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Published on: August 21, 2015
[Anemias in preschool children: diagnosis, treatment and evaluation, Recife-PE, Brazil]
S de A Romani1, P I de Lira, M Batista Filho
1Centro da Ciencias da Sáude, Universidade Federal de Pernambuco, Recife, PE, Brasil.
Insights
Iron deficiency anemia is common in young Brazilian children, particularly those under two. Treatment with ferrous sulfate and mebendazole significantly improved hemoglobin levels in affected children.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Anemia is a significant health concern in young children globally.
- Iron deficiency anemia (IDA) is particularly prevalent in preschool-aged children in developing countries.
- Understanding anemia's prevalence and treatment effects is crucial for public health interventions.
Purpose of the Study:
- To assess the diagnosis and treatment outcomes of anemia in preschool children.
- To identify factors associated with anemia prevalence in this age group.
- To contribute data for a national program combating iron deficiency anemia.
Main Methods:
- A cross-sectional study of 1,161 preschool children (6-71 months) in Recife, Pernambuco, Brazil.
- Hemoglobin levels measured using Hainline method; anemia diagnosed using WHO criteria.
- Children with anemia treated with ferrous sulfate and mebendazole; outcomes analyzed based on age, nutritional status, and family income.
Main Results:
- Anemia prevalence was highest in children aged 2 years.
- Significant associations found between anemia and nutritional status (p<0.01) and family income (p<0.01).
- Post-treatment, 40% of anemic children normalized hemoglobin; mean levels increased significantly (9.11 to 10.3 g/dl, p<0.001).
Conclusions:
- Anemia is highly prevalent in young Brazilian children, linked to nutritional status and socioeconomic factors.
- Ferrous sulfate and mebendazole treatment effectively improved hemoglobin levels.
- Findings support the development of national strategies to combat childhood anemia.
Abstract:
The diagnosis and the effects of treatment of anemia were assessed in children aged 6-71 months. A total of 1,161 preschool children from a health center of INAMPS (Instituto Nacional de Assistência Médica e Previdência Social) in Recife, Pernambuco, was studied. Hemoglobin was determined by the method described by Hainline. WHO criteria were used to identify anemia. According to their age, nutritional status and family income, the children were divided into groups, and those with anemia were treated with ferrous sulphate and an anti-helminthic (mebendazole). Anemia prevalence was substantially higher in children aged 2 years, and a statistically significant association (0.01 level) was found between anemia and nutritional status and family income. After treatment, hemoglobin values were normal in 40% of the anemic children; simultaneously, mean hemoglobin values increased from 9.11 to 10.3 g/dl which was statistically significant (p less than 0.001). This investigation is part of a collaborative study performed in four Brazilian states to offer "know-how" to a national program for combating iron deficiency anemia.
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Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
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