García-Casal María Nieves, Landaeta-Jiménez Maritza, Puche Rafael, Leets Irene, Carvajal Zoila, Patiño Elijú, Ibarra Carlos
Laboratorio de Fisiopatología, Centro de Medicina Experimental, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas 1020-A, Venezuela.
Anemia. 2011;2011:284050. doi: 10.1155/2011/284050. Epub 2011 Apr 6.
The objective was to determine the prevalence of iron, folates and retinol deficiencies in school children and to evaluate the changes after an intervention of nutritional education. The project was developed in 17 schools. The sample included 1,301 children (678 males and 623 females). A subsample of 480 individuals, was randomly selected for drawing blood for biochemical determinations before and after the intervention of nutritional education, which included in each school: written pre and post-intervention tests, 6 workshops, 2 participative talks, 5 game activities, 1 cooking course and 1 recipe contest. Anthropometrical and biochemical determinations included weight, height, body-mass index, nutritional status, hematocrit, serum ferritin, retinol and folate concentrations. There was high prevalence of iron (25%), folates (75%) and vitamin A (43%) deficiencies in school children, with a low consumption of fruit and vegetables, high consumption of soft drinks and snacks and almost no physical activity. The nutritional education intervention produced a significant reduction in iron deficiency prevalence (25 to 14%), and showed no effect on vitamin A and folates deficiencies. There was a slight improvement in nutritional status. This study shows, through biochemical determinations, that nutritional education initiatives and programs have an impact improving nutritional health in school children.
目的是确定学龄儿童中铁、叶酸和视黄醇缺乏症的患病率,并评估营养教育干预后的变化。该项目在17所学校开展。样本包括1301名儿童(678名男性和623名女性)。在营养教育干预前后,从样本中随机抽取480人进行血液生化检测,营养教育在每所学校包括:干预前后的书面测试、6次工作坊、2次参与式讲座、5次游戏活动、1次烹饪课程和1次食谱竞赛。人体测量和生化检测包括体重、身高、体重指数、营养状况、血细胞比容、血清铁蛋白、视黄醇和叶酸浓度。学龄儿童中铁缺乏症(25%)、叶酸缺乏症(75%)和维生素A缺乏症(43%)的患病率很高,水果和蔬菜消费量低,软饮料和零食消费量高,且几乎没有体育活动。营养教育干预使铁缺乏症患病率显著降低(从25%降至14%),但对维生素A和叶酸缺乏症没有影响。营养状况略有改善。这项研究通过生化检测表明,营养教育举措和计划对改善学龄儿童的营养健康有影响。