Camillo Carlos César, Amancio Olga Maria Silverio, Vitalle Maria Sylvia de Souza, Braga Josefina Aparecida Pellegrini, Juliano Yara
Departamento de Pediatria, Universidade Federal de São Paulo, SP, e no Centro Universitário da Fundação Educacional de Guaxupé- UNIFEG, Minas Gerais, MG.
Rev Assoc Med Bras (1992). 2008 Mar-Apr;54(2):154-9. doi: 10.1590/s0104-42302008000200020.
To evaluate the nutritional status and the prevalence of iron deficiency anemia in children attending public day care centers in the city of Guaxupé (MG), Brazil.
Children of both genders, from 6 to 72 months, registered in public day-care centers in the city of Guaxupé, were studied. Nutritional evaluation was conducted using the Z-score for height-to-age and weight-to-height relationships. Hemoglobin dosage, serum iron, total iron binding capacity and the transferrin saturation index were used for diagnosis of anemia.
Z score < - 2 was observed in 3.3% of the children for the height-to-age relationship and of 0.4% for the weight-to-height relationship. Prevalence of total iron deficiency anemia was of 16.1%. In the age span from 6 to 36 months it was of 44.6%. The entire sample showed 45% with low serum iron, 37.9% with high total iron binding capacity and 43.1% with a low transferrin saturation index.
Malnutrition was not considered to be a problem due to its low prevalence; however, an important prevalence of iron deficiency was observed. Iron deficiency anemia is more prevalent in children between 6 and 36 months confirming that this age span is more vulnerable. No association between iron deficiency anemia and the Z score of the studied anthropometry relationships was found.
评估巴西瓜苏佩市（米纳斯吉拉斯州）公立日托中心儿童的营养状况及缺铁性贫血患病率。
对瓜苏佩市公立日托中心登记在册的6至72个月的男女儿童进行研究。采用身高别年龄和体重别身高关系的Z评分进行营养评估。血红蛋白测定、血清铁、总铁结合力和转铁蛋白饱和度指数用于贫血诊断。
身高别年龄关系中，3.3%的儿童Z评分＜-2；体重别身高关系中，0.4%的儿童Z评分＜-2。缺铁性贫血总患病率为16.1%。6至36个月龄儿童的患病率为44.6%。整个样本中，45%的儿童血清铁水平低，37.9%的儿童总铁结合力高，43.1%的儿童转铁蛋白饱和度指数低。
由于营养不良患病率低，未将其视为一个问题；然而，观察到缺铁情况较为普遍。缺铁性贫血在儿童6至36个月龄时更为普遍，证实该年龄段更易患病。未发现缺铁性贫血与所研究人体测量关系的Z评分之间存在关联。
