Anemia in Brazilian pregnant women before and after flour fortification with iron

Detalhes bibliográficos
Autor(a) principal: Fujimori, Elizabeth
Data de Publicação: 2011
Outros Autores: Sato, Ana Paula Sayuri, Szarfarc, Sophia Cornbluth, Veiga, Gloria Valeria da, Oliveira, Valterlinda Alves de, Colli, Célia, Araújo, Regilda Saraiva dos Reis Moreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/14698
Resumo: p. 1-9
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spelling Fujimori, ElizabethSato, Ana Paula SayuriSzarfarc, Sophia CornbluthVeiga, Gloria Valeria daOliveira, Valterlinda Alves deColli, CéliaAraújo, Regilda Saraiva dos Reis Moreira2014-02-21T19:51:31Z2014-02-21T19:51:31Z20110034-8910http://repositorio.ufba.br/ri/handle/ri/14698v. 45, n. 6p. 1-9OBJECTIVE: To compare prevalence of anemia and hemoglobin (Hb) levels in Brazilian pregnant women before and after flour fortification 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 fortification (delivery prior to June 2004) and after fortification (date of last period after June 2005). Anemia was defined 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 significance level of 5%. RESULTS: In the total sample, prevalence of anemia fell from 25% to 20% after fortification (p<0.001). However, important regional differences were evident: while significant reductions were seen in the Northeast (37% to 29%) and North (32% to 25%) regions, where pre-fortification 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 first 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 fortification, but remains high in the North and Northeast regions. Although fortification may have played a role in this favorable outcome, the contribution of other public policies implemented during the studied period should also be considered.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-02-18T14:15:42Z No. of bitstreams: 1 Valterlinda Alves de Oliveira.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-02-21T19:51:31Z (GMT) No. of bitstreams: 1 Valterlinda Alves de Oliveira.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5)Made available in DSpace on 2014-02-21T19:51:31Z (GMT). No. of bitstreams: 1 Valterlinda Alves de Oliveira.pdf: 152343 bytes, checksum: a9d752aa2a74255adcebe50e200574d1 (MD5) Previous issue date: 2011http://dx.doi.org/10.1590/S0034-89102011005000078reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPregnant WomenAnemiaIron-DeficiencyFlourFoodFortifiedPrenatal CareAnemia in Brazilian pregnant women before and after flour fortification with ironRevista de Saúde Públicainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessengORIGINALValterlinda Alves de Oliveira.pdfValterlinda Alves de Oliveira.pdfapplication/pdf152343https://repositorio.ufba.br/bitstream/ri/14698/1/Valterlinda%20Alves%20de%20Oliveira.pdfa9d752aa2a74255adcebe50e200574d1MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/14698/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTValterlinda Alves de Oliveira.pdf.txtValterlinda Alves de Oliveira.pdf.txtExtracted texttext/plain37821https://repositorio.ufba.br/bitstream/ri/14698/3/Valterlinda%20Alves%20de%20Oliveira.pdf.txt439e8f795837157607ef40457f49aa69MD53ri/146982022-02-21 00:10:37.725oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-02-21T03:10:37Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Anemia in Brazilian pregnant women before and after flour fortification with iron
dc.title.alternative.pt_BR.fl_str_mv Revista de Saúde Pública
title Anemia in Brazilian pregnant women before and after flour fortification with iron
spellingShingle Anemia in Brazilian pregnant women before and after flour fortification with iron
Fujimori, Elizabeth
Pregnant Women
Anemia
Iron-Deficiency
Flour
Food
Fortified
Prenatal Care
title_short Anemia in Brazilian pregnant women before and after flour fortification with iron
title_full Anemia in Brazilian pregnant women before and after flour fortification with iron
title_fullStr Anemia in Brazilian pregnant women before and after flour fortification with iron
title_full_unstemmed Anemia in Brazilian pregnant women before and after flour fortification with iron
title_sort Anemia in Brazilian pregnant women before and after flour fortification with iron
author Fujimori, Elizabeth
author_facet Fujimori, Elizabeth
Sato, Ana Paula Sayuri
Szarfarc, Sophia Cornbluth
Veiga, Gloria Valeria da
Oliveira, Valterlinda Alves de
Colli, Célia
Araújo, Regilda Saraiva dos Reis Moreira
author_role author
author2 Sato, Ana Paula Sayuri
Szarfarc, Sophia Cornbluth
Veiga, Gloria Valeria da
Oliveira, Valterlinda Alves de
Colli, Célia
Araújo, Regilda Saraiva dos Reis Moreira
author2_role 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
Oliveira, Valterlinda Alves de
Colli, Célia
Araújo, Regilda Saraiva dos Reis Moreira
dc.subject.por.fl_str_mv Pregnant Women
Anemia
Iron-Deficiency
Flour
Food
Fortified
Prenatal Care
topic Pregnant Women
Anemia
Iron-Deficiency
Flour
Food
Fortified
Prenatal Care
description p. 1-9
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2014-02-21T19:51:31Z
dc.date.available.fl_str_mv 2014-02-21T19:51:31Z
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.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/14698
dc.identifier.issn.none.fl_str_mv 0034-8910
dc.identifier.number.pt_BR.fl_str_mv v. 45, n. 6
identifier_str_mv 0034-8910
v. 45, n. 6
url http://repositorio.ufba.br/ri/handle/ri/14698
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S0034-89102011005000078
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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