Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFPA |
Texto Completo: | http://repositorio.ufpa.br/jspui/handle/2011/7739 |
Resumo: | OBJECTIVE: To compare prevalence of anemia and hemoglobin (Hb) levels in Brazilian pregnant women before and after fl our fortifi cation with iron. METHODS: A repeated cross-sectional panel study of public health care centers of municipalities in the five Brazilian regions was conducted. Retrospective data were obtained from 12,119 medical records of pregnant women distributed in two groups: before fortifi cation (delivery prior to June 2004) and after fortifi cation (date of last period after June 2005). Anemia was defi ned as Hb<11.0 g/dl. Hb levels according to gestational age were assessed using two references from the literature. Statistical analysis was carried out using chi-squared tests, Student’s t tests, and logistic regression, with a signifi cance level of 5%. RESULTS: In the total sample, prevalence of anemia fell from 25% to 20% after fortifi cation (p<0.001). However, important regional differences were evident: while signifi cant reductions were seen in the Northeast (37% to 29%) and North (32% to 25%) regions, where pre-fortifi cation prevalence was high, smaller reductions were seen in the Southeast (18% to 15%) and South (7% to 6%) regions, where prevalence was low. Hb levels according to gestational age were slightly higher in the fi rst months of pregnancy and lower after the third or fourth months, depending on the reference used. Logistic regression analysis showed that group, geographic region, marital status, trimester of pregnancy, initial nutritional status, and prior pregnancy were associated with anemia (p<0.05). CONCLUSIONS: Prevalence of anemia decreased after fortifi cation, but remains high in the North and Northeast regions. Although fortifi cation may have played a role in this favorable outcome, the contribution of other public policies implemented during the studied period should also be considered. |
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2017-02-22T12:01:29Z2017-02-22T12:01:29Z2011-12FUJIMORI, Elizabeth et al. Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro. Revista de Saúde Pública, São Paulo, v. 45, n. 6, p. 1027-1035, dez. 2011. Disponível em: <http://www.scielo.br/pdf/rsp/v45n6/en_2693.pdf> ; <http://www.scielo.br/pdf/rsp/v45n6/2693.pdf>. Acesso em: 22 fev. 2017. Epub 14-Out-2011. <http://dx.doi.org/10.1590/S0034-89102011005000078>.1518-8787http://repositorio.ufpa.br/jspui/handle/2011/7739OBJECTIVE: To compare prevalence of anemia and hemoglobin (Hb) levels in Brazilian pregnant women before and after fl our fortifi cation with iron. METHODS: A repeated cross-sectional panel study of public health care centers of municipalities in the five Brazilian regions was conducted. Retrospective data were obtained from 12,119 medical records of pregnant women distributed in two groups: before fortifi cation (delivery prior to June 2004) and after fortifi cation (date of last period after June 2005). Anemia was defi ned as Hb<11.0 g/dl. Hb levels according to gestational age were assessed using two references from the literature. Statistical analysis was carried out using chi-squared tests, Student’s t tests, and logistic regression, with a signifi cance level of 5%. RESULTS: In the total sample, prevalence of anemia fell from 25% to 20% after fortifi cation (p<0.001). However, important regional differences were evident: while signifi cant reductions were seen in the Northeast (37% to 29%) and North (32% to 25%) regions, where pre-fortifi cation prevalence was high, smaller reductions were seen in the Southeast (18% to 15%) and South (7% to 6%) regions, where prevalence was low. Hb levels according to gestational age were slightly higher in the fi rst months of pregnancy and lower after the third or fourth months, depending on the reference used. Logistic regression analysis showed that group, geographic region, marital status, trimester of pregnancy, initial nutritional status, and prior pregnancy were associated with anemia (p<0.05). CONCLUSIONS: Prevalence of anemia decreased after fortifi cation, but remains high in the North and Northeast regions. Although fortifi cation may have played a role in this favorable outcome, the contribution of other public policies implemented during the studied period should also be considered.OBJETIVO: Comparar prevalência de anemia e valores de hemoglobina (Hb) em gestantes brasileiras, antes e após a fortificação das farinhas com ferro. MÉTODOS: Estudo de avaliação de painéis repetidos, desenvolvido em serviços públicos de saúde de municípios das cinco regiões brasileiras. Dados retrospectivos foram obtidos de 12.119 prontuários de gestantes distribuídas em dois grupos: antes da fortificação, com parto anterior a junho de 2004, e após a fortificação, com última menstruação após junho de 2005. Anemia foi definida como Hb < 11,0 g/dL. Valores de Hb/idade gestacional foram avaliados segundo dois referenciais da literatura. Foram utilizados teste qui-quadrado, t de Student e regressão logística, com nível de 5% de significância. RESULTADOS: Na amostra total, anemia caiu de 25% para 20% após fortificação (p < 0,001), com médias de Hb significativamente maiores no grupo "após" (p < 0,001). Observaram-se, entretanto, diferenças regionais importantes: reduções significativas nas regiões Nordeste (37% para 29%) e Norte (32% para 25%), onde as prevalências de anemia eram elevadas antes da fortificação, e reduções menores nas regiões Sudeste (18% para 15%) e Sul (7% para 6%), onde as prevalências eram baixas. Os níveis de Hb/idade gestacional de ambos os grupos se mostraram discretamente mais elevados nos primeiros meses, porém bem mais baixos após o terceiro ou quarto mês, dependendo da referência utilizada para comparação. Análise de regressão logística mostrou que grupo, região geográfica, situação conjugal, trimestre gestacional, estado nutricional inicial e gestação anterior associaram-se com anemia (p < 0,05). CONCLUSÕES: A prevalência de anemia diminuiu após a fortificação, porém continua elevada nas regiões Nordeste e Norte. Embora a fortificação possa ter tido papel nesse resultado favorável, há que se considerar a contribuição de outras políticas públicas implementadas no período estudado.Submitted by Luciana Alcantara (lalcantara@ufpa.br) on 2017-02-22T11:58:56Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Artigo_AnemiaBrazilianPregnant.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5)Approved for entry into archive by Luciana Alcantara (lalcantara@ufpa.br) on 2017-02-22T12:00:37Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Artigo_AnemiaBrazilianPregnant.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5)Made available in DSpace on 2017-02-22T12:01:29Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Artigo_AnemiaBrazilianPregnant.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5) Previous issue date: 2011-12OBJETIVO: Comparar prevalencia de anemia y valores de hemoglobina (Hb) en gestantes brasileñas, antes y después de la fortificación de las harinas con hierro. MÉTODOS: Estudio de evaluación de paneles repetidos, desarrollado en servicios públicos de salud de municipios de las cinco regiones brasileñas. Datos retrospectivos se obtuvieron de 12.119 prontuarios de gestantes distribuidas en dos grupos: antes de la fortificación, con parto anterior a junio de 2004, y posterior a la fortificación, con última menstruación después de junio 2005. Anemia fue definida como Hb<11,0 g/dL. Valores de Hb/edad gestacional fueron evaluados según dos referenciales de la literatura. Se utilizaron prueba de chi-cuadrado, t de Student y regresión logística, con nivel de 5% de significancia. RESULTADOS: En la muestra total, anemia disminuyó de 25% a 20% después de la fortificación (p<0,001), con promedios de Hb significativamente mayores en el grupo "posterior" (p<0,001). Se observaron, sin embargo, diferencias regionales importantes: reducciones significativas en las regiones Noreste (de 37% a 29%) y Norte (de 32% a 25%), donde las prevalencias de anemia eran elevadas antes de la fortificación; y reducciones menores en las regiones Sureste (de 18% a 15%) y Sur (de 7% a 6%), donde las prevalencias eran bajas. Los niveles de Hb/edad gestacional de ambos grupos se mostraron discretamente mas elevados en los primeros meses, aunque mucho mas bajos posterior al tercero o cuarto mes, dependiendo de la referencia utilizada para comparación. Análisis de regresión logística mostró cual grupo, región geográfica, situación conyugal, trimestre gestacional, estado nutricional inicial y gestación anterior se asociaron con anemia (p<0,05). CONCLUSIONES: La prevalencia de anemia disminuyó posterior a la fortificación, aunque continua elevada en las regiones Noreste y Norte. A pesar de que la fortificación pueda haber tenido papel en este resultado favorable, hay que considerar la contribución de otras políticas públicas implementadas en el periodo estudiado.porUniversidade Federal do ParáUFPABrasilRevista de Saúde PúblicaAnemiaGestantesPrevalênciaNutriçãoAnemia em gestantes brasileiras antes e após a fortificação das farinhas com ferroAnemia en gestantes brasileñas antes y después de la fortificación de harinas con hierroinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4561FUJIMORI, ElizabethSATO, Ana Paula SayuriSZARFARC, Sophia CornbluthVEIGA, Gloria Valeria daQUEIROZ, Valterlinda Alves de OliveiraCOLLI, CéliaARAUJO, Regilda Saraiva dos Reis MoreiraARRUDA, Ilma Kruze Grande deUCHIMURA, Taqueco TeruyaBRUNKEN, Gisela SoaresYUYAMA, Lucia Kiyoko OzakiMUNIZ, Pascoal TorresPRIORE, Silvia EloizaTSUNECHIRO, Maria AliceFRAZÃO, Andréa das Graças FerreiraPASSONI, Cynthia R Matos SilvaARAÚJO, Claudia Regina Marchiori Antunesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFPAinstname:Universidade Federal do Pará (UFPA)instacron:UFPA9ORIGINALArtigo_AnemiaGestantesBrasileiras.pdfArtigo_AnemiaGestantesBrasileiras.pdfPORTUGUÊSapplication/pdf191126https://repositorio.ufpa.br/oai/bitstream/2011/7739/6/Artigo_AnemiaGestantesBrasileiras.pdfe886b0404a71c83300df232325f54a15MD56Artigo_AnemiaBrazilianPregnant.pdfArtigo_AnemiaBrazilianPregnant.pdfINGLÊSapplication/pdf152343https://repositorio.ufpa.br/oai/bitstream/2011/7739/7/Artigo_AnemiaBrazilianPregnant.pdfa9d752aa2a74255adcebe50e200574d1MD57CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.pt_BR.fl_str_mv |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
dc.title.alternative.pt_BR.fl_str_mv |
Anemia en gestantes brasileñas antes y después de la fortificación de harinas con hierro |
title |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
spellingShingle |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro FUJIMORI, Elizabeth Anemia Gestantes Prevalência Nutrição |
title_short |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
title_full |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
title_fullStr |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
title_full_unstemmed |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
title_sort |
Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro |
author |
FUJIMORI, Elizabeth |
author_facet |
FUJIMORI, Elizabeth SATO, Ana Paula Sayuri SZARFARC, Sophia Cornbluth VEIGA, Gloria Valeria da QUEIROZ, Valterlinda Alves de Oliveira COLLI, Célia ARAUJO, Regilda Saraiva dos Reis Moreira ARRUDA, Ilma Kruze Grande de UCHIMURA, Taqueco Teruya BRUNKEN, Gisela Soares YUYAMA, Lucia Kiyoko Ozaki MUNIZ, Pascoal Torres PRIORE, Silvia Eloiza TSUNECHIRO, Maria Alice FRAZÃO, Andréa das Graças Ferreira PASSONI, Cynthia R Matos Silva ARAÚJO, Claudia Regina Marchiori Antunes |
author_role |
author |
author2 |
SATO, Ana Paula Sayuri SZARFARC, Sophia Cornbluth VEIGA, Gloria Valeria da QUEIROZ, Valterlinda Alves de Oliveira COLLI, Célia ARAUJO, Regilda Saraiva dos Reis Moreira ARRUDA, Ilma Kruze Grande de UCHIMURA, Taqueco Teruya BRUNKEN, Gisela Soares YUYAMA, Lucia Kiyoko Ozaki MUNIZ, Pascoal Torres PRIORE, Silvia Eloiza TSUNECHIRO, Maria Alice FRAZÃO, Andréa das Graças Ferreira PASSONI, Cynthia R Matos Silva ARAÚJO, Claudia Regina Marchiori Antunes |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
FUJIMORI, Elizabeth SATO, Ana Paula Sayuri SZARFARC, Sophia Cornbluth VEIGA, Gloria Valeria da QUEIROZ, Valterlinda Alves de Oliveira COLLI, Célia ARAUJO, Regilda Saraiva dos Reis Moreira ARRUDA, Ilma Kruze Grande de UCHIMURA, Taqueco Teruya BRUNKEN, Gisela Soares YUYAMA, Lucia Kiyoko Ozaki MUNIZ, Pascoal Torres PRIORE, Silvia Eloiza TSUNECHIRO, Maria Alice FRAZÃO, Andréa das Graças Ferreira PASSONI, Cynthia R Matos Silva ARAÚJO, Claudia Regina Marchiori Antunes |
dc.subject.por.fl_str_mv |
Anemia Gestantes Prevalência Nutrição |
topic |
Anemia Gestantes Prevalência Nutrição |
description |
OBJECTIVE: To compare prevalence of anemia and hemoglobin (Hb) levels in Brazilian pregnant women before and after fl our fortifi cation with iron. METHODS: A repeated cross-sectional panel study of public health care centers of municipalities in the five Brazilian regions was conducted. Retrospective data were obtained from 12,119 medical records of pregnant women distributed in two groups: before fortifi cation (delivery prior to June 2004) and after fortifi cation (date of last period after June 2005). Anemia was defi ned as Hb<11.0 g/dl. Hb levels according to gestational age were assessed using two references from the literature. Statistical analysis was carried out using chi-squared tests, Student’s t tests, and logistic regression, with a signifi cance level of 5%. RESULTS: In the total sample, prevalence of anemia fell from 25% to 20% after fortifi cation (p<0.001). However, important regional differences were evident: while signifi cant reductions were seen in the Northeast (37% to 29%) and North (32% to 25%) regions, where pre-fortifi cation prevalence was high, smaller reductions were seen in the Southeast (18% to 15%) and South (7% to 6%) regions, where prevalence was low. Hb levels according to gestational age were slightly higher in the fi rst months of pregnancy and lower after the third or fourth months, depending on the reference used. Logistic regression analysis showed that group, geographic region, marital status, trimester of pregnancy, initial nutritional status, and prior pregnancy were associated with anemia (p<0.05). CONCLUSIONS: Prevalence of anemia decreased after fortifi cation, but remains high in the North and Northeast regions. Although fortifi cation may have played a role in this favorable outcome, the contribution of other public policies implemented during the studied period should also be considered. |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011-12 |
dc.date.accessioned.fl_str_mv |
2017-02-22T12:01:29Z |
dc.date.available.fl_str_mv |
2017-02-22T12:01:29Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
FUJIMORI, Elizabeth et al. Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro. Revista de Saúde Pública, São Paulo, v. 45, n. 6, p. 1027-1035, dez. 2011. Disponível em: <http://www.scielo.br/pdf/rsp/v45n6/en_2693.pdf> ; <http://www.scielo.br/pdf/rsp/v45n6/2693.pdf>. Acesso em: 22 fev. 2017. Epub 14-Out-2011. <http://dx.doi.org/10.1590/S0034-89102011005000078>. |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufpa.br/jspui/handle/2011/7739 |
dc.identifier.issn.pt_BR.fl_str_mv |
1518-8787 |
identifier_str_mv |
FUJIMORI, Elizabeth et al. Anemia em gestantes brasileiras antes e após a fortificação das farinhas com ferro. Revista de Saúde Pública, São Paulo, v. 45, n. 6, p. 1027-1035, dez. 2011. Disponível em: <http://www.scielo.br/pdf/rsp/v45n6/en_2693.pdf> ; <http://www.scielo.br/pdf/rsp/v45n6/2693.pdf>. Acesso em: 22 fev. 2017. Epub 14-Out-2011. <http://dx.doi.org/10.1590/S0034-89102011005000078>. 1518-8787 |
url |
http://repositorio.ufpa.br/jspui/handle/2011/7739 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.ispartof.pt_BR.fl_str_mv |
Revista de Saúde Pública |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal do Pará |
dc.publisher.initials.fl_str_mv |
UFPA |
dc.publisher.country.fl_str_mv |
Brasil |
publisher.none.fl_str_mv |
Universidade Federal do Pará |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFPA instname:Universidade Federal do Pará (UFPA) instacron:UFPA |
instname_str |
Universidade Federal do Pará (UFPA) |
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UFPA |
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UFPA |
reponame_str |
Repositório Institucional da UFPA |
collection |
Repositório Institucional da UFPA |
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repository.name.fl_str_mv |
Repositório Institucional da UFPA - Universidade Federal do Pará (UFPA) |
repository.mail.fl_str_mv |
riufpabc@ufpa.br |
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1793525697478656000 |