Banca de DEFESA: ELYSA TENORIO DE ALMEIDA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ELYSA TENORIO DE ALMEIDA
DATE: 28/04/2023
TIME: 09:00
LOCAL: http://meet.google.com/cyf-ipkp-vxy
TITLE:

EFFECTIVENESS OF SUPPLEMENTATION WITH POWDER MICRONUTRIENTS IN THE PREVENTION OF ANEMIA IN SOCIALLY VULNERABLE CHILDREN UNDER SIX YEARS OLD

KEY WORDS:

Anemia. Nutritional supplements. Micronutrients. Poverty.

PAGES: 70
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Children in poverty are at increased risk for developing specific micronutrient deficiencies such as iron, zinc and vitamin A, since they are exposed to multiple adversities, with limited access to health, education, adequate housing and food. Thus, to tackle childhood anemia in countries with a prevalence of 20% or more, the World Health Organization recommends the direct addition of powdered micronutrients to food. This strategy aims to enhance full child development, prevention and control of vitamin and mineral deficiencies in childhood. The objective of this dissertation was to evaluate the effectiveness of the first sachets of powdered micronutrients produced nationally for the resumption of the supplementation cycles of the Strategy for Fortification of Infant Feeding with Micronutrients (vitamins and minerals) in Powder - NutriSUS in the prevention of anemia in children under six socially vulnerable years enrolled in a Nutritional Recovery Center. For this, we developed a single-blind randomized controlled clinical trial to evaluate effects before and after supplementation. The intervention consisted of using a supplement containing 15 powdered micronutrients, provided by the Ministry of Health, for 19 weeks in an educational environment. Biochemical (complete blood count, CRP and ferritin) and anthropometric assessments were carried out on the children. A socioeconomic questionnaire, the Brazilian Scale of Food Insecurity and the Brazilian Economic Classification were applied to those responsible. The Kaplan-Meier method was used, using the log-rank, Breslow and Tarone-Ware tests to compare the survival curves between the two groups, and the time-dependent Cox regression model to build the regression model multivariate. The study included 80 children under six years old divided into two groups, intervention group (40) and control group (40), living in peripheral neighborhoods, with unhealthy housing situations (77.5% inadequate sanitary sewage) and high food insecurity ( 91.2%). Therefore, no statistically significant differences were found between the groups after supplementation. Thus, we conclude that specific strategies aimed at fighting anemia are not efficient when they act in isolation in populations in situations of great social vulnerability, requiring intersectoral public policies to face poverty and malnutrition.

BANKING MEMBERS:
Externo(a) à Instituição - Luciana Yuki Tomita - UNIFESP
Presidente - 2043440 - ANA PAULA GROTTI CLEMENTE
Interno(a) - 1130431 - NASSIB BEZERRA BUENO