The impact of systematic dietary counseling during the first year of life on prevalence rates of anemia and iron deficiency at 12-16 months

Bortolini, Gisele Ane; Vítolo, Márcia Regina

doi:10.2223/jped.2156

Cited by 22 publications

(36 citation statements)

References 23 publications

(21 reference statements)

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“…The studies were classified into four categories: childcare centres (n 13) (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) ; health services (n 4) (26)(27)(28)(29) ; populations in social inequities (n 7) (30)(31)(32)(33)(34)(35)(36) , of which five involved indigenous peoples and two approached Quilombola communities; and population-based studies involving representative samples of Brazilian cities, regions or states (n 13) (37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49) .…”

Section: Resultsmentioning

confidence: 99%

Prevalence of anaemia in Brazilian children in different epidemiological scenarios: an updated meta-analysis

Ferreira

Vieira

Livramento

et al. 2020

Public Health Nutr.

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Objective: To update the estimation of the prevalence of anaemia in Brazilian children according to four different epidemiological scenarios. Design: A new systematic review was conducted with a meta-analysis of the results published between 2007 and May 2019. Literature search was carried out in the PubMed and LILACS databases using keywords anaemia, child and Brazil. A total of thirty-seven articles (17 741 children) were selected and categorised according to the origin of their respective samples: childcare centres (Childcare; n 13 studies/2697 individuals), health services (Services; n 4/755), populations with social inequities (Inequities, n 7/6798) and population-based studies (Populations; n 13/7491). Assuming a prevalence of 20·9 % as reference (Health National Survey; n 3455), the combined prevalence ratios (PR) were calculated. A random-effects model was used. Participants: Brazilian children 6–60 months of age. Results: The prevalence of anaemia, by scenario, was: Childcare 24·8 % (PR 1·06; 95 % CI 0·81, 1·40); Services 39·9 % (PR 1·76, 95 % CI 1·33, 2·35); Inequities 51·6 % (PR 2·02, 95 % CI 1·87, 2·18); and Populations 35·8 % (PR 1·42, 95 % CI 1·23, 1·64). Therefore, the values were all higher than the national prevalence; the Inequities had the highest prevalence, and only Childcare did not reach statistical significance. Concerning the previous meta-analysis, there was a reduction in anaemia prevalence in all scenarios: –52·3, –33·7, –22·4 and –10·7 %, respectively. Conclusions: Compared to the situation revealed in the previous meta-analysis, anaemia, although observed to a lesser extent, remains an important public health problem in the different scenarios analysed, especially for children living in Inequities. Access to Childcare mitigates the risk for this condition.

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Section: Resultsmentioning

confidence: 99%

Prevalence of anaemia in Brazilian children in different epidemiological scenarios: an updated meta-analysis

Ferreira

Vieira

Livramento

et al. 2020

Public Health Nutr.

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“…Although dietary counselling commonly resulted in a better dietary intake profile in targeted subpopulation, such as breastfed for longer and had non-human milk introduced later among infant, consumed more meat and had diets with better iron bioavailability in relation to the children or pregnant women; however, this kind of interventions was not sufficient to prevent occurrence of anaemia, ID or IDA in population with high IDA burden [89][90][91].…”

Section: Improvements In Dietary Diversitymentioning

confidence: 99%

Iron Deficiency Anaemia

Zeng¹,

Pei²,

Li³

et al. 2018

Current Topics in Anemia

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Iron deficiency anaemia as the most common nutrition disorder has only marginal reduction globally during recent decades, with the highest burden in pregnant women and young children. Insufficient iron storage and/or excessive loss of iron are common causes of iron deficiency anaemia. Therefore, understanding the complexity of the regulatory network required to maintain iron homeostasis and identifying the functional variants associated with iron metabolism should be fundamental and crucial to control and treat the iron deficiency anaemia. Sensitive and inexpensive measures to distinguish iron deficiency anaemia from the other kinds of anaemia should be developed for precise treatment. Original disease treatments combined with oral or intravenous iron therapy are key approaches in clinical practices. The integrated, multifactorial and multi-sectoral approach with food-based strategy and iron supplementation as the leading public health inventions is required to achieve iron deficiency anaemia control target. This chapter will focus on the advanced knowledge associated with iron metabolism, disease burden and health consequences of iron deficiency anaemia in different life course, newly parameters development in the diagnosis of iron deficiency anaemia, therapy choice in clinical practice and public health strategies to reduce iron deficiencies in high-burden areas.

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“…Iron reserves at birth are smaller when the mother's reserves are low, reflecting the limited ability of the fetus to acquire iron. A study done in Indonesia with breastfed children aged four to six months found a prevalence of anemia of 37.0% (Hb <10.0 g/dL), having as associated factor the mother's hemoglobin level [27][28][29] .…”

Section: Security Severe Insecuritymentioning

confidence: 99%

Prevalence of iron-deficiency anemia in children aged less than 60 months: A population-based study from the state of Minas Gerais, Brazil

et al. 2015

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OBJECTIVE: To identify the prevalence of iron-deficiency anemia in children aged less than 60 months and the conditioning factors in Minas Gerais, Brazil. METHODS: This cross-sectional study conducted from February 2007 to July 2008 in Minas Gerais included a random sample of 725 male and female children aged less than 60 months. A household survey was administered to the children's parents or guardians to collect socioeconomic, demographic, food security, and the child's anthropometric data. The hemoglobin level was determined by a portable hemoglobinometer. Anemia was considered present when hemoglobin levels were below 11.0 g/dL. Statistical analyses estimated the prevalence of anemia and its association with socioeconomic, demographic, and food security-related variables. The model was adjusted by multivariate logistic regression. The significance level was set at 5% (p<0.05). RESULTS: The prevalence of anemia was 37.4%. The greatest prevalence occurred in the age group 6 to 24 months (43.0%). The associated variables were being female (PR=1.43; p<0.026); age (PR=1.53; p<0.024); and not frequenting a daycare center (PR=2.41; p<0.001). In the multivariate regression model, the variables being female and not frequenting a daycare center remained in the model. CONCLUSION: The present population-based study found that in Minas Gerais, one-third (37.5%) of the children aged less than 60 months have iron-deficiency anemia. The results show that not frequenting a daycare center and being female are risk factors for anemia.

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The impact of systematic dietary counseling during the first year of life on prevalence rates of anemia and iron deficiency at 12-16 months

Cited by 22 publications

References 23 publications

Prevalence of anaemia in Brazilian children in different epidemiological scenarios: an updated meta-analysis

Prevalence of anaemia in Brazilian children in different epidemiological scenarios: an updated meta-analysis

Iron Deficiency Anaemia

Prevalence of iron-deficiency anemia in children aged less than 60 months: A population-based study from the state of Minas Gerais, Brazil

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