SciELO - Scientific Electronic Library Online

 
vol.48 número2Bronquiolitis por rinovirus en menores de 1 año y riesgo de sibilancias recurrentes y asmaCaracterización clínica y laboratorial de pacientes pediátricos con dengue sin signos de alarma en un hospital de referencia de Paraguay índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Pediatría (Asunción)

versión On-line ISSN 1683-9803

Resumen

GALEANO, Fernando et al. Prevalence of anemia in children aged 1 to 4 years in Asunción and the Central Department, Paraguay, 2017. Pediatr. (Asunción) [online]. 2021, vol.48, n.2, pp.120-126. ISSN 1683-9803.  https://doi.org/10.31698/ped.48022021006.

Introduction:

Children are the group most affected by anemia. In Paraguay there are no updated data on the prevalence of anemia in children under 5 years of age.

Objectives:

To determine the prevalence of anemia in previously healthy children aged 1 to 4 years who presented to health services clinics and nurseries in Asunción and the Central Department, Paraguay, during the year 2017.

Materials and Methods:

This was a prospective, cross-sectional, observational descriptive study. We used random, stratified sampling. Confidence level: 95% Sample error: 5%. Variables: age, sex, hemoglobin, hematometric indices, ferritin, C-reactive protein (CRP), albumin, z Weight / Age, z Weight / Height, z Height / Age, birth weight. Parametric and non-parametric measures, χ2, were analyzed. Anemia was defined by WHO criteria for the 1 to 5 year-old group: Hemoglobin Hb <11 g / dL and Mean Corpuscular Volume MCV <72 fL The Anthro Program v 3.2.2 and SPSS 16.0 were used. The study was approved by the Ethics Committee of the Institute of Tropical Medicine, and informed consent was obtained. Significance level <0.05.

Results:

806 patients were recruited. Hgb, MCV and ferritin were determined in 706 patients. 327 (46.3%) were male. The mean Hgb was 11.9 ± 1.03 g / dL. Mean corpuscular volume 71.2 ± 26 fL. 83/706 patients with anemia (11.8%) were found, 44/83 (53%) were microcytic (MCV <72 fL). Negative CRP 640/706 (90.7%) patients. Average albuminemia was 4.5 ± 0.2 g / dL. The mean of z Weight / Age was 0.29 ± 1.33, z Weight / Height -0.38 ± 1.52 and the z Height / Age was 0.92 ± 1.64. Ferritin <12µg / L was 17.6%. No relationship was found between birth weight and anemia [p = 0.11. RR: 1.45 (0.6-2.3)]. The prevalence of anemia in the 12 to 23 month group was 39% vs 6.9% in preschool children (χ2 p <0.05).

Conclusions:

The prevalence of anemia in infants from Asunción and the Central Department constitutes a public health problem.

Palabras clave : anemia; ferritin; children.

        · resumen en Español     · texto en Español     · Español ( pdf )