Danielle Góes da Silva

Anemia ferropriva em crianças de 6 a 12 meses atendidas na rede pública de saúde do município de Viçosa, Minas Gerais

This study aimed at verifying the prevalence of anemia in 6 to 12-month-old infantsattended at the public health service of the city of Vicosa, state of Minas Gerais, and analyzing some possible risk factors. Information was obtained through questionnaire applied to those responsible for the infants and through the verification of the anthropometric measures and the hemoglobin dosage by portable hemoglobinometer. In diagnosing anemia, a 11g/dL cutoff point was used. The prevalence of iron deficiency anemia in a total of 204 infants reached 60.8%, and 55.6% of the cases of anemia were serious. The hemoglobin average was 9.28±1.07 mg/dL in anemic infants, and 12.07± 0.89 mg/dL in non-anemic ones. The fathers low school level and the mothers age showed statistical association with anemia (p<0.05). A high prevalence and severity of the anemia was found, emphasizing the need for prevention and control of this disease in the city of Vicosa.

Risk factors for anemia in infants assisted by public health services: the importance of feeding practices and iron supplementation

OBJECTIVE To investigate risk factors for anemia in infants assisted by public health services. METHODS In a cross-sectional study carried out in Viçosa, state of Minas Gerais, Brazil, 205 children from 6 to 12 months were evaluated. Socioeconomic, environmental and biological data were collected, as well as information on childs birth, nutritional status, maternal data, child health care practices, feeding practices, and iron supplementation. Diagnosis of anemia was based on hemoglobin levels under 11 g/dL, using a portable Hemocue photometer. To analyze variables associated with anemia, a hierarchical logistic regression model was used. RESULTS The prevalence of anemia was 57.6%. Family income per capita less than 0.5 minimum wage, frequency of fruit intake less than daily and lack of iron supplementation increased the chance of anemia among infants. CONCLUSION Adequate health and nutrition support to low income families, promotion of healthy nutritional habits and prescription of iron supplements are of great importance to prevent and manage anemia in infants assisted by public health services.

Anemia ferropriva e estado nutricional de crianças com idade de 12 a 60 meses do município de Viçosa, MG

Este estudo transversal abrangeu criancas com idade de 12 a 60 meses assistidas pelo servico publico de saude do municipio de Vicosa, objetivando avaliar a prevalencia de anemia e anemia grave, e a relacao entre o estado nutricional e a anemia ferropriva, nessas criancas. Para o diagnostico de anemia, foi utilizado o b-hemoglobinometro (Hemocue), considerando o ponto de corte proposto pela Organizacao Mundial da Saude de 11,0 g/dL para anemia, e para a anemia grave considerou-se 9,5g/dL. Das 171 criancas atendidas, 63,2% estavam anemicas e 43,5% destas apresentavam anemia grave. Analisando o estado nutricional, encontrou-se uma alta porcentagem de criancas desnutridas, sendo considerados os indices de peso/idade, peso/estatura e estatura/idade (11,7%, 7,0% e 5,8%, respectivamente). Observou-se alta prevalencia de anemia entre as faixas etarias mais precoces. Nao foi verificada associacao entre anemia e estado nutricional. Torna-se, portanto, necessario trabalhar de forma preventiva a anemia, bem como alertar os profissionais da area de saude quanto ao diagnostico precoce, profilaxia e tratamento.This cross sectional study included children aged 12 to 60 months attended by the public health service in the city of Vicosa, state of Minas Gerais. The objective was to evaluate the prevalences of anemia and serious anemia, the hemoglobin levels and the relation between nutritional status and iron deficiency anemia in these children. For the diagnosis of anemia, (Hemocue) was used, and the cutoff point of 11.0 g/dL proposed by the World Health Organization for anemia, and was adopted serious anemia, was adopted 9,5g/dL. A total of 171 children was evaluated; 62.2% were anemic and 43.5% of these were seriously anemic. Analyzing the nutritional status, a high percentage of under nourished children was found, according to the indexes weight/age, weight/height and height/age (11.7%, 7.0% and 5.8%, respectively). A high prevalence of anemia was observed among the earlier groups. No association was verified between anemia and nutritional status. Therefore, it is necessary to work towards anemia prevention and to alert the health professionals to an early diagnosis, prophylaxis and treatment.

Fatores de risco para anemia em lactentes atendidos nos serviços públicos de saúde: a importância das práticas alimentares e da suplementação com ferro

OBJECTIVE: To investigate risk factors for anemia in infants assisted by public health services. METHODS: In a cross-sectional study carried out in Vicosa, state of Minas Gerais, Brazil, 205 children from 6 to 12 months were evaluated. Socioeconomic, environmental and biological data were collected, as well as information on childs birth, nutritional status, maternal data, child health care practices, feeding practices, and iron supplementation. Diagnosis of anemia was based on hemoglobin levels under 11 g/dL, using a portable Hemocue photometer. To analyze variables associated with anemia, a hierarchical logistic regression model was used. RESULTS: The prevalence of anemia was 57.6%. Family income per capita less than 0.5 minimum wage, frequency of fruit intake less than daily and lack of iron supplementation increased the chance of anemia among infants. CONCLUSION: Adequate health and nutrition support to low income families, promotion of healthy nutritional habits and prescription of iron supplements are of great importance to prevent and manage anemia in infants assisted by public health services.

Consumo dos grupos alimentares em crianças usuárias da rede pública de saúde do município de Aracaju, Sergipe

Objective: To investigate the consumption of food groups among children attending the public health system of Ara- caju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the rec- ommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis applied Kruskal-Wallis and chi-square tests, considering 5% as the significance level. Results: Among the 359 studied children, insufficient consumption of vegetables, fruits and dairy products, and high intake of sugar and sweets were observed. When comparing consumption between the different age groups, children aged 6 to 11 months presented lower consump- tion of fruits, meat and vegetables, and those aged 24 to 35 months had high percentage of intake of cereals, sugar and sweets, and oil and fat. Conclusions: The dietary intake of children showed inadequacies in food groups of fruit, vegetables, dairy, and sugar and sweets, as well as significant differences between age-groups. Thus, it is important to highlight the need for nutritional education respecting age specificities, in order to contribute to medium and long-term prevention of nutritional problems.Objective: To investigate the consumption of food groups among children attending the public health system of Aracaju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the recommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis

Effect of a Nutritional Intervention in Athlete's Body Composition, Eating Behaviour and Nutritional Knowledge: A Comparison between Adults and Adolescents.

The objective of the present study is to evaluate and compare the effect of a nutritional intervention between adolescent and adult. In a before and after quasi-experimental clinical study, 32 athletes (21 adults, age range 20–32 years; 11 adolescents, age range: 12–19 years) participated in a nutritional counselling consisting of four consultations separated by an interval of 45 to 60 days. The athlete’s eating behaviour, body composition and nutrition knowledge were evaluated at the beginning and at the end of the protocol. Both groups increased lean body mass and nutritional knowledge. Adolescents increased their mid-arm muscle circumference and improved meal frequency, and daily water intake. Athletes of both groups improved their ingestion of vegetables and fruits and decreased the ingestion of sweets and oils. Adolescents showed a higher prevalence of individuals that remained within or approached to the recommendations of sweets. This is the first study to evaluate and compare the effect of a nutritional intervention between adolescent and adult athletes body composition, eating behaviour and nutritional knowledge. The nutritional counselling has been effective in promoting beneficial changes on the athlete’s eating behaviour, nutritional knowledge and body composition, however, some healthy changes were only experienced by adolescents, especially in the frequency of meals and the intake of sweets.

The relative validity of a food record using the smartphone application MyFitnessPal: Relative validity of a smartphone dietary record

AIM The present study aimed to validate food records on the application MyFitnessPal (MFP), comparing them with paper-based food records (P-FR). METHODS Thirty university students, including males and females, volunteered and recorded dietary intakes on P-FR and MFP food records (MFP-FR). The values of energy, macronutrients and fibre from MFP-FR were compared with data from P-FR, calculated using Brazilian food composition tables. Adjustments for in-person variability and energy intake were performed, and comparisons were made between each data set, using the Wilcoxon signed-rank test, Spearmans correlation and Bland-Altman agreement plots. RESULTS Positive moderate correlations between P-FR and MFP-FR for all variables, and non-significant associations for energy and fibre were found. The Bland-Altman plots showed tendency to underestimation and relatively narrow limits of agreement. Carbohydrate and lipids show trends of increasing the degree of overestimation with increased intake, even after data normalisation. CONCLUSIONS MFP tends to underestimate ingestion of nutrients probably due to inadequacies in the MFP database. However, MFP showed good relative validity, especially for energy and fibre. Its use, as well as other similar applications, should be encouraged, due to ease of assessing dietary information, although careful usage is recommended because of database gaps.

Consumption of food groups among children attending the public health system of Aracaju, Northeast Brazil, in Sergipe

Objective: To investigate the consumption of food groups among children attending the public health system of Ara- caju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the rec- ommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis applied Kruskal-Wallis and chi-square tests, considering 5% as the significance level. Results: Among the 359 studied children, insufficient consumption of vegetables, fruits and dairy products, and high intake of sugar and sweets were observed. When comparing consumption between the different age groups, children aged 6 to 11 months presented lower consump- tion of fruits, meat and vegetables, and those aged 24 to 35 months had high percentage of intake of cereals, sugar and sweets, and oil and fat. Conclusions: The dietary intake of children showed inadequacies in food groups of fruit, vegetables, dairy, and sugar and sweets, as well as significant differences between age-groups. Thus, it is important to highlight the need for nutritional education respecting age specificities, in order to contribute to medium and long-term prevention of nutritional problems.Objective: To investigate the consumption of food groups among children attending the public health system of Aracaju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the recommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis

Consumo de los grupos alimentares en niños usuarios de la red pública de salud en el municipio de Aracaju, Sergipe (Brasil)

Objective: To investigate the consumption of food groups among children attending the public health system of Ara- caju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the rec- ommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis applied Kruskal-Wallis and chi-square tests, considering 5% as the significance level. Results: Among the 359 studied children, insufficient consumption of vegetables, fruits and dairy products, and high intake of sugar and sweets were observed. When comparing consumption between the different age groups, children aged 6 to 11 months presented lower consump- tion of fruits, meat and vegetables, and those aged 24 to 35 months had high percentage of intake of cereals, sugar and sweets, and oil and fat. Conclusions: The dietary intake of children showed inadequacies in food groups of fruit, vegetables, dairy, and sugar and sweets, as well as significant differences between age-groups. Thus, it is important to highlight the need for nutritional education respecting age specificities, in order to contribute to medium and long-term prevention of nutritional problems.Objective: To investigate the consumption of food groups among children attending the public health system of Aracaju, in Sergipe, Northeast Brazil. Methods: A cross-sectional study with 359 children aged 6 to 35 months attending five Basic Health Units. Food intake was determined by 24-hour recall, and the reported foods consumed by the children were converted into portions based on the eight food groups from the Food Pyramid. Inadequacies were analyzed according to the recommendations of the Brazilian food guides. Dietary intake of children with the following age ranges were compared: 6 to 11, 12 to 23 and 24 to 35 months. Statistical analysis