title: [Breastfeeding and the anthropometric profile of children with sickle cell anemia receiving follow-up in a newborn screening reference service].
abstract: OBJECTIVE
  To study breastfeeding history (BF) and the anthropometric status of children with Sickle Cell Disease (SCD).
  
  
  METHODS
  A cross-sectional study of 357 children with SS and SC hemoglobinopathies aged between 2 and 6 years old receiving regular follow-up at a Newborn Screening Reference Service (NSRS) between November 2007 and January 2009. The outcome was anthropometric status and the exposures were: BF pattern, type of hemoglobinopathy and child's age and sex.
  
  
  RESULTS
  The average (SD) age was 3.7 (1.1) years, 52.9% were boys and 53.5% had SS hemoglobinopathy. The prevalence of exclusive breastfeeding (EBR) up to six months of age was 31.5%, the median EBR times (p25-p75) was 90.0 (24.0-180.0) days and the median weaning ages (p25-p75) was 360.0 (90.0-20.0) days respectively. Normal W/H children experienced EBR for an average duration almost four times longer than malnourished children (p=0.01), and were weaned later (p<0.05). Height deficit was found in 5.0% of children, while all the children with severe short stature had SS hemoglobinopathy and were over 4 years of age.
  
  
  CONCLUSIONS
  EBR time and weaning age were greater than found in the literature, which is a possible effect of the multidisciplinary follow-up. Duration of EBR and later weaning were associated with improved anthropometric indicators.
authors: Associação de Pais e Amigos dos Excepcionais de Salvador (Apae), Salvador, BA, Brasil. Electronic address: zeninogueira@gmail.com.
authors: Zeni Drubi
authors: ZD
authors: Nogueira
authors: Associação de Pais e Amigos dos Excepcionais de Salvador (Apae), Salvador, BA, Brasil.
authors: Ney
authors: N
authors: Boa-Sorte
authors: Associação de Pais e Amigos dos Excepcionais de Salvador (Apae), Salvador, BA, Brasil.
authors: Maria Efigênia de Queiroz
authors: ME
authors: Leite
authors: Associação de Pais e Amigos dos Excepcionais de Salvador (Apae), Salvador, BA, Brasil.
authors: Márcia Miyuki
authors: MM
authors: Kiya
authors: Associação de Pais e Amigos dos Excepcionais de Salvador (Apae), Salvador, BA, Brasil.
authors: Tatiana
authors: T
authors: Amorim
authors: Universidade de Brasília (UnB), Brasília, DF, Brasil.
authors: Silvana Fahel da
authors: SF
authors: Fonseca
mesh_terms: D000755:Anemia, Sickle Cell; D001827:Body Height; D001835:Body Weight; D001942:Breast Feeding; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening
keywords: Aleitamento materno; Anemia falciforme; Breastfeeding; Doença da hemoglobina SC; Estado nutricional; Hemoglobin SC disease; Neonatal screening; Nutritional status; Sickle cell anemia; Triagem neonatal