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Article ; Online: Ideal Cardiovascular Health and Job Strain: A Cross-Sectional Study from the Amazon Basin.

Muniz, Davi Dantas / Siqueira, Kamile Santos / Cornell, Cristina Toledo / Fernandes-Silva, Miguel Morita / Muniz, Pascoal Torres / Silvestre, Odilson Marcos

Arquivos brasileiros de cardiologia

2019 Volume 112, Issue 3, Page(s) 260–268

Abstract: Background: Ideal Cardiovascular (CV) Health is characterized by four ideal lifestyle parameters and absence of cardiovascular risk factors. The prevalence of ideal CV health in the Amazon Basin and the influence of job strain on CV health in this ... ...

Abstract	Background: Ideal Cardiovascular (CV) Health is characterized by four ideal lifestyle parameters and absence of cardiovascular risk factors. The prevalence of ideal CV health in the Amazon Basin and the influence of job strain on CV health in this setting are uncertain. Objective: To evaluate the prevalence of ideal CV health and its relationship with job strain in a secluded area from a developing country. Methods: Job strain was evaluated in 478 employees from an university in the Amazon Basin by a questionnaire that classified participants as passive, active, low or high strain, according to the demand-control model. CV health was evaluated using the American Heart Association 7 health factors (diet, physical activity, body mass index (BMI), smoking, hypertension, diabetes and hypercholesterolemia). Participants were classified as having ideal, intermediate or poor CV health. The level of significance was set at p < 0.05. Results: The mean age was 44.3 ± 12 years, 65% were men, and 35% were faculty. No participant fulfilled the criteria for ideal CV health. Intermediate CV health was found in 44 (9%) and poor in 434 (91%) individuals. Considering low strain as a reference group, individuals classified as high strain, active and passive had a non-significant (p > 0.05) increase in the chances of having poor CV health. When adjusting for possible confounders, high job strain was associated with poor BMI (> 30 kg/m2), (OR 2.11, 95%CI 1.06-4.22; p = 0.034) and poor diet (OR 2.31, 95% CI 1.29-4.13; p = 0.005). Conclusion: Job strain was not associated with cardiovascular health, but high job strain was related to obesity and poor diet. Given the high prevalence of poor CV health and lack of participants with ideal CV health, policies focusing on health education and lifestyle interventions are paramount to this population.
MeSH term(s)	Adult ; Blood Pressure/physiology ; Body Mass Index ; Brazil/epidemiology ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/prevention & control ; Cross-Sectional Studies ; Female ; Health Personnel/psychology ; Health Status ; Humans ; Male ; Middle Aged ; Occupational Diseases/epidemiology ; Prevalence ; Risk Factors ; Surveys and Questionnaires ; Workplace/psychology
Language	Portuguese
Publishing date	2019-01-07
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	730261-7
ISSN	1678-4170 ; 0066-782X
ISSN (online)	1678-4170
ISSN	0066-782X
DOI	10.5935/abc.20190005
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Article ; Online: Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon.

Imada, Katiuscia Shirota / Araújo, Thiago Santos de / Muniz, Pascoal Torres / Pádua, Valter Lúcio de

Revista de saude publica

2016 Volume 50, Page(s) 77

Abstract: Objective: To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon.: Methods: In this population-based cross-sectional study, we analyzed data from ... ...

Abstract	Objective: To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon. Methods: In this population-based cross-sectional study, we analyzed data from surveys conducted in the city of Jordão, Acre. In 2005 and 2012, these surveys evaluated, respectively, 466 and 826 children under five years old. Questionnaires were applied on the socioeconomic conditions, construction of houses, food and hygienic habits, and environmental sanitation. We applied Pearson's Chi-squared test and Poisson regression to verify the relationship between origin of water, construction of homes, age of introduction of cow's milk in the diet, place of birth and the prevalence of diarrhea. Results: The prevalence of diarrhea was reduced from 45.1% to 35.4%. We identified higher probability of diarrhea in children who did not use water from the public network, in those receiving cow's milk in the first month after birth, and in those living in houses made of paxiúba. Children born at home presented lower risk of diarrhea when compared to those who were born in hospital, with this difference reversing for the 2012 survey. Conclusions: Sanitation conditions improved with the increase of bathrooms with toilets, implementation of the Programa de Saúde da Família (PSF - Family Health Program), and water treatment in the city. The multivariate regression model identified a statistically significant association between use of water from the public network, construction of houses, late introduction of cow's milk, and access to health service with occurrence of diarrhea. Objetivo: Analisar as contribuições das melhorias socioeconômicas, higiênicas e de saneamento na redução da prevalência de diarreia em uma cidade na Amazônia. Métodos: Neste estudo transversal de base populacional, foram analisados dados dos inquéritos realizados no município de Jordão, Acre. Em 2005 e 2012, foram avaliadas, respectivamente, 466 e 826 crianças menores de cinco anos. Foram aplicados questionários sobre as condições socioeconômicas, construção dos domicílios, hábitos higiênicos e alimentares e saneamento ambiental. Foi aplicado o teste Qui-quadrado de Pearson e a Regressão de Poisson para verificar a relação existente entre procedência da água, tipo de construção do domicílio, idade de introdução de leite de vaca na dieta e local de nascimento e a prevalência de diarreia. Resultados: A prevalência de diarreia foi reduzida de 45,1% para 35,4%. Foi identificada maior probabilidade de desenvolvimento de diarreia em crianças que não utilizaram água da rede pública, as que receberam leite de vaca no primeiro mês após o nascimento e as residentes em domicílios de paxiúba. As crianças que nasceram no domicílio apresentaram menor risco de diarreia quando comparadas às que nasceram em hospital, com essa diferença se invertendo para o inquérito de 2012. Conclusões: Ocorreu melhora nas condições de saneamento com aumento no número de banheiro com vasos sanitários, implantação do Programa de Saúde da Família e tratamento de água na sede do município. O modelo de regressão multivariada identificou associação estatisticamente significativa entre utilização de água da rede pública, construção da moradia, introdução tardia de leite de vaca e acesso a serviço de saúde com ocorrência de diarreia.
MeSH term(s)	Brazil/epidemiology ; Chi-Square Distribution ; Child, Preschool ; Cross-Sectional Studies ; Diarrhea/epidemiology ; Diarrhea/prevention & control ; Humans ; Hygiene ; Prevalence ; Sanitation ; Socioeconomic Factors
Language	Portuguese
Publishing date	2016-12-22
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	732179-x
ISSN	1518-8787 ; 0034-8910
ISSN (online)	1518-8787
ISSN	0034-8910
DOI	10.1590/S1518-8787.2016050006505
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Article ; Online: Prevalência e fatores associados ao excesso de peso em adultos: inquérito populacional em Rio Branco, Acre, Brasil, 2007-2008.

Lino, Marina Zago Ramos / Muniz, Pascoal Torres / Siqueira, Kamile Santos

Cadernos de saude publica

2011 Volume 27, Issue 4, Page(s) 797–810

Abstract: Population studies in Brazil have shown an increased prevalence of overweight and obesity in adult populations in all regions of the country. The objective was to estimate prevalence and identify risk factors associated with overweight among adults in ... ...

Title translation	Prevalence of overweight and associated factors in adults: a population survey in Rio Branco, Acre State, Brazil, 2007-2008.
Abstract	Population studies in Brazil have shown an increased prevalence of overweight and obesity in adult populations in all regions of the country. The objective was to estimate prevalence and identify risk factors associated with overweight among adults in Rio Branco, Acre State, Brazil. The study included a cross-sectional population-based sample of 1,469 adults. Multivariate analysis was performed using Poisson regression, taking overweight (BMI > 25kg/m²) as the dependent variable. Prevalence of overweight was 46.9%, higher among women. Overweight tended to increase with age in both men and women. Overweight was associated with socioeconomic, demographic, and morbidity variables such as hypertension and dyslipidemia. The high prevalence of overweight in adults of both sexes suggests a public health problem. Control measures and prevention of health risks associated with excess weight are necessary.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Aged ; Body Mass Index ; Brazil/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Obesity/epidemiology ; Overweight/epidemiology ; Prevalence ; Risk Factors ; Sex Factors ; Socioeconomic Factors ; Young Adult
Language	Portuguese
Publishing date	2011-04-22
Publishing country	Brazil
Document type	English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1115730-6
ISSN	1678-4464 ; 0102-311X
ISSN (online)	1678-4464
ISSN	0102-311X
DOI	10.1590/s0102-311x2011000400019
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Article ; Online: Anaemia and iron deficiency between 2003 and 2007 in Amazonian children under 2 years of age: trends and associated factors.

Granado, Fernanda Serra / Augusto, Rosangela Aparecida / Muniz, Pascoal Torres / Cardoso, Marly Augusto

Public health nutrition

2013 Volume 16, Issue 10, Page(s) 1751–1759

Abstract: Objective: To describe trends in the prevalence of anaemia and Fe deficiency in children under 2 years of age living in a town in western Brazilian Amazonia.: Design: Temporal analysis of two cross-sectional population-based surveys. Information on ... ...

Abstract	Objective: To describe trends in the prevalence of anaemia and Fe deficiency in children under 2 years of age living in a town in western Brazilian Amazonia. Design: Temporal analysis of two cross-sectional population-based surveys. Information on socio-economic status, morbidity and breast-feeding was obtained using a structured questionnaire. Child weight and length were measured for anthropometric evaluation. Concentrations of blood Hb, plasma ferritin and soluble transferrin receptor were measured. Setting: The town of Acrelândia, state of Acre, north-west Brazil. Subjects: A total of 170 and 224 participants of the 2003 and 2007 surveys, respectively. Results: Comparison between the 2003 and 2007 surveys revealed no statistically significant differences in the prevalence of anaemia (48 (95% CI 39, 56)% to 40 (95% CI 33, 47)%) or Fe-deficiency anaemia (39 (95% CI 30, 48)% to 37 (95% CI 30, 45)%), respectively. However, an increase in the overall prevalence of Fe deficiency from 62 (95% CI 51, 68)% to 81 (95% CI 75, 86)% was observed (χ2 test, P≤0.001). In age- and sex-adjusted analyses for risk of Fe deficiency, only early introduction of cow's milk (<90 d) was associated with Fe deficiency in 2003 (prevalence ratio (PR)=0.76; 95% CI 0.57, 1.01), while caesarean section (PR=1.18; 95% CI 1.03, 1.35) and birth weight <3500 g (PR=1.15; 95% CI 1.00, 1.34) were associated with Fe deficiency in 2007. Conclusions: No improvements were observed in the prevalence of anaemia, exposing a worrying scenario for public health, while a significant increase was found in the prevalence of Fe deficiency in the studied infants and toddlers.
MeSH term(s)	Anemia, Iron-Deficiency/blood ; Anemia, Iron-Deficiency/epidemiology ; Animals ; Anthropometry ; Brazil/epidemiology ; Breast Feeding ; Child, Preschool ; Cross-Sectional Studies ; Female ; Ferritins/blood ; Ferritins/deficiency ; Health Surveys ; Humans ; Infant ; Male ; Milk/chemistry ; Nutritional Status ; Prevalence ; Socioeconomic Factors ; Surveys and Questionnaires
Chemical Substances	Ferritins (9007-73-2)
Language	English
Publishing date	2013-02-01
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980012005617
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Article: Factors associated with stunting and overweight in Amazonian children: a population-based, cross-sectional study

Cobayashi, Fernanda / Augusto, Rosângela Aparecida / Cardoso, Marly Augusto / Lourenço, Bárbara Hatzlhoffer / Muniz, Pascoal Torres

Public health nutrition. 2014 Mar., v. 17, no. 3

2014

Abstract: To examine the prevalence of stunting and overweight in children and identify demographic, socio-economic and maternal characteristics, as well as biochemical indicators, associated with these outcomes. A population-based, cross-sectional study was ... ...

Abstract	To examine the prevalence of stunting and overweight in children and identify demographic, socio-economic and maternal characteristics, as well as biochemical indicators, associated with these outcomes. A population-based, cross-sectional study was performed. Data from structured questionnaires, anthropometric measurements, and blood and stool samples were used in Poisson regression models to estimate prevalence ratios (PR) according to a hierarchical conceptual framework. Acrelândia, western Brazilian Amazon. Children (n 1139) aged <10 years. Prevalence of stunting was 7·1 % (95 % CI 5·1, 9·6 %) and 3·7 % (95 % CI 2·4, 5·7 %) among children aged <5 years and ≥5 years, respectively; overweight was detected in 20·6 % (95 % CI 17·4, 24·2 %) and 9·4 % (95 % CI 7·2, 12·1 %) of children aged <5 years and ≥5 years, respectively. Among children <5 years of age, stunting was positively associated with the lowest maternal height tertile (PR = 3·09, 95 % CI 1·26, 7·63), low birth weight (PR = 2·70, 95 % CI 1·41, 5·19), diarrhoea for ≥3d (PR = 2·21, 95 % CI 1·03, 4·77) and geohelminth infections (PR = 2·53, 95 % CI 1·02, 6·13). Overweight in children <5 years of age was positively associated with caesarean delivery (PR = 1·45, 95 % CI 1·02, 2·06), birth weight ≥3500 g (PR = 1·82, 95 % CI 1·30, 2·55) and Fe deficiency (PR = 1·64, 95 % CI 1·07, 2·53). Among children aged ≥5 years, land or livestock ownership (PR = 1·85, 95 % CI 1·07, 3·22), maternal overweight (PR = 2·06, 95 % CI 1·23, 3·47), high C-reactive protein concentration (PR = 2·43, 95 % CI 1·26, 4·70), vitamin A deficiency (PR = 1·97, 95 % CI 1·13, 3·41) and high serum TAG concentration (PR = 2·16, 95 % CI 1·27, 3·68) were associated with overweight. Overweight was more prevalent than stunting, being associated with higher household wealth, maternal overweight, caesarean delivery, high birth weight, micronutrient deficiencies and high TAG concentration. Improvements in maternal and child health care with sustainable access to healthy food are necessary to reduce short- and long-term health complications related to overweight in this population.
Keywords	anthropometric measurements ; blood serum ; childhood obesity ; children ; C-reactive protein ; cross-sectional studies ; diarrhea ; feces ; growth retardation ; health services ; healthy diet ; household income ; livestock ; low birth weight ; ownership ; questionnaires ; regression analysis ; socioeconomics ; vitamin A ; vitamin A deficiency
Language	English
Dates of publication	2014-03
Size	p. 551-560.
Publishing place	Cambridge University Press
Document type	Article
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980013000190
Database	NAL-Catalogue (AGRICOLA)

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Article: Anaemia and iron deficiency between 2003 and 2007 in Amazonian children under 2 years of age: trends and associated factors

Granado, Fernanda Serra / Augusto, Rosangela Aparecida / Cardoso, Marly Augusto / Muniz, Pascoal Torres

Public health nutrition. 2013 Oct., v. 16, no. 10

2013

Abstract: To describe trends in the prevalence of anaemia and Fe deficiency in children under 2 years of age living in a town in western Brazilian Amazonia. Temporal analysis of two cross-sectional population-based surveys. Information on socio-economic status, ... ...

Abstract	To describe trends in the prevalence of anaemia and Fe deficiency in children under 2 years of age living in a town in western Brazilian Amazonia. Temporal analysis of two cross-sectional population-based surveys. Information on socio-economic status, morbidity and breast-feeding was obtained using a structured questionnaire. Child weight and length were measured for anthropometric evaluation. Concentrations of blood Hb, plasma ferritin and soluble transferrin receptor were measured. The town of Acrelândia, state of Acre, north-west Brazil. A total of 170 and 224 participants of the 2003 and 2007 surveys, respectively. Comparison between the 2003 and 2007 surveys revealed no statistically significant differences in the prevalence of anaemia (48 (95 % CI 39, 56) % to 40 (95 % CI 33, 47) %) or Fe-deficiency anaemia (39 (95 % CI 30, 48) % to 37 (95 % CI 30, 45) %), respectively. However, an increase in the overall prevalence of Fe deficiency from 62 (95 % CI 51, 68) % to 81 (95 % CI 75, 86) % was observed (χ2 test, P ≤ 0·001). In age- and sex-adjusted analyses for risk of Fe deficiency, only early introduction of cow's milk (<90 d) was associated with Fe deficiency in 2003 (prevalence ratio (PR) = 0·76; 95 % CI 0·57, 1·01), while caesarean section (PR = 1·18; 95 % CI 1·03, 1·35) and birth weight <3500 g (PR = 1·15; 95 % CI 1·00, 1·34) were associated with Fe deficiency in 2007. No improvements were observed in the prevalence of anaemia, exposing a worrying scenario for public health, while a significant increase was found in the prevalence of Fe deficiency in the studied infants and toddlers.
Keywords	birth weight ; blood ; breast feeding ; cesarean section ; children ; ferritin ; infants ; iron ; iron deficiency anemia ; milk ; morbidity ; nutrient deficiencies ; public health ; questionnaires ; risk analysis ; socioeconomic status ; surveys ; toddlers ; transferrin
Language	English
Dates of publication	2013-10
Size	p. 1751-1759.
Publishing place	Cambridge University Press
Document type	Article
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980012005617
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Smoking in adults in the municipality of Rio Branco, Acre, Brazil: a population-based study.

Martinelli, Patricia Merly / Lopes, Creso Machado / Muniz, Pascoal Torres / Souza, Orivado Florencio de

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2014 Volume 17, Issue 4, Page(s) 989–1000

Abstract: Objective: To analyze the associations between smoking and socioeconomic status, and to analyze the profile of smokers in the city of Rio Branco, Acre.: Methods: A population-based cross-sectional study conducted with 1,512 adults living in urban and ...

Abstract	Objective: To analyze the associations between smoking and socioeconomic status, and to analyze the profile of smokers in the city of Rio Branco, Acre. Methods: A population-based cross-sectional study conducted with 1,512 adults living in urban and rural areas. Information about demographic aspects, socioeconomic status and smoking habits were collected through home interviews. Crude and adjusted prevalence ratios with their respective 95% confidence intervals were calculated by Poisson regression. Results: The overall prevalence of smoking was of 19.9%. Males had a higher prevalence (22.7%) in contrast to females (17.6%). By age, a higher prevalence was observed at 50 - 59 years in males (30.9%) and at 40 - 49 years in females (23.8%). A linear trend was observed between the higher prevalence of smoking and the lower amount of years of education and income (p < 0.05). The profile of smokers indicated that the majority, in both genders, began smoking at age 15, smoked between 1 and 10 cigarettes per day, lit the first cigarette of the day 60 minutes after waking up and had tried to quit smoking at least twice. Conclusion: The high prevalence of smoking is a relevant public health problem in Rio Branco. Community actions must be implemented for the prevention and control of tobacco use.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Brazil/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Sex Factors ; Smoking/epidemiology ; Socioeconomic Factors ; Young Adult
Language	Portuguese
Publishing date	2014-11-11
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1415-790X
ISSN (online)	1980-5497
ISSN	1415-790X
DOI	10.1590/1809-4503201400040016
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Article ; Online: Prevalence of self-reported traffic accidents in Rio Branco, Northern Brazil.

Magalhães, Andréa Fernandes / Lopes, Creso Machado / Koifman, Rosalina Jorge / Muniz, Pascoal Torres

Revista de saude publica

2011 Volume 45, Issue 4, Page(s) 738–744

Abstract: Objective: To estimate the prevalence of self-reported traffic accidents and identify associated factors.: Methods: Cross-sectional, population-based study carried out from September 2007 to August 2008, in the urban and rural zones of Rio Branco ( ... ...

Abstract	Objective: To estimate the prevalence of self-reported traffic accidents and identify associated factors. Methods: Cross-sectional, population-based study carried out from September 2007 to August 2008, in the urban and rural zones of Rio Branco (Northern Brazil). Data referring to adults (aged 18 to 96 years, n = 1,516) of the inquiry Health and Nutrition of Adults and Children of Rio Branco, obtained in home interviews, were analyzed. The relations between self-reported traffic accident and socioeconomic and behavior variables were analyzed by means of prevalence ratios and 95% confidence intervals; Poisson regression analysis was performed. Results: The prevalence of self-reported traffic accident was 36%. In the Poisson analysis, male individuals (PR= 1.45 and 95% CI: 1.12;1.87) who reported alcohol consumption (PR= 1.25 and 95%CI: 0.97;1.62), with income above five minimum wages (PR= 1.88 and 95%CI: 1.25;2.83), aged between 18 and 25 years (PR= 1.45 and 95%CI: 1.02;2.05), presented higher probability of reporting involvement in traffic accidents. The variables age and level of schooling had inverse association with the outcome, while income had a positive association, all of them with significant tendency. Conclusions: The prevalence of self-reported traffic accidents shows higher risk for men with higher income, lower level of schooling and who ingest alcoholic beverages. They should be the target of prevention campaigns.
MeSH term(s)	Accidents, Traffic/statistics & numerical data ; Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Brazil/epidemiology ; Epidemiologic Methods ; Female ; Humans ; Male ; Middle Aged ; Self Report ; Sex Distribution ; Sex Factors ; Socioeconomic Factors ; Young Adult
Language	Portuguese
Publishing date	2011-05-20
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	732179-x
ISSN	1518-8787 ; 0034-8910
ISSN (online)	1518-8787
ISSN	0034-8910
DOI	10.1590/s0034-89102011005000031
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Article ; Online: Anemia and micronutrient deficiencies in infants attending at Primary Health Care in Rio Branco, Acre, Brazil.

Oliveira, Cristieli Sérgio de Menezes / Augusto, Rosângela Aparecida / Muniz, Pascoal Torres / da Silva, Sara Araújo / Cardoso, Marly Augusto

Ciencia & saude coletiva

2016 Volume 21, Issue 2, Page(s) 517–529

Abstract: The present study investigated the factors associated with anemia and micronutrient deficiencies in a cross-sectional analysis conducted with 150 children aged 11 to 14 months attending at basic health centers in Rio Branco, Acre. Venous blood samples ... ...

Abstract	The present study investigated the factors associated with anemia and micronutrient deficiencies in a cross-sectional analysis conducted with 150 children aged 11 to 14 months attending at basic health centers in Rio Branco, Acre. Venous blood samples were obtained to assess the occurrence of anemia and deficiencies of iron (ID), vitamin A (VAD), and B12 (VB12D). Multiple Poisson regression models were used to identify factors associated with anemia. Anemia, ID, VAD and B12D were observed in 23%, 76%, 18% and 20% of children, respectively. The factors associated with anemia were: do not be only child, living in households without access to cable TV or internet, stunting, late introduction of the complementary feeding (more than 240 days), VAD, VB12D, and current evidence of infection (plasma CRP > 5 mg/L). There was a lower prevalence of anemia among children with birth weight > 3,500 g. Overall, 82% of the study children had at least one of the micronutrient deficiencies (ID, VAD and VB12D). Actions with emphasis on timely and healthy feeding practices, better management of morbidities and supplementation with other micronutrients should be focused on the improvement of child care services at primary health care in this county.
MeSH term(s)	Anemia/epidemiology ; Anemia/etiology ; Brazil/epidemiology ; Cross-Sectional Studies ; Humans ; Infant ; Micronutrients ; Nutritional Status ; Prevalence ; Primary Health Care
Chemical Substances	Micronutrients
Language	Portuguese
Publishing date	2016-02
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2078799-6
ISSN	1678-4561 ; 1413-8123
ISSN (online)	1678-4561
ISSN	1413-8123
DOI	10.1590/1413-81232015212.19072014
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Article ; Online: Child undernutrition in one of the cities with greater nutritional risk in Brazil: population-based study in the Western Brazilian Amazon.

Araújo, Thiago Santos de / Oliveira, Cristieli Sérgio de Menezes / Muniz, Pascoal Torres / Silva-Nunes, Mônica da / Cardoso, Marly Augusto

Revista brasileira de epidemiologia = Brazilian journal of epidemiology

2016 Volume 19, Issue 3, Page(s) 554–566

Abstract: Objective:: To estimate the prevalence of child undernutrition and associated factors in a municipality with high nutritional risk in Brazil.: Methods:: This cross-sectional, population-based study was conducted with a sample of 478 children aged ... ...

Title translation	Desnutrição infantil em um dos municípios de maior risco nutricional do Brasil: estudo de base populacional na Amazônia Ocidental Brasileira.
Abstract	Objective:: To estimate the prevalence of child undernutrition and associated factors in a municipality with high nutritional risk in Brazil. Methods:: This cross-sectional, population-based study was conducted with a sample of 478 children aged under 5 years in the city of Jordão, Acre, Brazil. The following indicators were calculated: weight for age (W/A), height for age (H/A), and weight for height (W/H), using the growth curves of the WHO as reference, which adopts a cutoff of -2 z scores for identification of malnourished children. Adjusted prevalence ratios (PRs) were obtained using multiple Poisson regression models with robust error estimate (p < 0.05). Results:: A high prevalence of stunting (35.8%) was observed. Children with indigenous ancestry living in rural areas showed the highest prevalence of malnutrition (59.4%). After controlling for age, gender, and indigenous ancestry, the factors associated with stunting risk were: living in rural area (PR = 1.6; 95%CI 1.2 - 2.1); lower tertile of household wealth index (PR = 1.6; 95%CI 1.1 - 2.3); living in houses made of walking palm (PR = 1.6; 95%CI 1.1 - 2.4); maternal height less than or equal to 146.4 cm (PR = 3.1; 95%CI 1.9 - 5.0); and history of introduction of cow's milk before 30 days of age (PR = 1.4; 95%CI 1.0 - 1.8). Children with updated vaccination cards were inversely associated with stunting risk (PR = 0.7; 95%CI 0.5 - 0.9). Conclusion:: Child undernutrition remains a serious public health problem in the Amazon, indicating additional difficulties in facing the problem in this region of the country.
MeSH term(s)	Brazil/epidemiology ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Infant ; Male ; Malnutrition/epidemiology ; Nutritional Status ; Prevalence ; Risk Factors ; Urban Health
Language	English
Publishing date	2016-11-16
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2183366-7
ISSN	1980-5497 ; 1980-5497
ISSN (online)	1980-5497
ISSN	1980-5497
DOI	10.1590/1980-5497201600030007
Database	MEDical Literature Analysis and Retrieval System OnLINE

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