Anemia in Brazilian pregnant women before and after flour fortification with iron
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , |
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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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:ri/14698VGVybW8gZGUgTGljZW7vv71hLCBu77+9byBleGNsdXNpdm8sIHBhcmEgbyBkZXDvv71zaXRvIG5vIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRkJBLgoKIFBlbG8gcHJvY2Vzc28gZGUgc3VibWlzc++/vW8gZGUgZG9jdW1lbnRvcywgbyBhdXRvciBvdSBzZXUgcmVwcmVzZW50YW50ZSBsZWdhbCwgYW8gYWNlaXRhciAKZXNzZSB0ZXJtbyBkZSBsaWNlbu+/vWEsIGNvbmNlZGUgYW8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVuaXZlcnNpZGFkZSBGZWRlcmFsIGRhIEJhaGlhIApvIGRpcmVpdG8gZGUgbWFudGVyIHVtYSBj77+9cGlhIGVtIHNldSByZXBvc2l077+9cmlvIGNvbSBhIGZpbmFsaWRhZGUsIHByaW1laXJhLCBkZSBwcmVzZXJ2Ye+/ve+/vW8uIApFc3NlcyB0ZXJtb3MsIG7vv71vIGV4Y2x1c2l2b3MsIG1hbnTvv71tIG9zIGRpcmVpdG9zIGRlIGF1dG9yL2NvcHlyaWdodCwgbWFzIGVudGVuZGUgbyBkb2N1bWVudG8gCmNvbW8gcGFydGUgZG8gYWNlcnZvIGludGVsZWN0dWFsIGRlc3NhIFVuaXZlcnNpZGFkZS4KCiBQYXJhIG9zIGRvY3VtZW50b3MgcHVibGljYWRvcyBjb20gcmVwYXNzZSBkZSBkaXJlaXRvcyBkZSBkaXN0cmlidWnvv73vv71vLCBlc3NlIHRlcm1vIGRlIGxpY2Vu77+9YSAKZW50ZW5kZSBxdWU6CgogTWFudGVuZG8gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIHJlcGFzc2Fkb3MgYSB0ZXJjZWlyb3MsIGVtIGNhc28gZGUgcHVibGljYe+/ve+/vWVzLCBvIHJlcG9zaXTvv71yaW8KcG9kZSByZXN0cmluZ2lyIG8gYWNlc3NvIGFvIHRleHRvIGludGVncmFsLCBtYXMgbGliZXJhIGFzIGluZm9ybWHvv73vv71lcyBzb2JyZSBvIGRvY3VtZW50bwooTWV0YWRhZG9zIGVzY3JpdGl2b3MpLgoKIERlc3RhIGZvcm1hLCBhdGVuZGVuZG8gYW9zIGFuc2Vpb3MgZGVzc2EgdW5pdmVyc2lkYWRlIGVtIG1hbnRlciBzdWEgcHJvZHXvv73vv71vIGNpZW5077+9ZmljYSBjb20gCmFzIHJlc3Ryae+/ve+/vWVzIGltcG9zdGFzIHBlbG9zIGVkaXRvcmVzIGRlIHBlcmnvv71kaWNvcy4KCiBQYXJhIGFzIHB1YmxpY2Hvv73vv71lcyBzZW0gaW5pY2lhdGl2YXMgcXVlIHNlZ3VlbSBhIHBvbO+/vXRpY2EgZGUgQWNlc3NvIEFiZXJ0bywgb3MgZGVw77+9c2l0b3MgCmNvbXB1bHPvv71yaW9zIG5lc3NlIHJlcG9zaXTvv71yaW8gbWFudO+/vW0gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIG1hcyBtYW5077+9bSBhY2Vzc28gaXJyZXN0cml0byAKYW8gbWV0YWRhZG9zIGUgdGV4dG8gY29tcGxldG8uIEFzc2ltLCBhIGFjZWl0Ye+/ve+/vW8gZGVzc2UgdGVybW8gbu+/vW8gbmVjZXNzaXRhIGRlIGNvbnNlbnRpbWVudG8KIHBvciBwYXJ0ZSBkZSBhdXRvcmVzL2RldGVudG9yZXMgZG9zIGRpcmVpdG9zLCBwb3IgZXN0YXJlbSBlbSBpbmljaWF0aXZhcyBkZSBhY2Vzc28gYWJlcnRvLgo=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 |
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info:eu-repo/semantics/openAccess |
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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 instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
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Universidade Federal da Bahia (UFBA) |
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UFBA |
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UFBA |
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Repositório Institucional da UFBA |
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