Torres M A, Sato K, Lobo N F, de Souza Queiroz S
Nucleo de Nutricao do Centro de Referencia de Saude da Mulher, Nutricao, Sao Paulo, Brazil.
Rev Saude Publica. 1995 Aug;29(4):301-7. doi: 10.1590/s0034-89101995000400008.
The impact of the use of fortified powdered whole milk (9 mg of iron and 65 mg of vitamin C/100 g of milk) on the hemoglobin levels of children under 2 years of age was evaluated, over a period of 6 months, in 107 children enrolled in municipal Day Care Centers (DCC) and in 228 seen at a Basic Health Care Unit (BHCU). Before the beginning of the intervention, 66.4% of the children in the DCC and 72.8% of those seen at the BHCU had hemoglobin levels under 11.0 g/dl. After 6 months of fortified milk intake, these percentages fell to 20.6% and 18.0% respectively. The average hemoglobin before the intervention was 10.3 g/dl in the DCC and 10.5 in the BHCU. After 6 months these increased to 11.6 g/dl in the populations studied. Concerning the nutritional condition, evaluated according to Gomez's criteria, 57% of the DCC children presented an improvement, 41.1% showed changes and only 1.9% became worse. In the BHCU, 11.4% presented better condition, 70.6% remained the same and 18% worsened, which demonstrated differences in response regarding improvement of nutritional condition, when fortified milk was used in closed and open environments. The authors conclude that the utilization of enriched foods is an excellent alternative in the treatment of iron deficiency in populations of children under 2 years of age.
在6个月的时间里，对107名参加市日托中心（DCC）的儿童和228名在基本医疗保健单位（BHCU）就诊的儿童，评估了食用强化全脂奶粉（每100克牛奶含铁9毫克和维生素C 65毫克）对2岁以下儿童血红蛋白水平的影响。在干预开始前，DCC中66.4%的儿童和BHCU中72.8%的儿童血红蛋白水平低于11.0克/分升。摄入强化牛奶6个月后，这些百分比分别降至20.6%和18.0%。干预前，DCC儿童的平均血红蛋白水平为10.3克/分升，BHCU儿童为10.5克/分升。6个月后，所研究人群的血红蛋白水平升至11.6克/分升。关于根据戈麦斯标准评估的营养状况，DCC中57%的儿童有所改善，41.1%有变化，只有1.9%变差。在BHCU中，11.4%的儿童状况变好，70.6%保持不变，18%变差，这表明在封闭和开放环境中使用强化牛奶时，在营养状况改善方面的反应存在差异。作者得出结论，在治疗2岁以下儿童群体的缺铁问题时，使用强化食品是一个极佳的选择。
