Iron bioavailability as a protective factor against anemia among children aged 12 to 16 months.
OBJECTIVE
This study investigates the nutritional factors that determine the absence of anemia in infants from families with a low socioeconomic background submitted to a nutrition intervention program, as well as iron intake according to recommendations.


METHODS
The study included 369 children from a cohort of inhabitants of São Leopoldo, state of Rio Grande do Sul, Brazil, who were randomized at birth into an intervention group and into a control group. The intervention group had nutritional guidance in the first year of life, with monthly follow-up home visits, whereas the control group was visited at 6 and 12 months, without nutritional intervention. At the end of the first year of life, a 24-hour recall was used. Anemia was diagnosed based on a hemoglobin level less than 11 g/dL. The children's diets were classified according to iron bioavailability.


RESULTS
The prevalence of anemia amounted to 63.7% in this study. The proportion of children with adequate iron intake relative to the recommendations was statistically higher in the nonanemic group (26.8%) than in the anemic one (17.7%). Nonanemic children had a greater intake of iron (p = 0.019), vitamin C (p = 0.001), energy density at dinner (p = 0.006), iron density per 1,000 calories (p = 0.045); and 16.3% of them had a diet with high iron bioavailability (p = 0.002).


CONCLUSIONS
A diet with high iron bioavailability protects children from anemia and can be used as an intervention measure by basic health services and by the municipal departments of children's education.
Vitolo
Márcia Regina
MR
Fundação Faculdade Federal de Ciências Médicas de Porto Alegre (FFFCMPA), Porto Alegre, RS, Brazil. marciavitolo@hotmail.com
Bortolini
Gisele Ane
GA
D018798:Anemia, Iron-Deficiency / Q000178:diet therapy / Q000378:metabolism / Q000517:prevention & control*; D001205:Ascorbic Acid / Q000008:administration & dosage; D001682:Biological Availability; D001938:Brazil; D003430:Cross-Sectional Studies; D004034:Diet Surveys; D002149:Energy Intake / Q000502:physiology; D006418:Heme / Q000008:administration & dosage / Q000493:pharmacokinetics*; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena / Q000502:physiology*; D019266:Iron, Dietary / Q000008:administration & dosage / Q000493:pharmacokinetics*; D009752:Nutritional Status / Q000502:physiology; D012923:Social Class; D016896:Treatment Outcome
D019266:Iron, Dietary; D006418:Heme; D001205:Ascorbic Acid