Eficácia do procedimento de suplementação com ferro em ciclos para redução da anemia em pré-escolares

• Ano de defesa: 2010
• Autor(a) principal: Coutinho, Geraldo Gaspar Paes Leme
• Orientador(a): Cury, Patricia Maluf
• Banca de defesa: Lopes, José Carlos , Naum, Paulo César , Angulo, Ivan de Lucena , Godoy, José Maria Pereira de
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Faculdade de Medicina de São José do Rio Preto
• Programa de Pós-Graduação: Programa de Pós-Graduação em Ciências da Saúde::123123123123::600
• Departamento: Medicina Interna; Medicina e Ciências Correlatas::123123123123::600
• País: BR
• Palavras-chave em Português: Ferro; Anemia; Suplementação; Pré-escolares; Prevalência; Suplementação Alimentar; Pré-escolar
• Palavras-chave em Inglês: Iron; Anemia; Supplementation; Preschoolers; Prevalence; Supllementary Feeding; Child, Preschool
• Palavras-chave em Espanhol: Hierro; Alimentación Suplementaria; Preescolar
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::HEMATOLOGIA::123123123123::600
• Link de acesso: http://bdtd.famerp.br/handle/tede/66

To evaluate the efficacy of iron supplements given at intervals corresponding to the mean life of red blood cells compared to weekly supplementation, in reducing the prevalence of preschool anemia. Method: Ninety-nine children from public day care centers with ages from 24 to 59 months old were randomly divided into two groups. This is a randomized comparative study. All the children received 40 doses of 30 mg of ferrous sulfate during a 10-month intervention period. Group 1 received once weekly supplementation and Group 2 received supplementation in two 5-month cycles, each cycle consisting of one month of supplementation (20 workdays) and four months without supplementation. Results: The prevalence of anemia after the supplementation regimens reduced from 20.20% to 5.05% (p < 0.0005); the reduction was not significantly different between the two groups (p = 0.35). The mean hemoglobin concentration increased in both groups (Group 1: 0.27 g/dL; p < 0.016 and Group 2: 0.47 g/dL; p < 0.0005) without significant differences between the groups (p = 0.17). Conclusions: The two regimens reduced the prevalence of anemia, were low-cost, and with high rate of compliance. The regimen in cycles was evaluated easier to apply than the weekly one.