Nutritional status of iron in pregnant adolescents, Medellín, Colombia

Authors

  • Luz S. Escudero V. University of Antioquia
  • Beatriz E. Parra S. University of Antioquia
  • Julián Herrera M. University of Antioquia
  • Sandra L. Restrepo M. University of Antioquia
  • Natalia Zapata L. University of Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.16503

Keywords:

teenage pregnancy, iron deficiency, anemia, hemoglobin, ferropenia, iron supplement

Abstract

Objective: to analyze the nutritional status of iron in pregnant adolescents in their third trimester. Methodology: a crosssectional analytical study with 276 adolescents between the ages of 10 and 19 in the third trimester of pregnancy from the ESE Metrosalud State Social Enterprise (Medellín 2011- 2012). Data was collected for hemoglobin, mean corpuscular volume, mean corpuscular concentration and the ingestion of iron supplements. Serum ferritin levels were analyzed in 178 pregnant adolescents and were controlled by C-reactive protein. Central tendency measures, dispersion, percentages and Chi 2, anova, Kruskal-Wallis and Mann-Witney U tests were employed. Results: anemia prevalence was 17.1% in the third trimester, 51% because of iron deficiency. Median serum ferritin was 13.3 μg/L (RQ: 7.7 μg/L-17.9 μg/L); only 5.6% (n=9) showed adequate ferritin levels. Mothers who took daily iron supplements exhibited greater concentrations of hemoglobin and ferritin when compared with those who did not take any supplement, Hb: 12.1g/dL vs 11.7 g/dL (p= 0.019) and serum ferritin 14.6 μg/L vs7.0 μg/L (p= 0.000). Discussion: there was high prevalence of anemia and iron deficiency in the expectant mothers, which was associated with a lack of adherence to the iron supplement.
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Author Biographies

Luz S. Escudero V., University of Antioquia

Dietitian Nutritionist, Master in Food Sciences and Human Nutrition. Professor at the School of Nutrition and Dietetics, University of Antioquia, Medellín, Colombia.

Beatriz E. Parra S., University of Antioquia

Dietitian Nutritionist, Master in Basic Biomedical Sciences and member of the Food and Human Nutrition Research Group. Professor at the School of Nutrition and Dietetics, University of Antioquia. Medellín, Colombia.

Julián Herrera M., University of Antioquia

Nutrition and Dietetics Student, University of Antioquia, Medellín, Colombia.

Sandra L. Restrepo M., University of Antioquia

Dietitian Nutritionist, Master in Collective Health, Specialist in Human Nutrition. Member of the Food and Human Nutrition Research Group. Professor of the School of Nutrition and Dietetics, University of Antioquia. Medellín, Colombia.

Natalia Zapata L., University of Antioquia

Dietitian nutritionist, Master in Food and Human Nutrition Sciences. Professor of Chair at the School of Nutrition and Dietetics, member of the Food and Human Nutrition Research Group, University of Antioquia. Medellín, Colombia.

References

(1). Baker PN, Wheeler SJ, Sanders TA, Thomas JE, Hutchinson CJ, Clarke K, et al. A prospective study of micronutrient status in ado-lescent pregnancy. Am J Clin Nutr. 2009; 89: 1114-24. DOI: https://doi.org/10.3945/ajcn.2008.27097

(2). Briggs MM, Hopman WM, Jamieson MA. Comparing pregnancy in adolescents and adults: Obstetrics outcomes and prevalence of anemia. J Obstet Gynecol Res. 2007 January 15; 29(7): 546-55. DOI: https://doi.org/10.1016/S1701-2163(16)32506-3

(3). Instituto Colombiano de Bienestar Familiar, Profamilia, Instituto Nacional de Salud, Ministerio de la Protección Social, Prosperi-dad para Todos. Encuesta Nacional de la Situación Nutricional en Colombia ENSIN, 2010. Bogotá: El Ministerio; 2010.

(4). Goyal RC, Mudey A, Banginwar A, Khanam N. Intra-uterine growth restriction (IUGR) among teenage and elderly pregnant women in Vidharba region of Maharashtra, India. Int J Cur Bio Med Sci. 2012; 2(1): 199-202.

(5). Francis MR, Rakesh PS, Mohan VR, Balraj V, George K. Exami-ning spatial patterns in the distribution of Low Birth Weight babies in Southern India-the role of maternal, socio-economic and envi-ronmental factors. Int J Biol & Med Res. 2012; 3(1): 1255-1259.

(6). Gonzales G F, Steenland K and Tapia V. Maternal Hemoglobin level and fetal outcome and low and high altitudes. Am J Physiol Regul Integr Physiol 2009; 297: R1477-1485. DOI: https://doi.org/10.1152/ajpregu.00275.2009

(7). Pettit K, Rowley J, Brown Ni. Iron Deficiency. J Paediatr Child Health. Elsevier 2011; 21:8. DOI: https://doi.org/10.1016/j.paed.2011.03.006

(8). Hermoso M, Vucic V, Vollhardt C, Arsic A, Román V, Iglesia I, et al. The Effect of Iron on Cognitive Development and Function in Infants, Children and Adolescents: A Systematic Review. Ann Nutr Metab. 2011; 59: 154-165. DOI: https://doi.org/10.1159/000334490

(9). Yadav D, Chandra J. Iron deficiency: Beyond anemia. Indian J Pediatric. 2011; 78(1): 65-72. DOI: https://doi.org/10.1007/s12098-010-0129-7

(10). Berger J, Wieringa FT, Lacroux A, Dijkhuizen MA. Strategies to prevent iron deficiency and improve health. International Life Sciences Institute. Nutr Rev. 2011; 69: 578-86. DOI: https://doi.org/10.1111/j.1753-4887.2011.00436.x

(11). Organización Mundial de la Salud. Concentraciones de hemoglo-bina para diagnosticar la anemia y evaluar su gravedad. Ginebra: OMS; 2011. [Acceso 17 de agosto de 2012]. Disponible en: http://www.who.int/vmnis/indicators/haemoglobin_es.pdf.

(12). unicef, onu, oms. Iron Deficiency Anaemia: Assessment, Preven-tion and Control, a guide for programme managers. Washington: oms; 2001.

(13). Maternal Physiology. En: Cunningham F, Leveno K, Bloom S, Hauth J, Gilstrap III L, Wemstrom K, ed. Williams Obstetrics 22 ed. New York: Mc Graw- Hill; 2005; 131.

(14). República de Colombia, Ministerio de Salud. Resolución Nº 008430 de 1993 Octubre 4. Bogotá: [Internet] [Acceso 8 de mayo de 2011]. Disponible en: http://www.dib.unal.edu.co/promocion/etica_res_8430_1993.pdf.

(15). Milman N. Anemia-still a major health problem in many parts of the world! Review article. Ann Hematol 2011; 90(4): 369-77. DOI: https://doi.org/10.1007/s00277-010-1144-5

(16). Paiva A, Rondo P, Pagliusi R, Latorre M, Cardoso M, Gondim S. Relationship between the iron status of pregnant women and their newborns. Rev Saude Pública. 2007; 41(3): 321-377. DOI: https://doi.org/10.1590/S0034-89102007000300001

(17). Reece EA, Hobbins JC. Obstetricia Clínica. 3ª ed. Buenos Aires: Editorial Médica Panamericana. 2010. p. 634-640.

(18). Vite FY. Incidencia de anemia ferropénica y factores asociados en las gestantes del distrito de Rapayan, Ancash, Perú: Período mayo 2010-marzo 2011. Acta Med Per .2011; 28(4): 184-87.

(19). Soares NN, Mattar Rosiane, Camano L and Torloni MR. Iron de-ficiency anemia and iron stores in adult and adolescent women in pregnancy. Acta Obstet Gynecol. 2010; 89: 343-49. DOI: https://doi.org/10.3109/00016340903559992

(20). Méndez RO, Pacheco B, Noriega H, Guadalupe LQ, Valencia ME. Prevalencia de deficiencia de hierro y de anemia por deficiencia de hierro en adolescentes embarazadas del noroeste de México, 2007-2008. Arch Latinoam Nutr. 2009; 59(2): 147-51.

(21). Vanderjagt DJ, Brock HS, Melah GS, El-Nafaty AU, Crossey MJ, Glew RH. Nutritional Factors Associated with Anaemia in Pregnant Women in Northern Nigeria. J Health Popul Nutr. 2007; 25(1): 75-81.

(22). Rondó PH , Fukushima CM and Moraes F. Vitamin-mineral supplement use by low-income Brazilian pregnant adolescents and non-adolescents and the predictors for non-use. Eur J Clin Nutr. 2006; 60: 1108-1114. DOI: https://doi.org/10.1038/sj.ejcn.1602425

(23). República de Colombia, Ministerio de Salud. Resolución Nº 00412 de 2000 Febrero 25 Bogotá: [Internet] [Acceso 25 de ju-lio de 2011]. Disponible en: http://www.nacer.udea.edu.co/pdf/libros/guiamps/guias03.pdf.

(24). Parra B E. Evaluación bioquímica del estado nutricional del hierro y folato en un grupo de mujeres gestantes participantes del programa MANA para la vida. En: Restrepo S L. Alimentación y Nutrición de la Mujer Gestante: Diagnóstico y lineamientos para la acción; primera edición. Medellín: Divergráficas Ltda; 2007; 215-240.

(25). Zeng L, Dibley M, Cheng Y, Chang S, Yan H. What is the effect of starting micronutrient supplements early in pregnancy on bir-thweight, duration of gestation and perinatal mortality? Micronu-trient Forum. [Internet] Beijing; 2009. [Acceso 27 de septiembre de 2012]. Disponible en: http://www.micronutrientforum.org/meeting2009/PDFs/OralPresentations/May152009/1_New%20Research%20Findings%20on%20Micronutrients/5.F3_New%20Research_M.Dibley.pdf.

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Published

2014-02-03

How to Cite

1.
Escudero V. LS, Parra S. BE, Herrera M. J, Restrepo M. SL, Zapata L. N. Nutritional status of iron in pregnant adolescents, Medellín, Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2014 Feb. 3 [cited 2025 Dec. 5];32(1):71-9. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/16503

Issue

Vol. 32 No. 1 (2014)

Section

Research

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