Evaluación de la asociación entre la anemia y el sobrepeso y/u obesidad en las mujeres en edad fértil en el Perú, según la Encuesta Demográfica y de Salud Familiar ENDES 2014
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CitationXimena, S., & Castillo, C. (2018). Evaluación de la asociación entre la anemia y el sobrepeso y / u obesidad en las mujeres en edad fértil en el Perú , según la Encuesta Demográfica y de Salud Familiar ENDES 2014. Universidad Peruana de Ciencias Aplicadas (UPC). Retrieved from http://hdl.handle.net/10757/622852
AbstractBackground: Public health issues such as high BMI (overweight OW or obese O) and anemia cause adverse consequences, not only for the population at stake but also for the economic and social development of the country. Studies associate obesity with inflammation, which is associated with iron deficiency (ID). In Peru, there is a high prevalence of both OW/O and anemia. One of the vulnerable groups are women of reproductive age (WRA). However, there are not as many studies in Peru that associate both diseases. Objective: To evaluate the relationship between anemia and high BMI in women of reproductive age in Peru based on ENDES 2014. Methods: Of the total sample interviewed (26347 WRA: 15-49 years), only 24396 WRA were analyzed that met inclusion criteria. The dependent variable was anemia (hemoglobin adjusted for meters above sea level-mamsl <12.0 mg/dL) and the independent variable of interest was the nutritional status measured by the Body Mass Index (BMI) (kg/m2, overweight (25-29.9), obesity I (30-34.9), and obesity II (35-59.9)). Differences were evaluated between means (continuous variables), chi squared (categorical variables) and crude (RPc) and adjusted (RPa) prevalence ratios were used through Poisson Regression. Results: Total prevalence of anemia was 20.91%, overweight 21.13% obesity I 18.93% and 15.64% obesity II. In the first adjusted model, RPa1 overweight was 0.91 (IC 0.84-0.98), obesity I 0.78 (IC 0.71-0.87) and obesity II 0.64 (IC 0.53-0.78). In the second adjusted model, RPa2 overweight was 0.92 (IC 0.85-0.99), obesity I 0.80 (IC 0.72- 0.89) and obesity II 0.65 (IC 0.53-0.79). Overweight, obesity I and II are associated with a lower probability of anemia when compared with normal BMI. Conclusion: This study did not find any association between OW/O and anemia. Instead, the prevalence of anemia was lowest within h the OW/O group. However, there were limitations because of ENDES’ design. Therefore, it is monumental to continue investigations, and to utilize more iron deficiency biomarkers aside from hemoglobin.
CollectionsNutrición y Dietética
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