PREVALÊNCIA DE ANEMIA EM GESTANTES E A FORTIFICAÇÃO DE
FARINHAS COM FERRO
1PREVALENCE OF ANEMIA IN PREGNANT AND IRON FORTIFICATION OF FLOURS PREVALENCIA DE ANEMIA EN EMBARAZADAS Y LA FORTIFICACIÓN DE HARINAS
CON HIERRO
Ana Paula Sayuri Sato2, Elizabeth Fujimori3, Sophia Cornbluth Szarfarc4, João Ricardo Sato5, Isabel Cristina Bonadio6
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RESULTADOS
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(PDPERVRVJUXSRVDSURSRUomRGHJUD-YLGH]QDDGROHVFrQFLDHUDFHUFDGHDJUDQGH PDLRULDLQLFLRXRSUpQDWDOQRWULPHVWUHFRP PpGLDVGHSHVRHDOWXUDVLPLODUHVHSHVRDGHTXDGR SDUDDLGDGHJHVWDFLRQDO
$7DEHODPRVWUDTXHGDVJHVWDQWHV GRJUXSRQmRIRUWLÀFDGR HGRJUXSRIRU-WLÀFDGR HUDP DQrPLFDV S! 1R SULPHLUR WULPHVWUH PDLV GH GDV PXOKHUHV WLQKDP +EJG/
Tabela 1 - Médias de Hb e proporção de gestantes anêmicas (Hb<11,0g/dL) segundo trimestres
ges-WDFLRQDLVHJUXSRVQmRIRUWLÀFDGRHIRUWLÀFDGR6mR3DXOR63
Hemoglobina
Trimestre 1mRIRUWL¿FDGR )RUWL¿FDGR p*
n x ± DP %<11,0g/dL n x ± DP %<11,0g/dL
I† 254 12,62± 0,9 2,0 231 12,68±0,9 3,0 0,627
II 108 11,94±1,2 21,3 105 11,87±1,0 16,2
III 28 11,28±1,2 28,6 24 11,28±1,4 29,2
Total 390 12,35±1,0 9,2 360 12,39±1,1 8,6
2YDORUGHSUHIHUHVHDRWHVWH4XLTXDGUDGRSDUDGLIHUHQoDGDGLVWULEXLomRGHPXOKHUHVFRP+EJG/HQWUHRVJUXSRV QmRIRUWLÀFDGRHIRUWLÀFDGR
†1RSULPHLURWULPHVWUHDSURSRUomRGHJHVWDQWHVFRP+EJG/HUDGHHQRJUXSRQmRIRUWLÀFDGRHIRUWLÀFDGR UHVSHFWLYDPHQWH
$7DEHODPRVWUDTXHDGLVWULEXLomRGDV JHVWDQWHV DQrPLFDV VHJXQGR YDULiYHLV VyFLR HFRQ{PLFRGHPRJUiILFDV IRL VLPLODU HQWUH RV
7DEHOD'LVWULEXLomRGDDQHPLDVHJXQGRYDULiYHLVVyFLRHFRQ{PLFRGHPRJUiÀFDVHJUXSRVQmR IRUWLÀFDGRHIRUWLÀFDGR6mR3DXOR63
Variáveis 1mRIRUWL¿FDGR )RUWL¿FDGR p*
N Hb<11,0g/dL (%) N Hb<11,0g/dL (%)
,GDGHDQRV
<20 69 9 (13,0) 65 5 (7,7) 0,395
20 |– 30 262 24 (17,1) 220 19 (16,3)
!ҏ 59 3 (5,1) 75 7 (9,3)
6LWXDomRFRQMXJDO
Com companheiro 276 24 (8,7) 223 14 (6,3) 0,127
Sem companheiro 114 12 (10,5) 137 17 (12,4)
(VFRODULGDGHDQRV
0 |– 4 43 5 (11,6) 21 1 (4,7) 0,080
4 |– 8 152 15 (9,8) 101 7 (6,9)
8 |– 11 98 11 (11,2) 106 14 (13,2)
> 11 97 5 (5,1) 132 9 (6,8)
5HQGDIDPLOLDUHPVDOiULRVPtQLPRV†
<2 65 7 (10,7) 66 5 (7,5) 0,298
ҏ±_ 115 13 (11,3) 108 13 (12,0)
ҏ±_ 36 3 (8,3) 21 4 (19,0)
25 1 (4,0) 8 1 (12,5)
2YDORUGHSUHIHUHVHDRWHVWH4XLTXDGUDGR
†1HPWRGRVRVSURQWXiULRVFRQWLQKDPHVWDLQIRUPDomR
'DPHVPDIRUPDFRQVWDWDVHQD7DEHOD TXHDGLVWULEXLomRGDVJHVWDQWHVDQrPLFDVVHJXQGR HVWDGRQXWULFLRQDOLGDGHJHVWDFLRQDOQDFRQVXOWD
SUpQDWDOHQ~PHURGHFRQVXOWDVSUpQDWDLVQmR GLIHULXHQWUHRV*UXSRVS!
7DEHOD'LVWULEXLomRGDDQHPLDVHJXQGRDGHTXDomRGHSHVRHYDULiYHLVSUpQDWDLVVHJXQGRJUXSRV QmRIRUWLÀFDGRHIRUWLÀFDGR6mR3DXOR63
Variáveis* 1mRIRUWL¿FDGR )RUWL¿FDGR
p†
N Hb<11,0g/dL (%) N Hb<11,0g/dL (%)
(VWDGRQXWULFLRQDO
Baixo peso 61 7 (11,5) 65 5 (7,7) 0,788
Peso adequado 211 24 (11,4) 178 22 (12,3)
Sobrepeso 82 4 (4,8) 67 2 (2,9)
Obesidade 18 1 (5,5) 34 2 (5,9)
1~PHURGHFRQVXOWDVSUpQDWDO
<6 177 26 (14,7) 216 22 (10,2) 0,872
t 6 213 10 (4,7) 144 9 (6,2)
7ULPHVWUHJHVWDFLRQDOQDFRQVXOWD
I 275 12 (4,3) 231 7 (3,03) 0,111
II 98 22 (22,4) 105 17 (16,1)
III 17 2 (11,7) 24 7 (29,1)
Total 390 36 (9,2) 360 31 (8,6)
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2VUHVXOWDGRVFRQWURODGRVSHODVSRWHQFLDLV YDULiYHLV GH FRQIXVmR LQGLFDUDP TXH 7DEHOD DTXDQWRPDLRUR,0&QDSULPHLUDFRQVXOWD SUpQDWDOPDLRUHUDDFRQFHQWUDomRPpGLDGH+E
FRQVWDWDQGRVHDXPHQWRGHJGOSDUDFDGD XQLGDGHDPDLVGH,0&ETXDQWRPDLRUDLGDGH JHVWDFLRQDOQDSULPHLUDFRQVXOWDSUpQDWDOPHQRU HUDDFRQFHQWUDomRPpGLDGH+ETXHGHFOLQRXHP JGOSDUDFDGDPrVDPDLVGHJHVWDomRF TXDQWRPDLRUDLGDGHJHVWDFLRQDOQRPRPHQWRGR H[DPHGHVDQJXHPHQRUDFRQFHQWUDomRPpGLDGH +ETXHDSUHVHQWRXVHJGOPHQRUDFDGDPrV DPDLVGHJHVWDomRGTXDQWRPDLRURQ~PHURGH FRQVXOWDVSUpQDWDLVPDLRUHUDDFRQFHQWUDomRPp-GLDGH+EGHIRUPDTXHVHFRQVWDWRXXPDXPHQWR GHJGODFDGDFRQVXOWDDPDLVGHSUpQDWDO
7DEHOD3DUkPHWURVGDUHJUHVVmROLQHDUP~OWLSODSDUDQtYHLVPpGLRVGHKHPRJORELQDHDVYDULiYHLV HVWXGDGDV6mR3DXOR63
Variáveis E 'HVYLRSDGUmR WVWXGHQW SYDORU
*UXSRIRUWL¿FDGRHQmRIRUWL¿FDGR* 0,117
IMC na primeira consulta pré-natal 0,024 0,008 3,207 0,001
Idade gestacional na primeira consulta pré-natal -0,016 0,008 -1,972 0,049
Idade gestacional no momento do exame de sangue -0,247 0,030 -8,204 <0,001
Número de consultas pré-natais 0,048 0,021 2,212 0,027
6LWXDomRFRQMXJDO† 0,005
9DULiYHOQmRVLJQLÀFDWLYD †9DULiYHOFDWHJyULFD
+EGRPrVGHDPERVRVJUXSRVIRLH[FOXtGDDÀPGHSURSRUFLRQDUPDLRUÀGHGLJQLGDGHjDQiOLVHSRLVRVYDORUHVHQFRQWUDGRV QDTXHOHPrVWLQKDPSDGUmRGLIHUHQWHGRVRXWURVPHVHV
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Tabela 5 - Parâmetros da regressão linear
múlti-SODSDUDQtYHLVPpGLRVGHKHPRJORELQDHVLWXDomR FRQMXJDOGDVJHVWDQWHV6mR3DXOR63
6LWXDomRFRQMXJDO Diferença em relação às
FDVDGDV SYDORU
Amasiadas -0,278 0,012
Solteiras -0,322 0,007
Separadas -0,893 0,005
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