras populacionais independentes, realizado em unidades básicas de saúde de Maringá, PR. Foram avaliados 366 prontuários de gestantes Antes da fortificação obrigatória das farinhas, e 419 Após a fortificação. Gestantes com Hb < 11g/dL foram consideradas anêmicas. Realizou-se análise de regressão linear múltipla. Verificou-se baixa prevalência de anemia que afetava 12,3% e 9,4% das gestantes, Antes e Após a fortificação (p > 0,05), porém o Grupo Após a fortificação obrigatória apresentou média de Hb mais elevada (p < 0,05). Evidenciou-se associação entre Hb e Grupo, idade gestacional, gestação anterior, ocupação e situação conjugal (p < 0,05). Embora a fortificação de farinhas possa ter um papel no aumento da média de hemoglobina, é preciso considerar a contribuição de outras variáveis não investigadas.

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Anaemia in pregnant women before and after the mandatory fortification of wheat and corn flours with iron

Silva

Saunders

Szarfarc

et al. 2012

Public Health Nutr.

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Objective: To estimate the frequency of anaemia in pregnant women before and after the fortification of flours with Fe. Design: Retrospective study developed from secondary data obtained from medical records. Setting: Two health units in Rio de Janeiro, Brazil. Subjects: Socio-economic, demographic, obstetric and Hb concentration data were collected of 778 pregnant women attending prenatal care. Two study groups were created: the first referred to the period before fortification (G1, n 391), including women whose parturition happened before June 2004; and the second referred to the period after fortification (G2, n 387), including women whose last menstrual cycle happened after June 2005. The Hb cut-off point adopted for anaemia diagnosis was ,11?0 g/dl. Results: In linear regression models, when Hb concentration was expressed as a dependent variable, women in G2 presented Hb concentration 0?26 g/dl and 0?36 g/dl higher during the second and third trimesters of pregnancy, respectively, compared with G1. In logistic regression models where the dependent variable was anaemia during the second and third trimesters, it was verified that being a member of G2 was a protective factor against anaemia in the third trimester. Regarding the presence of anaemia at any gestational moment, it was verified that being a member of G2 represented a protective factor against anaemia during pregnancy. Conclusions: Results indicate the protective effect of the fortification of flours with Fe in the fight against gestational anaemia, contributing to prevention and control of this nutritional disorder among pregnant women. Keywords Food fortification Iron Anaemia Gestation InterventionThe anaemia caused by Fe deficiency is considered the most common nutritional disorder worldwide, and affects children, pregnant women and women of childbearing age. Pregnancy is an important phase of risk for the development of Fe-deficiency anaemia, which is a public health problem due to its associated increased risks of perinatal morbidity and mortality (1) . Approximately 40 % of all maternal deaths during the perinatal period are related to anaemia. Unfavourable pregnancy outcomes occur 30-40 % more frequently among women with anaemia than among non-anaemic women and their babies get less than 50 % of the required Fe reserve, presenting higher risks of developing anaemia during their first year of life (2) . The global prevalence of anaemia in pregnant women is estimated at 41?8 %; in the Americas alone, this prevalence reaches 24 %. In Brazil, the prevalence of anaemia in pregnant women is about 29 % (3)

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Anemia como problema de saúde pública: uma realidade atual

Abstract: Anemia como problema de saúde pública: uma realidade atualAnemia as a public health problem: the current situation

Cited by 50 publications

References 9 publications

Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

Anemia em gestantes de municípios das regiões Sul e Centro-Oeste do Brasil

Níveis de hemoglobina e prevalência de anemia em gestantes atendidas em unidades básicas de saúde, antes e após a fortificação das farinhas com ferro

Anaemia in pregnant women before and after the mandatory fortification of wheat and corn flours with iron

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