Hemoglobin serum levels in adolescents according to sexual maturation stage
Keywords:
adolescence, puberty, hemoglobins, anemia iron-deficiency, sexual maturationAbstract
During adolescence, the risk of development of iron-deficiency anemia is higher because of the growth spurt and the sexual maturation which increase the iron requirement. One hundred and thirty adolescents (males and females) were studied, in order to assess the serum hemoglobin values in different sexual maturation stages. The photometric method was used and a self-evaluation of the sexual maturation stage based on Tanner´s criteria was applied. The average hemoglobin values were similar for both sexes, as well for girls who had menstruated or not. The average hemoglobin values were 13.3 (s.d. 1.12)g/dL for males and 13.3 (s.d.
0.83)g/dL for females (p=0.64). Among the studied adolescents, 7.7% had iron-deficiency anemia. Due to the iron requirement increase during the growth spurt, mainly in females, and the higher susceptibility to iron deficiency anemia, special attention to the adolescents is recommended.
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References
BASSLER, K.H., HANSEN, M., SANDSTROM, B. The health benefits of vitamins and minerals. Erna : Brussels, 1999.
BEARD, J.L. Iron requirements in adolescent females. Journal of Nutrition, Bethesda, v.130, p.440S-442S, 2000. Supplement.
CABALLO-ROIG, N., GARCIA, P., VALDEMORO, M., DEL CASTILLO, M.L., SANTOS TAPIA, M., GONZALEZ VARGAZ, A. The prevalence of anemia in the children and adolescents of Madrid. Annales Españoles de Pediatria, Madrid, v.39, n.3, p.219-222, 1993.
CHIPKEVITCH, E. Puberdade e adolescência: aspectos biológicos, clínicos e psicossociais. São Paulo : Rocca, 1994.
COLLI, A.S. Maturação sexual na população brasileira: limites de idade. Jornal de Pediatria, Rio de Janeiro, v.60, n.4, p.173-175, 1986.
COLLI, A.S., COATES, V., GUIMARÃES, B.E.M. Monitoração do crescimento e desenvolvimento físico. In: COATES, V. Medicina do adolescente. São Paulo : Sarvier, 1993. p.51-65.
DeMAEYER, E.M. Preventing and controlling iron deficiency anaemia throught primary health care. Geneva : World Health Organization, 1989.
ESKELAND, B., HUNSKAAR, S. Anaemia and iron deficiency screening in adolescence: a pilot study of iron stores and haemoglobin response to iron treatment in a population of 14-15-year-olds in Norway. Acta Paediatrica, Oslo, v.88, n.8. p.815-821, 1999.
FUJIMOR, I.E., SZARFARC, S., OLIVEIRA, I.M. Prevalence of iron deficiency anemia in female adolescents in Taboão da Serra, SP. Brazil. Revista Latino Americana de Enfermagem, v.4, n.3, p.49-63, 1996.
GAMBARDELLA, A.M.D., FRUTUOSO, M.F.P., FRANCHI, C. Prática alimentar de adolescentes. Revista de Nutrição, Campinas, v.12, n.1, p.55-63, 1999.
GRACIANO, F. Integrated iron supplementation for women: a new approach for iron deficiency control. Jakarta : SEAMEO/TROPMED, 1999.
HALLBERG, L., HULTEN, L., LINDSTEDT, G., LUNDBERG, P.A., MARK, A., PURENS, J., SVANBERG, B., SWOLIN, B. Prevalence of iron deficiency in Swedish adolescents. Pediatric Research, Baltimore, v.34, n.5, p.680-687, 1993.
HIMES, J.H., WALKER, S.P., WILLIAMS, S., BENNETT, F., GRANTHAM-MCGREGOR, S.M. A method to estimate prevalence of iron deficiency and iron deficiency anemia in adolescent Jamaican girls. American Journal of Clinical Nutrition, Bethesda, v.65, n.3, p.831-836, 1997.
LOOKER, A.C., DALLAMAN, P.R., CARROLL, M.D., GUNTER, E.W., JOHNSON, C.L. Prevalence of iron deficiency in the United States. Journal of American Medical Association, Chicago, v.277, n.12, p.973-6, 1997.
MAEDA, M., YAMAMOTO, M., YAMAUCHI, K. Prevalence of anemia in Japanese adolescents: 30 years’ experience in screening for anemia. International Journal of Hematology, Limerick, v.69, p.75-80, 1999.
MORRIS, S.S., RUEL, M.T., COHEN, R.J., DEWEY, K.G., BRIÈRE, B., HASSAN, M.N. Precision, accuracy and reliability of hemoglobin assessment with use of
capillary blood. American Journal of Clinical Nutrition, Bethesda, v.69, p.1243-1248, 1999.
NATIONAL RESEARCH COUNCIL (USA). Recommended dietary allowances. 10.ed. Washington DC: National Academy Press, 1989.
NELSON, M., WHITE, J., RHODES, C. Haemoglobin, ferritin, and iron intakes in British children aged 12-14 years: a preliminary investigation. British Journal of Nutrition, Londres, v.70, n.1, p.147-55, 1993.
NORTON, R.C., FIGUEIREDO, R.C., DIAMANTE, R., GOULART, E.M., MOTA, J.A., VIANA, M.B., PENNA, F.J., LEAO, E. Prevalence of anemia among school-children from Rio Acima (State of Minas Gerais, Brazil): use of the standardized prevalence method and evaluation of iron deficiency. Brazilian Journal of Medical Biology Research, São Paulo, v.29, n.12, p.1617-1624, 1996.
PAIVA, A.A., RONDÓ, P.H.C., GUERRA-SHINOHARA. Parâmetros para avaliação do estado nutricional de ferro. Revista de Saúde Pública, São Paulo, v.34, n.4, p.421-426, 2000.
SESHADRI, S. Nutritional anaemia in South Asia. In: GILLESPIE, S. Malnutrition in South Asia: a regional profile. Kathmandu : UNICEF, 1997. p.75-124 (ROSA Publication, n.5).
SOUZA, S.B., SZARFAC, S.C., SOUZA, J.M.P. Anemia no primeiro ano de vida em relação ao aleitamento materno. Revista de Saúde Pública, São Paulo, v.31, n.1, p.15-20, 1997.
STATA Statistical Software: Release 6.0. College Sattion, TX : Stata Corporation, 1999. STOLTZFUS, R.J. Defining iron-deficiency anemia in public health terms: a time for reflection. American Journal of Clinical Nutrition, Bethesda, v.131, p.565S-567S, 2001. Supplement.
SZARFARC, S.C., STEFANINI, M.L.R., LERNER, B.R. Anemia nutricional no Brasil. Cadernos de Nutrição - Sociedade Brasileira de Alimentação e Nutrição, v.9, p.5-24, 1995.
SZARFAC, S.C., SOUZA, S.B. Prevalence and risk factors in iron deficiency and anemia. Archivos Latinoamericanos de Nutrición, Guatemala, v.47, n.2 (Suppl 1), p.35-38, 1997.
TAYLOR, P.G., MARTINEZ-TORRES, C., MENDEZ-CASTELLANO, H., BOSCH, V., LEETS, I., TROPPER, E., LAYRISSE, M. The relationship between iron deficiency and anemia in Venezuelan children. American Journal of Clinical Nutrition, Bethesda, v.58, n.2, p.215-218, 1993.
UNITED NATIONS AGENCY FOR INTERNATIONAL DEVELOPMENT. Anemia detection in health services: guidelines for program managers. Seattle, 1996.
WORLD HEALTH ORGANIZATION. Physical status: the use and interpretation of anthropometry. Geneva, 1995. (Technical Report Series, n. 854).
WORLD HEALTH ORGANIZATION. Developing effective food and nutrition policies and programmes. WHO. [online]. Available from: http://www.who.int/nut.pol.htm>. Acess: [2000 Feb 15].
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