Efeito da fortificação de farinhas com ferro sobre anemia em pré-escolares, Pelotas, RS

Translated title of the contribution: Effect of iron fortification of flour on anemia in preschool children in Pelotas, Brazil

Maria Cecília Formoso Assunção, Iná S. Santos, Aluísio J D Barros, Denise Petrucci Gigante, Cesar Gomes Victoria

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Iron fortification of flour has been sanctioned by the Brazilian government since 2004. The objective of the study was to assess the impact of flour fortification on hemoglobin level in children under six. Methods: A time-series study was carried out in Pelotas, Southern Brazil, consisting of three assessments at a 12-month interval. In May 2004, before flour fortification, hemoglobin measurements were obtained in a probabilistic sample of 453 children. Twelve and 24 months later, samples of 923 and 863 children were studied, respectively. Results: The three groups studied were comparable in terms of demographic and socioeconomic characteristics. At baseline, mean hemoglobin was 11.3±2.8 g/dL. In the post-fortification period, means were 11.2±2.8 (at 12 months) and 11.3±2.5 g/dL (at 24 months), with no statistically significant difference among the three time periods studied (p=0.16). Conclusions: Fortification had no effect on hemoglobin levels of the children studied. This finding could be partially due to inadequate flour intake and/or low bioavailability of dietary iron.

Translated title of the contributionEffect of iron fortification of flour on anemia in preschool children in Pelotas, Brazil
Original languagePortuguese
Pages (from-to)539-548
Number of pages10
JournalRevista de Saude Publica
Volume41
Issue number4
StatePublished - Aug 2007
Externally publishedYes

Keywords

  • Anemia
  • Child, preschool
  • Flour, analysis
  • Food, fortified
  • Hemoglobins, biosynthesis
  • Intervention studies
  • Iron, dietary
  • Time series studies

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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