Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months
Autor: | Maria Elisabeth Lopes Moreira, Jusceli Souza Nogueira Sabino, Silvia Eloiza Priore, Luciana Moreira Lima, Bruno David Henriques, Brunnella Alcantara Chagas de Freitas, Carla Fernanda Lisboa Valente Carlos, Sylvia do Carmo Castro Franceschini |
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Rok vydání: | 2016 |
Předmět: |
Male
0301 basic medicine Pediatrics Time Factors anemia iron deficiency chemistry.chemical_compound 0302 clinical medicine Reference Values Risk Factors Prevalence zinc deficiency Medicine Prospective Studies Micronutrients Vitamin A Prospective cohort study lcsh:R5-920 Anemia Iron-Deficiency Anemia Neonatal Vitamin A Deficiency Age Factors Anemia Iron Deficiencies General Medicine Iron deficiency Clinical Science Zinc Deficiency Micronutrient vitamin a Zinc Treatment Outcome Regression Analysis Female lcsh:Medicine (General) Multivitamin Anemia Iron Deficiency Brazil Infant Premature Vitamin medicine.medical_specialty Iron Statistics Nonparametric Medication Adherence premature 03 medical and health sciences 030225 pediatrics Humans Premature 030109 nutrition & dietetics business.industry Infant medicine.disease infant Vitamin A deficiency Socioeconomic Factors chemistry micronutrients Dietary Supplements medication adherence Zinc deficiency business |
Zdroj: | Clinics, Vol 71, Iss 8, Pp 440-448 Clinics; v. 71 n. 8 (2016); 440-448 Clinics; Vol. 71 Núm. 8 (2016); 440-448 Clinics; Vol. 71 No. 8 (2016); 440-448 Clinics Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 71, Issue: 8, Pages: 440-448, Published: AUG 2016 LOCUS Repositório Institucional da UFV Universidade Federal de Viçosa (UFV) instacron:UFV |
ISSN: | 1807-5932 1980-5322 |
Popis: | OBJECTIVE: To analyze adherence to the recommended iron, zinc and multivitamin supplementation guidelines for preemies, the factors associated with this adherence, and the influence of adherence on the occurrence of anemia and iron, zinc and vitamin A deficiencies. METHODS: This prospective cohort study followed 58 preemies born in 2014 until they reached six months corrected age. The preemies were followed at a referral secondary health service and represented 63.7% of the preterm infants born that year. Outcomes of interest included high or low adherence to iron, zinc and multivitamin supplementation guidelines; prevalence of anemia; and prevalences of iron, zinc, and vitamin A deficiencies. The prevalence ratios were calculated by Poisson regression. RESULTS: Thirty-eight (65.5%) preemies presented high adherence to micronutrient supplementation guidelines. At six months of corrected age, no preemie had vitamin A deficiency. The prevalences of anemia, iron deficiency and zinc deficiency were higher in the low-adherence group but also concerning in the high-adherence group. Preemies with low adherence to micronutrient supplementation guidelines were 2.5 times more likely to develop anemia and 3.1 times more likely to develop zinc deficiency. Low maternal education level increased the likelihood of nonadherence to all three supplements by 2.2 times. CONCLUSIONS: Low maternal education level was independently associated with low adherence to iron, zinc and vitamin A supplementation guidelines in preemies, which impacted the prevalences of anemia and iron and zinc deficiencies at six months of corrected age. |
Databáze: | OpenAIRE |
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