Anemia e fatores associados em crianças assistidas por creches públicas

• Ano de defesa: 2014
• Autor(a) principal: Ribeiro, Eloiza Spinola [UNESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Anemia em crianças; Creches; Crianças - Assistencia em instituições; Estudos transversais; Cuidados primários de saúde; Anemia in children
• Link de acesso: http://hdl.handle.net/11449/113884

Objective: To identify the prevalence of anemia and factors associated with this disease under attended by public nursery children, with a view to proposing clinical nursing protocol and organization of primary health care services to provide nutrition surveillance. Method: The authors conducted an epidemiological, cross-sectional study. The study sample was intentional and formed by 221 children between six months and six years of age, enrolled in three public kindergartens in the municipality of Guararapes (SP), located in the northwestern region of São Paulo. The sample of capillary blood (fingerstick) collected from each participating child was processed on laptop hemoglobinometer, considering anemia hemoglobin below 11g/dl. The overall nutritional status was assessed from indicators: height for age, weight for height and BMI for age expressed as Z-scores, using as reference the standard of the World Health Organization, 2006. Two nutritional classifications were adopted: advocated by Nutritional Surveillance System of the Ministry of Health for individual attention to the child and recommended by the World Health Organization for epidemiological studies. Socioeconomic and demographic data on the families maternal and paternal were collected through the individual records of children and by means of a questionnaire sent to parents. A descriptive analysis and cross-tabulations between anemia and the factors of interest, with significance evaluated by chi- square test.Results: The mean hemoglobin concentration was 10.8 g / dl (SD = 1.38). The prevalence of anemia was 51.1 %, 42.1 % showed the path to take shape and moderate 9.0 %. The frequency of children with short stature was 6.7%. According to the BMI index / age, 32.6 % of children had some situation involving overweight: risk of overweight (24 %), overweight (7.2%) and obesity (1.4%). You can check inverse linear association between child's age and anemia: ...