de Oliveira J E, Ventura S, Souza A M, Marchini J S
Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil.
Arch Latinoam Nutr. 1997 Jun;47(2 Suppl 1):41-3.
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.
缺铁和缺铁性贫血无疑是巴西最普遍且最具特征性的营养问题。里贝朗普雷图地区也不例外。该地区缺铁/贫血的患病率很高，主要集中在6至24个月龄的年龄段。尽管其生理病理学的多个方面已为人所知，但这仍是一个极难解决的问题。人们尝试了许多预防方法和替代方案，但我们远未控制住这一局面。巴西圣保罗大学里贝朗普雷图医学院开展的多项研究表明，婴幼儿和学龄前儿童中铁缺乏和缺铁性贫血的发病率很高。研究指出了对早产儿、低体重儿和正常婴儿补充铁剂的重要性。研究表明，除了常用的硫酸亚铁外，使用铁络合物预防缺铁也是可行的。多项社区研究证明了分发和摄入铁补充剂或对载体进行铁强化作为预防缺铁替代方案的可行性。
