Factors associated with anemia in school teenagers: A cross-sectional study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.14521

Keywords:

Anemia; Adolescent; Nutritional status; Diet; Food and Nutrition; C-reactive protein.

Abstract

Introduction: Iron deficiency anemia is a public health problem with significant prevalence among adolescents. This pathology causes a reduction in the concentration of serum hemoglobin, compromising the transport of oxygen to body tissues, causing fatigue, reduced cognitive function, delay in weight-statural growth and motor development, in addition to causing damage to the immune system, to performance physical at all stages of life. Objective: To identify the factors associated with the prevalence of anemia in adolescents from public schools. Methods: Cross-sectional, descriptive, retrospective study, with a sample of 512 school adolescents. Socioeconomic and demographic information, results of blood tests and C-reactive protein (PCR) tests were used, as well as anthropometric and food consumption data. Results: In the sample, there was a prevalence of anemia in female adolescents 20 (3.9%) p-value (0.0013). Adolescent food consumption was inadequate in fruits and vegetables. Conclusion: The main factor associated with the prevalence of anemia was the female sex.

References

ABEP - Associação Brasileira de Empresas de Pesquisa (2010). CCEB: Critério de Classificação Econômica Brasil.

Akseer, N., Al-Gashm, S., Mehta, S., Mokdad, A., & Bhutta, Z.A. (2017). Global and regional trends in the nutritional status of young people: a critical and neglected age group. Ann N Y Acad Sci, 1393(1), 3–20. http://dx. doi.org/10.1111/nyas.13336

Alquaiz, A. M., Khoja, T. A., Alsharif, A., & Kazi, A. (2015). Prevalence and correlates of anaemia in adolescents in Riyadh city, Kingdom of Saudi Arabia. Public Health Nutr, 18 (17), 3192‐200. 10.1017/S1368980015001214

Beinner, M. A., Morais, E. A. H., Filho, J. D. L., Jansen, A. K., Oliveira, S. R., Reis, I. A., & Reis, E. (2013) Fatores associados à anemia em adolescentes escolares do sexo feminino. Revista Baiana de Saúde Pública, 37(2), 439-51. http://files.bvs.br/upload /S/0100-0233/2013/v37n2/a4452.pdf

Bezerra, A. G. N., Leal, V. S., Lira, P. I. C., Oliveira, J. S., Costa, E. C., Menezes, R. C. E., Siqueira e Campos, F. A. C., & Andrade, M. I. S. (2018). Anemia e fatores associados em mulheres de idade reprodutiva de um município do Nordeste brasileiro. Rev. bras. epidemiol, 21, e180001. http://dx.doi.org/10.1590/1980-549720180001

Bird, J. K., Murphy, R. A., Ciappio, E. D., & McBurney, M. I. (2017). Risk of Deficiency in Multiple Concurrent Micronutrients in Children and Adults in the United States. Nutrients, 9 (7), 655. 10.3390/nu9070655

Costa, C. S., Santos, C. C., Flores, T. R., Wendt, A., Neves, R. G., Assunção, M. C. F., & Santos, I. S. (2018). Comportamento sedentário e consumo de alimentos ultraprocessados entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE). Cad. Saúde Pública, 34(3), e00021017. //dx.doi.org/10.1590/0102-311x00021017

Costa, E. C., Leal, V. S., Oliveira, J. S., Filho, M. B., Lira, P. I. C., & Tavares, F. C. P. (2018). Temporal evolution of and factors associated with anemia among women of reproductive age in the state of Pernambuco, Brazil. Cuba Salud. http://convencionsalud2018.sld. cu/index.php/connvencionsalud/2018/paper/view/1749

De la Cruz-Góngora, V., Villalpando, S., & Shamah-Levy T. (2018). Prevalence of anemia and consumption of iron-rich food groups in Mexican children and adolescents: Ensanut MC 2016. Salud pública de méxico, 60(3), 10.21149/8824

Decreto nº 8.553, de 3 de novembro de 2015. (2015). Institui o Pacto Nacional para Alimentação Saudável. Diário Oficial da União.

Guerra, L. D. S., Espinosa, M. M., Bezerra, A. C. D., Guimarães, L. V., & Martins, M. S. A. S. (2018). Desafios para a Segurança Alimentar e Nutricional na Amazônia: disponibilidade e consumo em domicílios com adolescentes. Ciênc. saúde coletiva, 23 (12), 4043-54. 10.1590/1413812320182312. 26352016

Hutchinson, C. (2016). A review of iron studies in overweight and obese children and adolescents: a double burden in the young? Eur J Nutr, 55, 2179–97. 10.1007/s00394-016-1155-7

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde do Escolar.

Lei nº 11.274, 6 de fevereiro de 2006. (2006). Estabelece as diretrizes e bases da educação nacional. Diário Oficial da União, Brasília.

Lopez, A., Cacoub, P., Macdougall, I. C., & Peyrin-Biroulet, L., (2016). Iron deficiency anaemia. The Lancet, 387, 907–16. 10.1016/s0140-6736(15)60865-0

Machado, I. E., Malta, B. C., Bacal, N. S., & Rosenfeld, L. G. M. Prevalência de anemia em adultos e idosos brasileiros. Rev. bras. epidemiol, 22 (2), E190008. 10.1590/1980-549 720190008.supl.2

Malta, D. C., Felisbino-Mendes, M. S., Machado, I. E., Passos, V. M. A., Abreu, D. M. X., Ishitani, L. H., Velásquez-Meléndez, G., & Carneiro, M. (2017). Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015. Rev Bras epidemiol, 20 (1), 217-32. 10.1590/1980-5497201700050018

Mendonça, E. B. S., Muniz, L. F., Arruda, I. K. G., & Diniz, A. D. (2014). Hemoglobin concentrations and associated factors in adolescentes from Recife, Brazil. Rev. Nutr, 27(5), 537-546. 10.1590/1415-5273 2014000500003

Ministério da Saúde. (2012). Vigitel Brasil 2009: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília (DF).

Mota, J. O., Tounian, P., Guillou, S., Pierre, F., & Membré, J. M. (2019). Estimation of the Burden of Iron Deficiency Anemia in France from Iron Intake: Methodological Approach. Nutrients, 11 (9), 2045. https://doi.org/10.3390/nu11092045

Murillo-Ramos, E., Hurtado-Florez, L., Arciniegas-Yampuezán, N., & Acevedo-Toro, P. (2016). Hepcidina y parámetros del hierro en donantes de sangre. CES Medicina,158–68. 10.21615/cesmedicina.30.2.3

Nazif, H. K., El-Shaheed, A. A., & El-Shamy, K. A. I. (2015). Study of Serum Hepcidin as a Potential Mediator of the Disrupted Iron Metabolism in Obese Adolescents. Int J Health Sci Res, 9, 167–74. 10.12816/0024114

Oliveira, B. M. S., Vieira, E. M. M., Quevedo, R. A. V., Figueiredo, A. L. R., & Coutinho, G. V. P. (2015). Hábitos Alimentares Relacionados ao Desenvolvimento de Doenças Cardiovasculares em Adolescentes. UNICIÊNCIAS, 19(1). https://revista.pgsskroton.com/index. php/uniciencias/article/view/3156

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsukaet, R. (2018). Metodologia da pesquisa científica. UFSM

Prasanth, R. Prevalence of Anemia in both Developing and Developed Countries around the World. (2017). World J Anemia 1(2), 40-3. 10.5005/jp-journals-10065-0009

Shaka, M. F., & Wondimagegne, Y. A. (2018). Anemia, a moderate public health concern among adolescents in South Ethiopia. PLoS One, 13(7), e0191467. 10.1371/journal.pone.0191467

Silva, D. C. A., Assis, D. C. S., Frazão, I. S., Osório, M. M., & Vasconcelos, M. G. L. (2015). Percepção de adolescentes sobre a prática de alimentação saudável. Cien Saude Colet, 20, 3299–308. http://dx.doi.org/10.1590/1413-81232015201 1.00972015

Skolmowska, D., & Glabska, D. (2019). Analysis of Heme and Non-Heme Iron Intake and Iron Dietary Sources in Adolescent Menstruating Females in a National Polish Sample. Nutrient, 11(5), 1049. 10.3390/nu11051049

Souza, A. M., Barufaldi, L. A., Abreu, G. A., Giannini, D. T., Oliveira, C. L., Santos, M. M., Leal, V. S., & Vasconcelos, F. A. G. (2016). ERICA: ingestão de macro e micronutrientes em adolescentes brasileiros. Rev. Saúde Pública, 50 (1), 5s. 10.1590/S01518-8787.2016050006698

Souza, N. P., Lira, P. I. C., Fontbonne, A., Pinto, F. C. L., & Cesse, E. A. P. (2017). (Mal)nutrition and the new epidemiological trend in a context of development and inequalities. Cien Saude Colet, 22(7), 2257–66. 10.1590/1413-81232017227 .03042017

Spezia, J., Carvalho, L. F. S., Camargo-Filho, M. F. A., Furman, A. E., Utiyama, S. R. R., & Henneberg, R. (2018). Prevalência de anemia em escolas da região metropolitana de Curitiba, Brasil. Hematol., Transfus. Cell Ther, 40 (2), 151-155. 10.1016/j.htct.2017.11.007

Suhett, L. G., Hermsdorff, H. H. M., Rocha, N. P., Silva, M. A., Filgueiras, M. D. S., Milagres, L. C., Peluzio, M. C. G., & Novais, J. F. (2019). Increased C-Reactive Protein in Brazilian Children: Association with Cardiometabolic Risk and Metabolic Syndrome Components (PASE Study). Cardiol Res Pract, 3904568. 10.1155/2019 /3904568

Tesfaye, M., Yemane, T., Adisu, W., Asres, Y., & Gedefaw, L. (2015). Anemia and iron deficiency among school adolescents: burden, severity, and determinant factors in southwest Ethiopia. Adolescent Health, Medicine and Therapeutics, 6, 189–96. 10.2147/ahmt.s94865

Thomas, D., Chandra, J., Sharma, S., Jain, A., & Pemde, H.K. (2015). Determinants of Nutritional Anemia in Adolescents. Indian Pediatr, 52(10), 867-9. http://dx.doi.org/10.1007/s13312-015-0734-7

Urrechaga, E., Izquierdo-Álvarez, S., Llorente, M.T., & Escanero, J.F. (2016). Prevalence of Iron Deficiency in Healthy Adolescents. Ann Nutr Disord & Ther, 3 (2), 1036. https://www.researchgate .net/publication/313218414

Wirth, J. P., Woodruff. B. A., Engle-Stone, R., Namaste, S. M. L., Temple, V. J., Petry, N., Macdonald, B., Suchdev, P. S., Rohner, F., & Aaron, G. J. (2017). Predictors of anemia in women of reproductive age: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) project. Am J Clin Nutr, 106 (1), 416S–27S. 10.3945/ajcn.116.143073

World Health Organization. (1995). Physical Status: the study and interpretation of anthropometry: report of a WHO expert committee.

World Health Organization. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System.

World Health Organization. (2018). Guideline: implementing effective actions for improving adolescent nutrition,

Published

26/04/2021

How to Cite

ALVES, S. P. da P.; SIMÕES, M. O. da S. .; BARROS, K. N. N. de O.; SILVA, R. M. P. da .; BARROS, A. M. G.; MEDEIROS, C. C. M.; CARVALHO, D. F. de . Factors associated with anemia in school teenagers: A cross-sectional study. Research, Society and Development, [S. l.], v. 10, n. 5, p. e3310514521, 2021. DOI: 10.33448/rsd-v10i5.14521. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14521. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences