Prevalence Of Anemia Among Preschoolers And Response To Iron Supplementation

Objectives: To assess the prevalence of anemia among children attending public preschools in Ilhabela, state of São Paulo, Brazil, and their response to a treatment regimen. Methods: Between 2007 and 2008, the weight, height, and hemoglobin levels of 667 children were measured in the school setting. Anemic children were prescribed a 12-week course of ferrous sulfate, and follow-up assessment visits were scheduled for halfway through this course and the end of treatment. Results: The prevalence of anemia was 25.6% (N = 170). The lowest hemoglobin level measured was 9.5 g/dL. Anemia was most prevalent (36%) in children between the ages of 60 and 65 months. Median hemoglobin levels rose to 11.8 g/dL from 10.5 g/dL after treatment; 76% of children recovered from anemia. Conclusion: Screening for anemia in the school setting and prompt therapy, including mid-treatment follow-up, proved to be an effective strategy for facing this major public health issue. Copyright © 2011 by Sociedade Brasileira de Pediatria.8717679(1968) Nutritional Anemias: Report of A WHO Scientific Group, , World Health Organization (WHO) Technical Report Series no. 405. Geneva: WHO(2001) Iron Deficiency Anaemia: Assessment, Prevention and Control. A Guide for Programme Managers, , World Health Organization (WHO). Geneva: WHO/UNICEF/UNUQueiroz, S.S., Torres, M.A., Anemia perropriva na infância (2000) J Pediatr, 76, pp. S298-S304. , Rio JAssunção, M.C., Santos, I.S., Barros, A.J., Gigante, D.P., Victora, C.G., Anemia em menores de seis anos: Estudo de base populacional em Pelotas, RS (2007) Rev Saude Publica, 41, pp. 539-548Oliveira, R.S., Diniz Ad Ada, S., Benigna, M.J., Miranda-Silva, S.M., Lola, M.M., Gonçalves, M.C., Magnitude, distribuição espacial e tendência da anemia em pré-escolares da Paraíba (2002) Rev Saude Publica, 36, pp. 26-32Konstantyner, T., Taddei, J.A., Oliveira, M.N., Palma, D., Colugnati, F.A., Isolated and combined risks for anemia in children attending the nurseries of daycare centers (2009) J Pediatr, 85, pp. 209-216. , Rio JCaderno de Informações de Saúde São Paulo, Município Ilhabela, , http://tabnet.datasus.gov.br/tabdata/cadernos/sp.htm, Ministério da Saúde. banco de dados na internet Access: 23/08/2009(2007), http://www.ibge.gov.br/cidadesat/topwindow, Acesso: 21/01/2010Santos, L.M., (2002) Bibliografia Sobre Deficiência de Micronutrientes No Brasil 1990-2000, , Anemia. Brasília: Organização Pan-Americana da Saúde(2008) Vigilância Alimentar e Nutricional SISVAN. Orientações para a Coleta e Análise de dados Antropométricos em Serviços de Saúde, , http://www.sonutricao.com.br/downloads/ sisvan_norma_tecnica_preliminar_criancas.pdf, Ministério da Saúde. Secretaria de Atenção à Saúde Departamento de Atenção Básica. Coordenação Geral da Política de Alimentação e Nutrição. Norma Técnica - SISVANAccess: 21/06/2010Badham, J., Kraemer, K., Zimmermann, M.B., (2007) Nutritional Anemia, , Basel, Switzerland: Sight and Life PressSantos, C.D., Santos, L.M., Figueiroa, J.N., Marroquim, P.M., Oliveira, M.A., Anemia em escolares da primeira série do ensino fundamental da rede pública de Maceió, Alagoas, Brasil (2002) Cad Saude Publica, 18, pp. 1757-1763Farias, I.L., Colpo, E., Botton, S.R., Silveira, R.B., Fleig, A., Schimitz, C.A., Carbonyl iron reduces anemia and improves effectiveness of treatment in under six-year-old children (2009) Rev Bras Hematol Hemoter, 31, pp. 125-13

The Study Of Cardiovascular Risk In Adolescents - Erica: Rationale, Design And Sample Characteristics Of A National Survey Examining Cardiovascular Risk Factor Profile In Brazilian Adolescents

Background: The Study of Cardiovascular Risk in Adolescents (Portuguese acronym, "ERICA") is a multicenter, school-based country-wide cross-sectional study funded by the Brazilian Ministry of Health, which aims at estimating the prevalence of cardiovascular risk factors, including those included in the definition of the metabolic syndrome, in a random sample of adolescents aged 12 to 17 years in Brazilian cities with more than 100,000 inhabitants. Approximately 85,000 students were assessed in public and private schools. Brazil is a continental country with a heterogeneous population of 190 million living in its five main geographic regions (North, Northeast, Midwest, South and Southeast). ERICA is a pioneering study that will assess the prevalence rates of cardiovascular risk factors in Brazilian adolescents using a sample with national and regional representativeness. This paper describes the rationale, design and procedures of ERICA. Methods/Design: Participants answered a self-administered questionnaire using an electronic device, in order to obtain information on demographic and lifestyle characteristics, including physical activity, smoking, alcohol intake, sleeping hours, common mental disorders and reproductive and oral health. Dietary intake was assessed using a 24-hour dietary recall. Anthropometric measures (weight, height and waist circumference) and blood pressure were also be measured. Blood was collected from a subsample of approximately 44,000 adolescents for measurements of fasting glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, triglycerides, glycated hemoglobin and fasting insulin. 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