0073/2012 - DEFICIÊNCIA DE VITAMINA A EM MÃES E FILHOS NO ESTADO DE PERNAMBUCO VITAMINA A DEFICIENCY IN MOTHERS AND CHILDREN IN THE STATE OF PERNAMBUCO
Analisou-se prevalência e fatores associados à deficiência de vitamina A (DVA) em mães (664) e seus filhos (790) menores de cinco anos em Pernambuco/2006. Estudo transversal populacional, com amostra representativa do meio urbano e rural. A DVA foi definida como níveis de retinol sérico <20g/dL para os dois grupos (mães e filhos). Análises bi e multivariadas foram realizadas utilizando o modelo log-log complementar como função de ligação adotando-se modelo de ordenação hierárquica explicativa da DVA para as crianças e modelo logístico para as mães. A prevalência de DVA foi 6,9% nas mães e 16,1% em seus filhos, com ocorrências semelhantes para cada grupo na comparação urbano x rural. Na área urbana, o regime de ocupação da moradia teve relação significante com a DVA nas mães. Para crianças urbanas, após o ajuste final do modelo, figuraram como variáveis preditivas a idade da mãe; nº de consultas pré-natais e peso ao nascer. No meio rural a DVA materna se associou à DVA dos filhos RP= 3,99 (IC:1,73-9,19), ao peso ao nascer e diarreia nos últimos 15 dias. A DVA mantém-se como um problema de saúde pública em Pernambuco, com marcantes diferenças de prevalência e fatores associados em mães e filhos.
Palavras-chave:
Deficiência de vitamina A
Prevalência
Mães
Crianças
Fatores associados
Abstract:
The prevalence and risk factors associated with vitamin A deficiency (VAD) were analyzed in mothers (664) and their children (790) under the age of five years in Pernambuco/2006. A population-based, cross-sectional study, representative sample in urban and rural areas. VAD was defined as serum retinol levels <20 mg/dL for both groups (mothers and children). Bi and multivariate analysis were performed using the log-log model complementing as a link function adopting a model of hierarchical order explaining VAD to children and logistic model for mothers. VAD prevalence was 6.9 % in mothers and 16.1 % in their children, with similar occurrences for each group comparing urban vs. rural. In the urban area, the regime on housing occupation had a significant relationship with VAD mothers. After the final adjustment of the model for urban children, the mother’s age was figured as predictive variables to the number of consultations on pre-natal and birth weight. In rural areas, maternal VAD is associated to VAD in children PR= 3.99 (95% CI: 1.73 -9. 19), at birth weight and diarrhea in the last 15 days. VAD remains as a public health issue in the state of Pernambuco, with outstanding differences in prevalence and associated factors in mothers and children.
Keywords:
Vitamin A deficiency
Prevalence
Mothers
Children
Associated factors
VITAMINA A DEFICIENCY IN MOTHERS AND CHILDREN IN THE STATE OF PERNAMBUCO
Resumo (abstract):
The prevalence and risk factors associated with vitamin A deficiency (VAD) were analyzed in mothers (664) and their children (790) under the age of five years in Pernambuco/2006. A population-based, cross-sectional study, representative sample in urban and rural areas. VAD was defined as serum retinol levels <20 mg/dL for both groups (mothers and children). Bi and multivariate analysis were performed using the log-log model complementing as a link function adopting a model of hierarchical order explaining VAD to children and logistic model for mothers. VAD prevalence was 6.9 % in mothers and 16.1 % in their children, with similar occurrences for each group comparing urban vs. rural. In the urban area, the regime on housing occupation had a significant relationship with VAD mothers. After the final adjustment of the model for urban children, the mother’s age was figured as predictive variables to the number of consultations on pre-natal and birth weight. In rural areas, maternal VAD is associated to VAD in children PR= 3.99 (95% CI: 1.73 -9. 19), at birth weight and diarrhea in the last 15 days. VAD remains as a public health issue in the state of Pernambuco, with outstanding differences in prevalence and associated factors in mothers and children.
Palavras-chave (keywords):
Vitamin A deficiency
Prevalence
Mothers
Children
Associated factors
Miglioli, T.C, Miglioli, T.C, Fonseca, V.M., Gomes Junior, S. C., Lira, P. I. C., Batista Filho, M.. DEFICIÊNCIA DE VITAMINA A EM MÃES E FILHOS NO ESTADO DE PERNAMBUCO. Cien Saude Colet [periódico na internet] (2012/mai). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/deficiencia-de-vitamina-a-em-maes-e-filhos-no-estado-de-pernambuco/10133?id=10133&id=10133
