%0 Journal Article
%T Anemia y depleci車n de las reservas de hierro en adolescentes gestantes de una zona urbana y rural del estado Zulia, Venezuela Anemia and iron depleted reserves in pregnant adolescents from urban and rural area, Zulia state, Venezuela
%A Pablo Antonio Ortega F
%A Jorymar Yoselyn Leal M
%A Carlos Javier Ch芍vez
%A Lidia Mej赤as C
%J Revista Chilena de Nutric赤on
%D 2012
%I Sociedad Chilena de Nutrici車n, Bromatolog赤a y Toxicolog赤a
%X Objetivo: Analizar la prevalencia de anemia y depleci車n de las reservas corporales de hierro (DRFe) en adolescentes gestantes urbanas (U) y rurales (R). Metodolog赤a: Fueron estudiadas 214 adolescentes gestantes (U=100 y R=114), de baja condici車n socio-econ車mica. Se realiz車 una evaluaci車n cl赤nica-obst谷trica, nutricional y bioqu赤mica. Seg迆n recomendaciones de la OMS y el Grupo Consultivo Internacional de Anemia se consider車 anemia en gestantes, I y III trimestre Hb≒110g/L, y II trimestre Hb≒105g/L. DRFe= ferritina<15ug/L; reservas insuficientes de hierro(RIFe)=ferritina 15-20ug/L y reservas de hierro normal (RFe normal)=ferritina >20ug/L. Se consider車 significancia estad赤stica p<0,05. Resultados: En las adolescentes gestantes la prevalencia de anemia con afectaci車n de las reservas corporales de hierro (RIFe+DRFe) fue 45,79% (rurales=22,90% vs urbanas =22,89%), afectaci車n de las reservas corporales de hierro (RIFe + DRFe) sin anemia 30,37% (R=17,29% vs. U=13,08%) y anemia con reservas corporales de hierro normal 9,34% (R=6,07% vs. U=3,27%); mostrando asociaci車n estad赤sticamente significativa para la zona urbana (聿2=8,1282 p=0,0172) y la zona rural (聿2=11,6270 p=0,0030). Conclusiones: La anemia ferrop谷nica es una complicaci車n frecuente en adolescentes gestantes rurales y urbanas, asociada a malos h芍bitos alimentarios propios de la edad. Es necesario, incorporar estrategias de educaci車n y recuperaci車n nutricional en la atenci車n primaria de salud y programas de salud maternoinfantil. The objective of the present study was to analyze the prevalence of anemia and of iron deposits depletion (FeD) in pregnant adolescents from an urban (U) and rural (R) area. Methods: We studied 214 pregnant adolescents (U=100; R=114), from low socio-economic status. Clinical obstetric, nutritional situation and biochemical assessment was performed. Anemia in pregnant adolescents was determined during the first and third trimesters when Hh , 110g/L, second trimester Hb≒105g/L. FeD: ferritin <15米g/L; insufficient reserves of iron IRI=15-20米g/L and normal reserves of iron (RIN)>20米g/L, as recommended by WHO and the International Anemia Consultative Group. The statistical significance was considered when p<0.05. Results: The prevalence of anemia in pregnant adolescents with depleted reserves of iron (FeD+IRI) was 45.79% (R=22.90% vs U=22.89%); reserves of iron without anemia was 30.37%. (R=17.29% vs. U=13.08%); and anemia with RIN was 9.34% (R=6.07% vs. U=3.27%); there was a statistically significant association to urban (2=8.1282 p=0.0172) and rural area (2=11.6270p=0.0030). Conclus
%K Anemia
%K deficiencia de hierro
%K adolescente
%K gestaci車n
%K Anemia
%K Iron deficiency
%K adolescents
%K pregnancy
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