medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 3

<< Back Next >>

salud publica mex 2021; 63 (3)

Prevalence of iron deficiency was stable and anemia increased during 12 years (2006-2018) in Mexican women 20-49 years of age

Mejía-Rodríguez F, Villalpando S, Shamah-Levy T, García-Guerra A, Méndez-Gómez HI, De la Cruz-Góngora V
Full text How to cite this article

Language: English
References: 45
Page: 401-411
PDF size: 339.14 Kb.


Key words:

anemia, ferritin, hemoglobin, women, national surveys.

ABSTRACT

Objective. To compare the prevalence of women 20-49 years of age with iron deficiency anemia (IDA), iron deficiency with no anemia (IDNA), and non-ID anemia (NIDA) in comparison during 2006, 2012 and 2018, and their association with sociodemographic characteristics and nutritional status. Materials and methods. Ensanut 2006, 2012 and 2018- 19 are comparable for measurements of anemia (hemoglobin) and Iron deficiency (ID, by ferritin). Both measurements combined were compared with year of surveys and other dependent variables using a multinomial regression. Results. In 2006, the total prevalence of anemia was 14.9% and ID 29.0%, the prevalence of IDA was 8.35%, of IDNA 20.5%, and NIDA 6.6%; in 2012, the total prevalence of anemia was 13.3%, ID was 9.6%, IDA 8.6%, IDNA 21.0% y NIDA 4.7%; in 2018 total prevalence of anemia was 21.4%, of ID 25.7%, IDA 10.5%, IDNA 15.2% and NIDA 10.9%. Conclusions. The total prevalence of anemia increased 6.5 pp between 2006 and 2018, IDNA reduced, IDA had no significant changes, the mayor increase (4.3 pp) occurred in NIDA.


REFERENCES

  1. World Health Organization. Iron deficiency anemia: assessment, prevention, and control. A guide for programme managers. Geneva: WHO, 2011 [cited April 13, 2020]. Available from: https://www.who.int/nutrition/publications/ micronutrients/anaemia_iron_deficiency/WHO_NHD_01.3/en/

  2. Chaparro C, Lutter Ch. La anemia entre adolescentes y mujeres adultas jóvenes en América Latina y el Caribe: un motivo de preocupación. Washington DC: OPS, OMS, 2008 [cited April 13, 2020]. Available from: http:// www.codajic.org/sites/www.codajic.org/files/Anemia%20

  3. World Health Organization, Regional Office for the Eastern Mediterranean. Micronutrient deficiency disorders. Geneva: WHO, 2002 [cited April 13, 2020]. Available from: https://apps.who.int/iris/handle/10665/122090

  4. Sustainable Devolopment Solutions Network. Goal 02. End hunger achieve food security and improved nutrition, and promote sustainable agriculture [Internet]. Indicators and a Monitoring Framework, SDSN [cited April 13, 2020]. Available from: https://indicators.report/goals/goal-2/

  5. International Institute for Sustainable Development. New Indicators on AMR, Dispute Resolution, GHG Emissions Agreed for SDG Framework [Internet]. IISD SDG Knowledge Hub, 2019. [cited April 13, 2020]. Available from: https://sdg.iisd.org/news/new-indicators-on-amr-disputeresolution- ghg-emissions-agreed-for-sdg-framework/

  6. Shamah-Levy T, Villalpando S, Mejía-Rodríguez F, Cuevas-Nasu L, Gaona- Pineda EB, Rangel-Baltazar E, Zambrano-Mujica N. Prevalence of iron, folate, and vitamin B12 deficiencies in 20 to 49 years old women: Ensanut 2012. Salud Publica Mex. 2015;57(5):385-93. https://doi.org/10.21149/spm. v57i5.7618

  7. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Avila M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca: Instituto Nacional de Salud Pública, 2006 [citado marzo 17, 2019]. Available from: http://ensanut.insp.mx/ informes/ensanut2006.pdf

  8. Shamah-Levy T, Villalpando S, Mundo-Rosas V, De la Cruz-Gongora V, Mejía-Rodríguez F, Méndez Gómez-Humarán I. Prevalence of anemia in reproductive-age Mexican women, 99-2012. Salud Publica Mex. 2013;55(suppl2):S190-8 [citado marzo 17, 2019]. Available from: https:// www.ncbi.nlm.nih.gov/pubmed/24626695

  9. Shamah-Levy T, Mejía-Rodríguez F, Méndez Gómez-Humarán I, de la Cruz-Góngora V, Mundo-Rosas V, Villalpando-Hernández S. Tendencia en la prevalencia de anemia entre mujeres mexicanas en edad reproductiva 2006-2016. Ensanut MC 2016. Salud Publica Mex. 2018;60(3):301-8. https://doi.org/10.21149/8820

  10. Mejía-Rodríguez F, Mundo-Rosas V, Rodríguez-Ramírez S, Hernández-F M, García-Guerra A, Rangel-Baltazar E, et al. Alta prevalencia de anemia en mujeres mexicanas en pobreza, Ensanut 100k. Salud Publica Mex. 2019;61(6):841-51. https://doi.org/10.21149/10558

  11. Neufeld LM, García-Guerra A, Quezada AD, Théodore F, Bonvecchio Arenas A, Islas CD, et al. A fortified food can be replaced by micronutrient supplements for distribution in a Mexican social protection program based on results of a cluster-randomized trial and costing analysis. J Nutr. 2019;149(Suppl 1):2302S-9S. https://doi.org/10.1093/jn/nxz176

  12. García-Guerra A, Neufeld LM, Bonvecchio-Arenas A, Fernández- Gaxiola AC, Mejía-Rodríguez F. Closing the nutrition impact gap using program impact pathway analyses to inform the need for program modifications in mexico’s conditional cash transfer program. J Nutr. 2019;149(Suppl):2281S-9S. https://doi.org/10.1093/jn/nxz169

  13. Shamah-Levy T, Villalpando S, Mundo V, Cuevas L, Rivera J. Lecciones aprendidas en la evaluación de Liconsa. (learned lections from the evaluation of Liconsa. Salud Publica Mex. 2007;49(5):E250-E254 [citado agosto 5, 2020]. Available from: http://www.redalyc.org/articulo.oa?id=10649093

  14. Shamah-Levy T, Mejía-Rodríguez F, García Guerra A, Visuet-Vega I, Méndez Gómez-Humarán I, Martínez Domínguez, De la Cruz-Góngora V. Comportamiento y factores asociados con la anemia en mujeres mexicanas en edad fértil. Ensanut 2018-19. Salud Publica Mex. 2020;62(6):767-76. https://doi.org/10.21149/11866

  15. World Health Organization. Nutritional Anaemias: Tools for Effective Prevention and Control. Geneva: World Health Organization, 2017.

  16. Jolly M, Sebire N, Harris J, Robinson S, Regan L. The risks associated with pregnancy in women aged 35 years or older. Human Reproduction. 2000;15(11):2433-7. https://doi.org/10.1093/humrep/15.11.2433

  17. Organización Mundial de la Salud. Directriz: Administración intermitente de suplementos de hierro y ácido fólico en mujeres menstruantes. Geneva: Organizacion Mundial de la Salud, 2012.

  18. Suchdev PS, Peña-Rosas JP, De-Regil LM. Multiple micronutrient powders for home (point of use) fortification of foods in pregnant women: a systematic review. Geneva: World Health Organization, 2011.

  19. Shamah-Levy T, Villalpando-Hernandez S, Rivera-Dommarco JA, Cuevas- Nasu L. Impacto de oportunidades en el estado de nutrición y anemia de niños y mujeres en edad fértil: componente rural. In: González de Cossio T, Rivera-Dommarco J, López-Acevedo G, Rubio-Soto GM. Nutrición y Pobreza: política pública basada en evidencia. Mexico: Banco Mundial de la Salud, Sedesol, 2008 [cited April 13, 2020]. Available from: http://siteresources.worldbank.org/MEXICOINSPANISHEXT/Resources/ NutricionyPobreza.pdf

  20. Palma O, Shama T, Franco A, Olaiz G, Méndez I. Metodología. In: Olaiz- Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando- Hernández S, Hernández Ávila M, Sepúlveda-Amor J. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca: Instituto Nacional de Salud Pública, 2006:122-3.

  21. Romero-Martínez M, Shamah-Levy T, Franco-Núñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP, et al. Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013;55(Supl 9):S332-40. https://doi.org/10.21149/spm.v55s2.5132

  22. Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia- Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, Rivera-Dommarco J. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex. 2019;61(6):917-23. https://doi. org/10.21149/11095

  23. Villalpando S, Gaytán MA, González-Herrera O, Morales-Ruán MC, Gómez-Acosta LM, García-Guerra A. Toma de muestras sanguíneas. En: Shamah- Levy T, Villalpando- Hernández S, Rivera-Dommarco J. Manual de Procedimientos para Proyectos de Nutrición. Cuernavaca: Instituto Nacional de Salud Pública, 2006:109-48.

  24. Tietz NW. Clinical Guide to Laboratory Tests. Philadephia: W. B. Saunders, 1995.

  25. Organización Mundial de la Salud. Concentraciones de hemoglobina para diagnosticar la anemia y evaluar su gravedad. Geneva: Organización Mundial de la Salud, 2011 [cited May 5, 2020]. Available from: http://www. who.int/vmnis/indicators/haemoglobin_es.pdf

  26. Cohen JH, Haas JD. Hemoglobin correction factors for estimating the prevalence of iron deficiency anemia in pregnant women residing at high altitudes in Bolivia. Rev Panam Salud Publica. 1999;6(6):392-99. https://doi. org/10.1590/S1020-49891999001100004

  27. World Health Organization. Assessing the iron status of populations. Ginebra: WHO, Centers for Disease Control and Prevention, 2007.

  28. Thurnham DI, Mccabe LD, Haldar S, Wieringa FT, Northrop-Clewes CA, Mccabe GP. Adjusting plasma ferritin concentrations to remove the effects of subclinical inflammation in the assessment of iron deficiency: a meta-analysis. Am J Clin Nutr. 2010;92(9):546-55. https://doi.org/10.3945/ ajcn.2010.29284

  29. Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Manual. Champaign: Human Kinetics Press, 1988.

  30. Habicht, JP. Estandarización de métodos epidemiológicos cuantitativos sobre el terreno. PAHO Bull. 1974;76(5):375-84 [cited May 5, 2020]. Available from: https://iris.paho.org/bitstream/handle/10665.2/10766/ v76n5p375.pdf?sequence=1

  31. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Geneva: WHO, 1995.

  32. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation on Obesity WHO. Technical Report Series, 894. Geneva: WHO, 2000.

  33. Kolenikov S, Angeles G. The use of discrete data in principal component analysis: theory, simulations, and applications to socio-economic indices [Internet]. Carolina: MEASURE Evaluation, 2004 [cited May 5, 2020]. Available from: https://www.measureevaluation.org/resources/publications/ wp-04-85

  34. Petry N, Olofin I, Hurrell RF, Boy E, Wirth JP, Moursi M, et al. The proportion of anemia associated with iron deficiency in low, medium, and high human development index countries: a systematic analysis of national surveys. Nutrients. 2016;8(11):693. https://doi.org/10.3390/nu8110693

  35. Jamnok J, Sanchaisuriya K, Sanchaisuriya P, Fucharoen G, Fucharoen S, Ahmed F. Factors associated with anaemia and iron deficiency among women of reproductive age in Northeast Thailand: a cross-sectional study. BMC Public Health. 2020;20:102. https://doi.org/10.1186/s12889-020- 8248-1

  36. Kassebaum NJ, GBD 2013 Anemia Collaborators. The Global Burden of Anemia. Hematol Oncol Clin North Am. 2016;30(2):247-308. https:// doi.org/10.1016/j.hoc.2015.11.002

  37. Anaya-Loyola MA, Brito A, Villalpando S, Allen LH. Prevalence of low serum vitamin B12 in Mexican children and women: results from the first National Nutrition Survey (1999) as a basis for interventions and progress Int J Vitam Nutr Res. 2020;90(3-4):325-32. https://doi.org/10.1024/0300- 9831/a000579

  38. Harvey LJ, Armah CN, Dainty JR, Foxall RJ, Lewis DJ, Langford NJ, Fairweather-Tait SJ. Impact of menstrual blood loss and diet on iron deficiency among women in the UK. Br J Nutr. 2005;94(4):557-64. https:// doi.org/10.1079/bjn20051493

  39. Wirth JP, Woodruff BA, Engle-Stone R, Namaste SM, Temple VJ, Petry N, et al. Biomarkers predictors of anemia in women of reproductive age. Am J Clin Nutr. 2017;106(Supl):416-4027.

  40. Camaschella C. Iron-deficiency anemia. Blood. 2019;133(1):30-9. https://doi.org/10.1182/blood-2018-05-815944

  41. Lopez A, Cacoub P, Macdougall IC, Peyrin-Biroulet L. Iron deficiency anaemia. Lancet. 2016;387(10021):7-916. https://doi.org/10.1016/S0140- 6736(15)60865-0

  42. Mejia LA, Chew F. Hematological effect of supplementing anemic children with vitamin A alone and in combination with iron. Am. J Clin Nutr. 1988;48(3):595-600. https://doi.org/10.1093/ajcn/48.3.595

  43. Citelli M, Bittencourt LL, da Silva SV, Pierucci AP, Pedrosa C. Vitamin A modulates the expression of genes involved in iron bioavailability. Biol Trace Elem Res. 2012;149(1):64-70. https://doi.org/10.1007/s12011-012- 9397-6

  44. Batis C, Rodríguez-Ramírez S, Ariza AC, Rivera JA. Intakes of energy and discretionary food in Mexico are associated with the context of eating: mealtime, activity, and place. J Nutr. 2016;146(9):1907S-15S. https://doi. org/10.3945/jn.115.219857

  45. Moorthy D, Merrill R, Namaste S, Iannotti L. The impact of nutritionspecific and nutrition-sensitive interventions on hemoglobin concentrations and anemia: a meta-review of systematic reviews. Adv Nutr. 2020;00:1-15. https://doi.org/10.1093/advances/nmaa070




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2021;63