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Rosas-Jiménez C, Tercan E, Horstick O, Igboegwu E, Dambach P, Louis VR, Winkler V, Deckert A. Prevalence of anemia among Indigenous children in Latin America: a systematic review. Rev Saude Publica 2022; 56:99. [PMID: 36515311 PMCID: PMC9749659 DOI: 10.11606/s1518-8787.2022056004360] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 02/02/2022] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE To describe the prevalence pattern of anemia among Indigenous children in Latin America. METHODS PRISMA guidelines were followed. Records were identified from the databases PubMed, Google Scholar, and Lilacs by two independent researchers between May and June 2021. Studies were included if the following criteria were met: a) studied Indigenous people b) was about children (from 0 to 12 years old); c) reported a prevalence estimate of anemia; d) had been conducted in any of the countries of Latin America; e) was published either in English, Portuguese, or Spanish; f) is a peer-reviewed article; and g) was published at any date. RESULTS Out of 2,401 unique records retrieved, 42 articles met the inclusion criteria. A total of 39 different Indigenous communities were analyzed in the articles, and in 21 of them (54.0%) child anemia was a severe public health problem (prevalence ≥ 40%). Those communities were the Aymara (Bolivia); Aruak, Guaraní, Kamaiurá, Karapotó, Karibe, Kaxinanuá, Ma-cro-Jê, Suruí, Terena, Xavante (Brazil); Cabécar (Costa Rica), Achuar, Aguaruna, Awajún, Urarina, Yomybato (Peru); Piaroa and Yucpa (Venezuela); and Quechua (Peru and Bolivia). Children below two years had the highest prevalence of anemia (between 16.2% and 86.1%). Among Indigenous people, risk factors for anemia include nutrition, poor living conditions, access to health services, racism, and discrimination. Bolivia and Guatemala are scarcely studied, despite having the highest proportion of Indigenous communities in Latin America. CONCLUSIONS Anemia constitutes a poorly documented public health problem among Indigenous children in 21 Indigenous communities in Bolivia, Brazil, Colombia, Costa Rica, Ecuador, Guatemala, Mexico, and Peru. In all Indigenous communities included in this study child anemia was an issue, especially in younger children.
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Affiliation(s)
- Carlos Rosas-Jiménez
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Engin Tercan
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Olaf Horstick
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Ekeoma Igboegwu
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Peter Dambach
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Valérie R. Louis
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Volker Winkler
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
| | - Andreas Deckert
- Heidelberg UniversityHeidelberg Institute for Global HealthHeidelbergBaden-WürttembergGermanyHeidelberg University. Heidelberg Institute for Global Health. Heidelberg, Baden-Württemberg, Germany
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Nogueira-de-Almeida CA, Ued FDV, Del Ciampo LA, Martinez EZ, Ferraz IS, Contini AA, Cruz FCSD, Silva RFB, Nogueira-de-Almeida ME, Lamounier JA. Prevalence of childhood anaemia in Brazil: still a serious health problem: a systematic review and meta-analysis. Public Health Nutr 2021; 24:6450-6465. [PMID: 34212834 PMCID: PMC11148596 DOI: 10.1017/s136898002100286x] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To estimate the prevalence of anaemia in Brazilian children up to 83·9 months old. DESIGN Systematic review and meta-analysis, using databases PubMed, Scopus, SciELO, Lilacs, Google Scholar, Periódicos Capes, Arca, Biblioteca Virtual em Saúde, Microsoft Academic Search and Cochrane Library using search terms: anaemia, prevalence, child and Brazil. PROSPERO Registration number: CRD42020208818. SETTING Cross-sectional, cohort, case-control and intervention studies published between 2007 and 2020 were searched, excluding those who assessed children with an illness or chronic condition. The main outcome was anaemia prevalence. Random effects models based on the inverse variance method were used to estimate pooled prevalence measures. Sensitivity analyses removed studies with high contribution to overall heterogeneity. PARTICIPANTS From 6790 first screened, 134 eligible studies were included, totalling 46 978 children aged zero to 83·9 months analysed, with adequate regions representativeness. RESULTS Pooled prevalence of anaemia was 33 % (95 % CI 30, 35). Sensitivity analyses showed that withdrawal of studies that contributed to high heterogeneity did not influence national average prevalence. CONCLUSIONS Childhood anaemia is still a serious public health problem in Brazil, exposing 33 % of Brazilian children to the anaemia repercussions. The main limitation of the study is the estimation of national prevalence based on local surveys, but a large number of studies were included, with representation in all regions of the country, giving strength to the results. In Brazil, more public policies are needed to promote supplementation, fortification and access to healthy eating to reduce the high level of anaemia among children.
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Affiliation(s)
- Carlos Alberto Nogueira-de-Almeida
- Medical Department, Federal University of São Carlos, Brazil - DMED UFSCAR, Rod. Washington Luiz, km 235, São Carlos, SP13565-905, Brazil
| | - Fábio da Veiga Ued
- Nutrition School, University of São Paulo, Brazil - FMRP-USP, Ribeirao Preto, Brazil
| | | | | | - Ivan Savioli Ferraz
- Nutrition School, University of São Paulo, Brazil - FMRP-USP, Ribeirao Preto, Brazil
| | - Andrea Aparecida Contini
- Medical Department, Federal University of São Carlos, Brazil - DMED UFSCAR, Rod. Washington Luiz, km 235, São Carlos, SP13565-905, Brazil
| | | | | | | | - Joel Alves Lamounier
- Medical School, Federal University of Sao Joao Del Rei, Brazil - DMED UFSJ, Sao Joao Del Rei, Brazil
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Fávaro TR, Ferreira AA, Cunha GMD, Coimbra CEA. [Excess weight in Xukuru indigenous children in Ororubá, Pernambuco State, Brazil: magnitude and associated factors]. CAD SAUDE PUBLICA 2019; 35Suppl 3:e00056619. [PMID: 31433030 DOI: 10.1590/0102-311x00056619] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 05/16/2019] [Indexed: 08/30/2023] Open
Abstract
The few studies on health and nutrition in indigenous peoples in Northeast Brazil point to some differences with indigenous peoples in the North and Central of the country. This study estimated the prevalence rates and risk of overweight and excess weight in Xukuru children in the village of Ororubá, Pernambuco State, and assessed the socioeconomic and demographic factors potentially associated with these conditions. This cross-sectional study analyzed the associations between adequate weight, excess weight (overweight and obesity), and risk of overweight according to the indices and cutoff points of the World Health Organization for children and the explanatory variables, using multinomial logistic regression. Prevalence of excess weight was 7.7% and risk of overweight was 24.2%. The odds of risk of overweight and excess weight were higher in children < 2 years. Children of obese mothers showed higher odds of excess weight. Prevalence of risk of overweight was 97% higher when compared to households with fixed income. The findings suggest that the Xukuru are experiencing an accelerated nutritional transition, with a paradoxical situation to which other indigenous peoples in Brazil are also exposed.
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Affiliation(s)
| | - Aline Alves Ferreira
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
| | | | - Carlos E A Coimbra
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
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Pedraza DF, Araujo EMND, Santos GLDD, Chaves LRM, Lima ZN. Factores asociados a las concentraciones de hemoglobina en preescolares. CIENCIA & SAUDE COLETIVA 2018; 23:3637-3647. [DOI: 10.1590/1413-812320182311.24042016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 10/19/2016] [Indexed: 11/21/2022] Open
Abstract
Resumen El presente estudio buscó identificar en niños preescolares la asociación de las concentraciones de hemoglobina con características socio-ambientales, maternas, biológico-nutricionales y las condiciones de salud; así como con las concentraciones séricas de zinc y retinol. Estudio transversal con muestra de 335 individuos, representativa de los niños de jardines infantiles del municipio de Campina Grande, Paraíba. En los 294 niños estudiados, el modelo ajustado mostró menores concentraciones de hemoglobina en casos de tipo de casa diferente de ladrillo; ausencia de red de escoto; colecta no pública de la basura; no tratamiento del agua para beber; dificultades maternas para leer, escribir o hacer cuentas; edad entre 9-24 meses; peso/edad < - 2 escore Z y problemas de salud en los últimos 15 días, bien como en casos de bajas concentraciones séricas de zinc y retinol. La multicausalidad de concentraciones inferiores de hemoglobina comprendió condiciones socio-ambientales y características materno-infantiles que refuerzan la importancia de medidas que prioricen los niños de menor edad, de madres con menor nivel educacional y con prejuicios en su peso, estado de salud y condición nutricional de otros micronutrientes importantes en el crecimiento.
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Ferreira AA, Santos RV, Souza JAMD, Welch JR, Coimbra Jr CEA. Anemia e níveis de hemoglobina em crianças indígenas Xavante, Brasil Central. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2017; 20:102-114. [DOI: 10.1590/1980-5497201700010009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 08/31/2016] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Objetivo: Avaliar a prevalência de anemia, os níveis médios de hemoglobina e os principais fatores nutricionais, demográficos e socioeconômicos associados em crianças Xavante, em Mato Grosso, Brasil. Métodos: Realizou-se inquérito em duas comunidades indígenas Xavante na Terra Indígena Pimentel Barbosa visando avaliar todas as crianças com menos de dez anos. Foram coletados dados de concentração de hemoglobina, antropometria e aspectos socioeconômicos/demográficos por meio de avaliação clínica e questionário estruturado. Utilizaram-se os pontos de corte recomendados pela Organização Mundial da Saúde (OMS) para a classificação de anemia. Análises de regressão linear com hemoglobina como desfecho e regressão de Poisson com variância robusta com presença ou não de anemia como desfechos foram realizadas (intervalo de confiança de 95% -IC95%). Resultados: Os menores valores médios de hemoglobina ocorreram nas crianças com menos de dois anos, sem diferença significativa entre os sexos. A anemia atingiu 50,8% das crianças, prevalecendo aquelas com menos de dois anos 2 anos (77,8%). A idade associou-se inversamente à ocorrência de anemia (razão de prevalência - RP - ajustada = 0,60; IC95% 0,38 - 0,95) e os valores médios de hemoglobina aumentaram significativamente conforme o incremento da idade. Os maiores valores de escores z de estatura-para-idade reduziam em 1,8 vez a chance de ter anemia (RP ajustada = 0,59; IC95% 0,34 - 1,00). A presença de outra criança com anemia no domicílio aumentou em 52,9% a probabilidade de ocorrência de anemia (RP ajustada = 1,89; IC95% 1,16 - 3,09). Conclusão: Elevados níveis de anemia nas crianças Xavante sinalizam a disparidade entre esses indígenas e a população brasileira geral. Os resultados sugerem que a anemia é determinada por relações complexas e variáveis entre fatores socioeconômicos, sociodemográficos e biológicos.
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Campos SBG, de Menezes RCE, Oliveira MAA, Silva DAVD, Longo‐Silva G, Oliveira JS, Asakura L, Costa EC, Leal VS. Déficit estatural em crianças do povo Karapotó, São Sebastião, Alagoas, Brasil. REVISTA PAULISTA DE PEDIATRIA 2016; 34:197-203. [DOI: 10.1016/j.rpped.2015.08.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2015] [Revised: 08/14/2015] [Accepted: 08/30/2015] [Indexed: 10/22/2022]
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Campos SBG, de Menezes RCE, Araújo Oliveira MA, da Silva DAV, Longo-Silva G, Oliveira JS, Asakura L, Costa EC, Leal VS. Short stature in children of Karapotó ethnic background, São Sebastião, Alagoas, Brazil. REVISTA PAULISTA DE PEDIATRIA (ENGLISH EDITION) 2016. [PMID: 26652132 PMCID: PMC4917271 DOI: 10.1016/j.rppede.2016.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Objective: Methods: Results: Conclusions:
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Sousa CPDC, de Olinda RA, Pedraza DF. Prevalence of stunting and overweight/obesity among Brazilian children according to different epidemiological scenarios: systematic review and meta-analysis. SAO PAULO MED J 2016; 134:251-62. [PMID: 27355800 PMCID: PMC10496595 DOI: 10.1590/1516-3180.2015.0227121] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Accepted: 11/12/2015] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE Within the Brazilian nutritional panorama, coexistence of antagonistic nutritional disorders can be seen, especially the increasing prevalence of overweight and the persistence of significant rates of chronic malnutrition in vulnerable groups of the population. Because these are major public health problems, this study aimed to ascertain the prevalence of stunting and overweight/obesity among Brazilian children according to different epidemiological scenarios. DESIGN AND SETTING This was a systematic review of prevalence studies, developed at the State University of Paraíba. METHODS The SciELO, Lilacs and PubMed databases were searched for articles, using specific keywords. Articles published between 2006 and 2014 were selected. The review was conducted by two reviewers who worked independently. A systematic review with meta-analysis was conducted, for which the studies were grouped within different epidemiological settings. RESULTS Among the 33 articles recovered, 9 involved samples from daycare centers, 4 had samples from public healthcare services or social registers, 5 related to populations in situations of social inequity and 15 were population-based. Higher chances of stunting were found in populations in situations of social inequity and in those at public healthcare services or on social registers, in relation to reference populations. For overweight/obesity, none of the scenarios had a higher chance than the reference. CONCLUSION Among Brazilian children, stunting continues to be a socially determined public health problem that mainly affects marginalized populations. This problem coexists with significant rates of overweight/obesity affecting all social groups.
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Affiliation(s)
| | - Ricardo Alves de Olinda
- PhD. Professor in the Department of Statistics, Universidade Estadual da Paraíba (UEPB), Campina Grande, PB, Brasil.
| | - Dixis Figueroa Pedraza
- PhD. Professor in the Department of Nursing and Postgraduate Public Health Program, Universidade Estadual da Paraíba (UEPB), Campina Grande, PB, Brasil.
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