Avaliaˋˋo do estado nutricional de ferro e anemia em crianˋas menores de 5 anos de creches p迆blicas

作者：Vieira; Ana Claudia F; Diniz; Alcides S; Cabral; Poliana C; Oliveira; Rejane S; Lola; Margarida M F; Silva; Solange M M; Kolsteren; Patrick

来源：Jornal de Pediatria, 2007.

DOI：10.1590/S0021-75572007000500014

• anemia
• iron deficiency
• hemoglobin
• serum ferritin
• serum iron
• total iron binding capacity
• transferrin saturation
• free erythrocyte protoporphyrin
• preschool children.

objective: to assess nutritional iron status and anemia prevalence in children less than 5 years old at public daycare centers in the city of recife, pe, brazil. methods: a cross-sectional study, with a systematic random sampling of 162 children aged 6 to 59 months. nutritional iron status was assessed in terms of body iron reserves (serum ferritin), transferrinemia (serum iron, total iron binding capacity, and transferrin saturation %), erythropoiesis (free erythrocyte protoporphyrin) and hemoglobin production (hemoglobin). results: the prevalence of anemia (hemoglobin 40 米mol/mol heme) in 69.6% (95%ci 61.0-77.1) of the children. iron parameters were not correlated with sex (p %26gt; 0.05). however, children 24 months. the significant correlation observed between reserves, transferrinemia and erythropoiesis is a finding that is compatible with the expected lifecycle of iron in the body. conclusions: iron deficiency and anemia appear to be an important public health problem among children less than 5 years old at public daycare centers in recife. therefore, effective actions aimed at the prevention and control of this deficiency are strongly recommended in this ecological context.