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AJPH First Look, published online ahead of print Dec 28, 2006
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February 2007, Vol 97, No. 2 | American Journal of Public Health 237-239
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.078121

RESEARCH AND PRACTICE

Anemia and Iron Deficiency in School Children, Adolescents, and Adults: A Community-Based Study in Rural Amazonia

Marcelo U. Ferreira, MD, PhD, Mônica da Silva-Nunes, MD, Carla N. Bertolino, RD, Rosely S. Malafronte, PhD, Pascoal T. Muniz, PhD and Marly A. Cardoso, PhD

Marcelo U. Ferreira and Mônica da Silva-Nunes are with the Departmento de Parasitologia, Instituto de Ciências Biomédicas da Universidade de São Paulo, São Paulo, Brazil. Carla N. Bertolino and Marly A. Cardoso are with the Departamento de Nutrição, Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo. Rosely S. Malafronte is with the Laboratório de Protozoologia, Instituto de Medicina Tropical de São Paulo, São Paulo. Pascoal T. Muniz is with the Departamento de Ciências da Saúde, Universidade Federal do Acre, Rio Branco, Brazil.

Correspondence: Requests for reprints should be sent to Marly A. Cardoso, Department of Nutrition, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715, 01246–904, São Paulo, Brazil (e-mail: marlyac{at}usp.br).

We investigated the prevalence and risk factors of anemia and iron deficiency in 398 rural Amazonians aged 5–90 years in Acre, Brazil. Anemia and iron deficiency were diagnosed in 16% and 19% of the population, respectively. Anemia was likely to have multiple causes; although nearly half of anemic school children and women had altered iron status indicators, only 19.7% of overall anemia was attributable to iron deficiency. Geo-helminth infection and a recent malaria episode were additional factors affecting iron status indicators in this population.




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