{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:05:49Z","timestamp":1758477949647},"reference-count":56,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T00:00:00Z","timestamp":1378339200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980013002310_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To examine the micronutrient status of disadvantaged pre-schoolers from Northeast Brazil, following the introduction of pro-poor policies, by assessing the prevalence of anaemia and micronutrient deficiencies and the role of sociodemographic factors, genetic Hb disorders and parasitic infections.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002310_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>In a cross-sectional study, data on sociodemographic status, health, growth, genetic Hb disorders, parasites and nutrient supply from day-care meals were obtained. Fasting blood samples were collected and analysed for Hb, serum ferritin, transferrin receptor, folate, vitamin B<jats:sub>12<\/jats:sub>, retinol, Zn and Se.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002310_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Seven philanthropic day-care centres serving urban slums in Salvador, Northeast Brazil.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002310_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Pre-schoolers aged 3\u20136 years from disadvantaged households.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002310_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Of the 376 sampled children, 94 % were of black or mixed race; 33 % and 29 % had at least one genetic Hb disorder and intestinal parasite, respectively. Stunting and underweight were \u22645 %; 14 % were overweight. Day-care centres supplied micronutrient-dense meals and snacks each weekday. Less than 10 % of pre-schoolers had anaemia and micronutrient deficiencies. Predictors (<jats:italic>P<\/jats:italic>&lt; 0\u00b705) of Hb were \u03b1<jats:sup>3\u00b77<\/jats:sup>thalassaemia, Se and retinol (but not ferritin). Micronutrient predictors (<jats:italic>P<\/jats:italic>&lt; 0\u00b705) were: elevated \u03b1<jats:sub>1<\/jats:sub>-glycoprotein for ferritin, Hb AS and BMI<jats:italic>Z<\/jats:italic>-score &gt;1 for transferrin receptor, Zn and elevated \u03b1<jats:sub>1<\/jats:sub>-glycoprotein for retinol, sex and helminths for Se, helminths for vitamin B<jats:sub>12<\/jats:sub>, and<jats:italic>Giardia intestinalis<\/jats:italic>infection for serum folate.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002310_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Impaired growth, anaemia and micronutrient deficiencies were uncommon among these disadvantaged pre-schoolers attending day care. A range of interventions including provision of micronutrient-dense, fortified day-care meals, deworming and vitamin A supplementation likely contributed to improved micronutrient status, suggesting expanded coverage of these programmes.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980013002310","type":"journal-article","created":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T12:36:25Z","timestamp":1378384585000},"page":"1984-1992","source":"Crossref","is-referenced-by-count":10,"title":["Disadvantaged pre-schoolers attending day care in Salvador, Northeast Brazil have a low prevalence of anaemia and micronutrient deficiencies"],"prefix":"10.1017","volume":"17","author":[{"given":"Rebecca L","family":"Lander","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl B","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alastair G","family":"Lander","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulmonem A","family":"Alsaleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo C","family":"Costa-Ribeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela P","family":"Mattos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danile L","family":"Barreto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa A","family":"Houghton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian M","family":"Morison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila M","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosalind S","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,9,5]]},"reference":[{"key":"S1368980013002310_ref15","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2012001100017"},{"key":"S1368980013002310_ref3","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2004000600022"},{"key":"S1368980013002310_ref16","doi-asserted-by":"crossref","unstructured":"Lander R (2012) The nutritional status of disadvantaged preschool children attending daycares in Salvador, Northeast Brazil: a cross-sectional study. 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