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作者信息

De la Cruz-Góngora Vanessa, Martínez-Tapia Brenda, Shamah-Levy Teresa, Villalpando Salvador

机构信息

Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

Centro de Investigación en Salud y Nutrición, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2021 May 3;63(3 May-Jun):359-370. doi: 10.21149/12158.

Abstract

OBJECTIVE

To describe the current status of micronutrient deficiencies (MD) and anemia in Mexican children.

MATERIALS AND METHODS

Serum data from 1 382 pre-school-age chil-dren (1-4 years) and 3 590 school-age children (5-11 years) Ensanut 2018-19 participants were analyzed. Iron deficiency (ID), vitamin B12 deficiency (B12D), vitamin A depletion (VADp), and anemia were identified. Logistic regression models were used to identify associations between socio-demographic characteristics of children and MD.

RESULTS

Anemia was present in 28.9 and 19.2% of the children aged 1-4 and 5-11, respectively; in ID 10 and 5.1%; B12D, in 5.1 and 4.8%, and VADp, in 4.7 and 4.3%. 18.5% of the preschool-age children and 13% of the school-age children had at least one MD associated to anemia.

CONCLUSIONS

MD and anemia affect the younger children in larger proportion. Fortification and supplementation programs should be reinforced to avoid the long-term consequences of MD.

摘要

目的

描述墨西哥儿童微量营养素缺乏(MD)和贫血的现状。

材料与方法

对2018 - 19年全国营养与健康调查(Ensamut)中1382名学龄前儿童(1 - 4岁)和3590名学龄儿童(5 - 11岁)的血清数据进行分析。确定缺铁(ID)、维生素B12缺乏(B12D)、维生素A耗竭(VADp)和贫血情况。使用逻辑回归模型确定儿童社会人口学特征与MD之间的关联。

结果

1 - 4岁和5 - 11岁儿童中,贫血患病率分别为28.9%和19.2%;ID患病率分别为10%和5.1%;B12D患病率分别为5.1%和4.8%;VADp患病率分别为4.7%和4.3%。18.5%的学龄前儿童和13%的学龄儿童至少有一种与贫血相关的MD。

结论

MD和贫血对年幼儿童的影响比例更大。应加强强化和补充计划,以避免MD的长期后果。

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