Abstract
Objetivo
Determinar la prevalencia de anemia y evaluar sus factores condicionantes.
Emplazamiento
Consultorios externos en el área de La Plata, Buenos Aires, Argentina
Diseño
Estudio observacional, prospective
Participantes
Todas las gestantes que consultaron por primera vez, excluyéndose aquellas con patología previa o ingesta regular de fármacos.
Mediciones
Se consideró anemia valores de Hb < 11 g/dl. Se realizaron encuestas para evaluar datos generales y tipo de alimentación y un estudio hematológico completo.
Resultados
Participaron en el estudio 1.218 gestantes. Se detectó anemia en 196 de ellas (16%) siendo la Hb promedio de este grupo 9,88 g/dl. Entre aquellas embarazadas normales y anémicas se detectaron diferencias respecto al peso en primera consulta (64,44 frente a 59,50; p < 0,00001), ingreso familiar (744,36 frente a 568.28 dólares; p < 0,0001), kilocalorías ingeridas (2.488,44 frente a 2.204,28; p = 0,01), porcentaje de proteínas de la dieta (15,73 frente a 13,69; p = 0,002) y hierro semanal consumido (15,24 mg frente a 13,04; p < 0,0001).
Conclusiones
En su primera consulta, un 16% de gestantes estaban anémicas. Existe mayor riesgo de presentar anemia en aquellas gestantes con dietas que contienen < 1.800 kcal, < de 13% de proteínas, valores < 7 mg de hierro semanal, hierro hémico < al 10% e ingreso mensual familiar < 400 dólares. Asegurar una dieta adecuada y mejorar las condiciones socioeconómicas de esta población disminuirá el riesgo de anemia durante la gestación y sus consecuencias perinatales.
Palabras clave: Embarazo, Nutrición, Anemia
Abstract
Objective
To determine the prevalence of anaemia and to evaluate the factors that condition its occurrence.
Setting
Out-patient clinics in the La Plata area, Buenos Aires, Argentina.
Design
Observational and prospective study
Participants
All the pregnant women consulting for the first time, excluding those with prior pathology or regular use of medical drugs.
Measurements
Anaemia was defined at values of Hb < 11 g/dl. Questionnaires were administered for general data and the type of nutrition, and a complete haematological report was compiled.
Results
1218 pregnant women started the study. Anaemia was detected in 196 of them (16%), with average Hb 9.88 g/dl. Between normal and anaemic pregnant women, the following differences were found between the first and second consultations: weight (64.44 vs 59.50, p < 0.00001), family income (US$744.36 vs 568.28, p < 0.0001), kilocalories ingested (2,488.44 vs 2,204.28, p = 0.01), percentage of proteins in diet (15.73 vs 13.69, p = 0.002), and weekly iron consumption (15.24 mg vs 13.04, p < 0.0001).
Conclusions
Pregnant women run a greater risk of suffering anaemia if they have diets of < 1800 kcal, < 13% proteins, less than 7 mg of iron per week, and haemic iron < 10%; and family income below US$400. Ensuring a proper diet and improving the social and economic conditions of this population group will reduce the risk of anaemia during pregnancy and its perinatal consequences.
Key words: Pregnancy, Nutrition, Anaemia
Bibliografía
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