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Iron deficiency anemia in children: prevalence and prevention studies in Ribeirão Preto, Brazil
J E de Oliveira1, S Ventura, A M Souza
1Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil.
Insights
Iron deficiency and ferropenic anemia are significant nutritional issues in Brazil, especially affecting children aged 6-24 months. Prevention strategies, including supplementation and food fortification, show promise but require further implementation.
Area of Science:
- Nutrition and Public Health
- Pediatrics
- Hematology
Background:
- Iron deficiency and ferropenic anemia represent prevalent nutritional challenges in Brazil.
- The Ribeirão Preto region exhibits a high incidence, particularly in children aged 6-24 months.
Purpose of the Study:
- To review the prevalence and discuss prevention strategies for iron deficiency and anemia in Brazilian infants and preschool children.
- To highlight the importance of iron supplementation and explore alternative prevention methods.
Main Methods:
- Review of studies conducted at the Medical School of Ribeirão Preto, University of São Paulo.
- Analysis of data on iron deficiency prevalence and intervention outcomes.
Main Results:
- High incidence of iron deficiency and anemia confirmed in infants and preschool children.
- Iron supplementation is crucial for preterm, premature, and normal infants.
- Iron complexes and fortified foods demonstrate feasibility for prevention.
Conclusions:
- Despite known physiopathology, iron deficiency remains a difficult problem to solve in Brazil.
- Community-based distribution of iron supplements and fortified foods are viable alternatives for prevention.
Abstract:
Iron deficiency and ferropenic anemia are, certainly, the most prevalent and specific nutritional problems in Brazil. The Ribeirão Preto region is no exception to it. A large prevalence of iron deficiency/anemia is found, mainly in the age group 6-24 months. In spite of the fact that several aspects of its physiopathology are known it is a very difficult problem to be solved. Many approaches and alternatives for their prevention have been tried but we are far from controlling the situation. Several studies carried out at the Medical School of Ribeirão Preto, University of São Paulo, Brazil have shown this high incidence of iron deficiency and iron anemia among infants and preschool children. The importance of iron supplementation to preterm, premature and normal infants was pointed out. The possibility of use of iron complexes to prevent iron deficiency, besides the usual ferrous sulfate, was shown. Several community studies proved the feasibility of distribution and intake of iron as supplements or fortification of carriers as alternatives to prevent iron deficiency.
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