title: Anemia and micronutrient deficiencies in infants attending at Primary Health Care in Rio Branco, Acre, Brazil.
abstract: The present study investigated the factors associated with anemia and micronutrient deficiencies in a cross-sectional analysis conducted with 150 children aged 11 to 14 months attending at basic health centers in Rio Branco, Acre. Venous blood samples were obtained to assess the occurrence of anemia and deficiencies of iron (ID), vitamin A (VAD), and B12 (VB12D). Multiple Poisson regression models were used to identify factors associated with anemia. Anemia, ID, VAD and B12D were observed in 23%, 76%, 18% and 20% of children, respectively. The factors associated with anemia were: do not be only child, living in households without access to cable TV or internet, stunting, late introduction of the complementary feeding (more than 240 days), VAD, VB12D, and current evidence of infection (plasma CRP > 5 mg/L). There was a lower prevalence of anemia among children with birth weight > 3,500 g. Overall, 82% of the study children had at least one of the micronutrient deficiencies (ID, VAD and VB12D). Actions with emphasis on timely and healthy feeding practices, better management of morbidities and supplementation with other micronutrients should be focused on the improvement of child care services at primary health care in this county.
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Rio Branco, AC, Brasil, crisufac1@gmail.com.
authors.forename: Cristieli Sérgio de Menezes
authors.initials: CS
authors.lastname: Oliveira
authors.affiliation: Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Rosângela Aparecida
authors.initials: RA
authors.lastname: Augusto
authors.affiliation: Centro de Ciências da Saúde e do Desporto, Universidade Federal do Acre, Rio Branco, AC, Brasil, crisufac1@gmail.com.
authors.forename: Pascoal Torres
authors.initials: PT
authors.lastname: Muniz
authors.affiliation: Coordenação Geral de Alimentação e Nutrição, Ministério da Saúde do Brasil, Brasília, DF, Brasil.
authors.forename: Sara Araújo
authors.initials: SA
authors.lastname: da Silva
authors.affiliation: Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Marly Augusto
authors.initials: MA
authors.lastname: Cardoso
mesh_terms: D000740:Anemia / Q000453:epidemiology* / Q000209:etiology; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D006801:Humans; D007223:Infant; D018977:Micronutrients; D009752:Nutritional Status; D015995:Prevalence; D011320:Primary Health Care
chemical_list: D018977:Micronutrients