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- Title
Association between iron deficiency anaemia and complementary feeding in children under 2 years assisted by a Conditional Cash Transfer programme.
- Authors
Mendes, Marília Moura e; Marçal, Giovana de Montemor; Fragoso, Manuela Di Guaraldi Mafra; Florêncio, Telma Maria de Menezes Toledo; Bueno, Nassib Bezerra; Clemente, Ana Paula Grotti
- Abstract
<bold>Objective: </bold>To evaluate the association between Fe deficiency anaemia (IDA) and complementary feeding in children under 2 years old assisted by the Conditional Cash Transfer programme, Bolsa Família (BFP).<bold>Design: </bold>Cross-sectional study. Data were obtained through a standardised form, questionnaire to assess the eating habits of children under 2 years of age, capillary Hb (HemoCue®) and the Brazilian Household Food Insecurity Measurement Scale. Associations were calculated using hierarchical Poisson regression, adjusted at the last level by socio-economic, demographic and environmental variables from previous hierarchical levels.<bold>Setting: </bold>Six municipalities from the State of Alagoas, Brazil.<bold>Participants: </bold>Children aged 6-24 months assisted by BFP.<bold>Results: </bold>A total of 1604 children were evaluated, among whom 58·1 % had anaemia. A higher number of food groups consumed (prevalence ratio (PR) = 0·97; 95 % CI 0·95, 0·99; P = 0·009), the consumption of dairy (PR = 0·86; 95 % CI 0·79, 0·84; P = 0·001) and meat (PR = 0·90; 95 % CI 0·83, 0·99; P = 0·030) in addition to bottle feeding (PR = 0·88; 95 % CI 0·82, 0·96; P = 0·004) were associated with a lower prevalence of IDA.<bold>Conclusions: </bold>IDA is still a serious public health problem in children under 2 years old assisted by BFP in Alagoas. We highlight the importance of promoting complementary feeding based on a diversified dietary intake, as well strengthening prophylactic supplementation programmes to increase children's adherence in conjunction with the implementation of food and nutrition education to help reduce the prevalence of this condition.
- Subjects
ALAGOAS (Brazil); BRAZIL; IRON deficiency anemia; CONDITIONAL cash transfer programs; FOOD consumption; BOTTLE feeding; FOOD habits; POISSON regression; NUTRITION education; RESEARCH; INFANTS; CROSS-sectional method; RESEARCH methodology; NUTRITIONAL requirements; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; DISEASE prevalence
- Publication
Public Health Nutrition, 2021, Vol 24, Issue 13, p4080
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980020002542