| Revista: | Iatreia (Medellín) |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000356640 |
| ISSN: | 0121-0793 |
| Autores: | Manjarrés Correa, Luz Mariela1 Parra Sosa, Beatriz Elena1 Díaz Cadavid, Abel1 Restrepo Mesa, Sandra Lucía1 Mancilla López, Lorena Patricia1 |
| Instituciones: | 1Universidad de Antioquia, Escuela de Nutrición y Dietética, Medellín, Antioquia. Colombia |
| Año: | 2012 |
| Periodo: | Jul-Sep |
| Volumen: | 25 |
| Número: | 3 |
| Paginación: | 194-202 |
| País: | Colombia |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental |
| Resumen en español | microcitosis IATREIA Vol 25(3) julio-septiembre 2012 195 (p = 0,02), pero las gestantes con menor ingesta de hierro tuvieron mayor prevalencia de esta en el tercer trimestre (p = 0,009). La ferropenia aumentó en el transcurso del embarazo (p < 0,001) y se halló correlación positiva entre la ingesta de hierro y la concentración de ferritina en el tercer trimestre (r = 0,64; p < 0,001). La concentración sérica de folato aumentó en el segundo y tercer trimestres (p = 0,018) y se observó una tendencia a la correlación positiva con la ingesta de folatos, que fue significativa en el tercer trimestre (r = 0,40, p = 0,044). Conclusión: el suministro de nutrientes mostró un efecto positivo en los indicadores bioquímicos, pero no logró mejorar las reservas de hierro. Se destaca la importancia de los suplementos nutricionales en gestantes |
| Resumen en inglés | Anemia during pregnancy is a public health problem in Latin America, including Colombia. Objective: To evaluate the biochemical indicators of iron and folate nutritional state in a group of pregnant women belonging to a nutritional government program in Antioquia (Colombia). Materials and methods: Quasi-experimental study of 26 poor pregnant women, who were beneficiaries of a program that included nutritional education, food complement fortified with micronutrients and supplements of iron, folic acid and vitamin C. Dietetic ingestion was evaluated by 24 hours reminders; the following parameters were measured: seric ferritin, hemoglobin, mean corpuscular volume, C reactive protein, and seric folate. A stool specimen was examined for parasites. Pearson test was applied to correlate folate ingestion with seric folate concentration; Spearman test was used to correlate iron ingestion and seric ferritin; ANOVA of repeated measurements was employed for comparison between pregnancy trimesters; simple and multiple regression analyses were used to establish dependency of ferritin, hemoglobin and serum folate on the variables of interest. P < 0.05 was considered as significant. Results: Anemia was prevented in 84.6%. The variable that better explained hemoglobin change during the third trimester was its value in the second trimester. Microcytosis diminished (p = 0.02) but women with the lesser iron ingestion had the highest prevalence during the third trimester (p = 0.009). Iron deficiency increased during pregnancy (p < 0.001) and a positive correlation was found between iron ingestion and ferritin concentration during the third trimester (r = 0.64; p < 0.001). Seric folate concentration increased during the second and third trimesters (p = 0.018), and a trend was observed toward positive correlation with folate ingestion, which was significant in the third trimester (r = 0.40, p = 0.044). Conclusion: Nutritional supplements showed a positive effect on biochemical.. |
| Disciplinas: | Medicina |
| Palabras clave: | Ginecología y obstetricia, Metabolismo y nutrición, Salud pública, Acido fólico, Hierro, Suplementos alimenticios, Embarazo, Programas de nutrición |
| Keyword: | Medicine, Gynecology and obstetrics, Metabolism and nutrition, Public health, Folic acid, Iron, Feeding supplements, Pregnancy, Nutrition programs |
| Texto completo: | Texto completo (Ver HTML) |
