{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T20:22:15Z","timestamp":1758399735876,"version":"3.41.2"},"reference-count":44,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Neste trabalho foi analisada a associa\u00e7\u00e3o entre inseguran\u00e7a alimentar e n\u00edveis de hemoglobina e retinol em crian\u00e7as de 6 a 59 meses de idade. Trata-se de um estudo seccional, realizado em 2014, com amostra representativa da popula\u00e7\u00e3o de crian\u00e7as nessa faixa et\u00e1ria, atendidas em unidades b\u00e1sicas de sa\u00fade do Munic\u00edpio do Rio de Janeiro, Brasil. Para a an\u00e1lise dos n\u00edveis de inseguran\u00e7a alimentar foi utilizada a Escala Brasileira de Inseguran\u00e7a Alimentar e, para a determina\u00e7\u00e3o de hemoglobina e de retinol s\u00e9rico, foi realizada a pun\u00e7\u00e3o venosa. A associa\u00e7\u00e3o entre as vari\u00e1veis foi avaliada por interm\u00e9dio de modelos de regress\u00e3o quant\u00edlica. Do total de crian\u00e7as estudadas, 40,3% apresentavam inseguran\u00e7a alimentar e as preval\u00eancias de anemia e de defici\u00eancia de vitamina A foram 13,7% e 13%, respectivamente. Os resultados do estudo revelaram associa\u00e7\u00e3o inversa, estatisticamente significativa, entre inseguran\u00e7a alimentar leve e n\u00edveis de retinol. Para os demais n\u00edveis de inseguran\u00e7a alimentar (moderada e grave), os resultados tamb\u00e9m sugerem a presen\u00e7a de associa\u00e7\u00e3o inversa para hemoglobina e, quanto aos n\u00edveis de retinol, as estimativas pontuais parecem menores em crian\u00e7as com inseguran\u00e7a alimentar grave, entretanto, estas estimativas n\u00e3o foram estatisticamente significativas. Esses resultados sugerem que a inseguran\u00e7a alimentar pode estar associada com car\u00eancias de micronutrientes em crian\u00e7as menores de 5 anos.<\/jats:p>","DOI":"10.1590\/0102-311x00243418","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T13:31:59Z","timestamp":1576848719000},"source":"Crossref","is-referenced-by-count":7,"title":["Associa\u00e7\u00e3o entre inseguran\u00e7a alimentar e n\u00edveis de hemoglobina e retinol em crian\u00e7as assistidas pelo Sistema \u00danico de Sa\u00fade no Munic\u00edpio do Rio de Janeiro, Brasil"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0832-2293","authenticated-orcid":false,"given":"Let\u00edcia Barroso Vertulli","family":"Carneiro","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7479-4400","authenticated-orcid":false,"given":"In\u00eas Rugani Ribeiro de","family":"Castro","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8012-6006","authenticated-orcid":false,"given":"Leidjaira Lopes","family":"Juvanhol","sequence":"additional","affiliation":[{"name":"Universidade Federal de Vi\u00e7osa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4997-4642","authenticated-orcid":false,"given":"Fabio da Silva","family":"Gomes","sequence":"additional","affiliation":[{"name":"Pan American Health Organization,  U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1312-1808","authenticated-orcid":false,"given":"Let\u00edcia de Oliveira","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"year":"2014","series-title":"The state of food insecurity in the world: strengthening the enabling environment for food security and nutrition","key":"ref1"},{"journal-title":"Di\u00e1rio Oficial da Uni\u00e3o","article-title":"Lei n\u00ba 11.346, de 15 de setembro de 2006. Cria o Sistema Nacional de Seguran\u00e7a Alimentar e Nutricional - SISAN com vistas em assegurar o direito humano \u00e0 alimenta\u00e7\u00e3o adequada e d\u00e1 outras provid\u00eancias.","year":"2006","key":"ref2"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1590\/0102-311X00072713","article-title":"Inseguran\u00e7a alimentar em domic\u00edlios brasileiros com crian\u00e7as menores de cinco anos","volume":"30","author":"Poblacion AP","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"year":"2009","series-title":"Pesquisa Nacional de Demografia e Sa\u00fade da Crian\u00e7a e da Mulher - PNDS 2006: dimens\u00f5es do processo reprodutivo e da sa\u00fade da crian\u00e7a","key":"ref4"},{"year":"2010","series-title":"Pesquisa Nacional por Amostra de Domic\u00edlios: seguran\u00e7a alimentar 2004-2009","key":"ref5"},{"year":"2014","series-title":"Pesquisa Nacional por Amostra de Domic\u00edlios - pesquisa suplementar de seguran\u00e7a alimentar 2013","key":"ref6"},{"year":"2014","series-title":"A agenda de nutri\u00e7\u00e3o das estrat\u00e9gias internacionais: iniciativas em andamento, desafios e propostas. Contribui\u00e7\u00f5es para debate no Conselho Nacional de Seguran\u00e7a Alimentar e Nutricional - CONSEA","author":"Recine E","key":"ref7"},{"year":"2012","series-title":"Pol\u00edtica nacional de alimenta\u00e7\u00e3o e nutri\u00e7\u00e3o","key":"ref8"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/obr.12107","article-title":"Ultra-processed products are becoming dominant in the global food system","volume":"14","author":"Monteiro CA","year":"2013","journal-title":"Obes Rev"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1590\/S0034-8910.2013047004968","article-title":"Participa\u00e7\u00e3o crescente de produtos ultraprocessados na dieta brasileira (1987-2009)","volume":"47","author":"Martins AP","year":"2013","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref11","first-page":"45","article-title":"Impacto de alimentos ultraprocessados sobre o teor de micronutrientes da dieta no Brasil","volume":"49","author":"Louzada MLC","year":"2015","journal-title":"Rev Sa\u00fade P\u00fablica"},{"year":"1998","series-title":"Preventing iron deficiency in women and children: background and consensus on key technical issues and resources for advocacy, planning and implementing national programmes.","key":"ref12"},{"year":"2009","series-title":"Global prevalence of vitamin A deficiency in populations at risk 1995-2005. WHO global database on vitamin A deficiency","key":"ref13"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1590\/S0104-42302006000300018","article-title":"Associa\u00e7\u00e3o entre defici\u00eancia de vitamina A e situa\u00e7\u00e3o sociodemogr\u00e1fica de m\u00e3es e rec\u00e9m-nascidos","volume":"52","author":"Ramalho RA","year":"2006","journal-title":"Rev Assoc Med Bras"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1590\/S1413-81232010000700008","article-title":"Associa\u00e7\u00e3o entre defici\u00eancia de vitamina A e vari\u00e1veis socioecon\u00f4micas, nutricionais e obst\u00e9tricas de gestantes","volume":"15","author":"Santos EN","year":"2010","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref16","first-page":"1159","article-title":"Food and nutrition insecurity indicators associated with iron deficiency anemia in Brazilian children: a systematic review.","author":"Andr\u00e9 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EMB","year":"2018","journal-title":"Anemia"},{"key":"ref23","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0170990","article-title":"Validation of masimo pronto 7 and HemoCue 201 for hemoglobin determination on children from 1 to 5 years of age","volume":"12","author":"Shamah Levy T","year":"2017","journal-title":"PLoS One"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1136\/jclinpath-2017-204786","article-title":"Comparison of haemoglobin assessments by HemoCue and two automated haematology analysers in young Laotian children","volume":"71","author":"Hinnouho GM","year":"2018","journal-title":"J Clin Pathol"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"596","DOI":"10.7196\/SAMJnew.7919","article-title":"Evaluation of the diagnostic accuracy of the HemoCue device for detecting anaemia in healthy schoolaged children in KwaZulu-Natal, South Africa","volume":"105","author":"Gwetu TP","year":"2015","journal-title":"S Afr Med J"},{"year":"2007","series-title":"Car\u00eancias de micronutrientes.","key":"ref26"},{"year":"2011","series-title":"Guideline: intermittent iron supplementation in preschool and school-age children","key":"ref27"},{"year":"2011","series-title":"Guideline: vitamin A supplementation in infants and children 6-59 months of age","key":"ref28"},{"key":"ref29","first-page":"433","article-title":"Prevalence of anemia in Brazilian children in different epidemiological scenarios","volume":"23","author":"Vieira RCS","year":"2010","journal-title":"Rev Nutr"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1093\/jn\/134.8.1923","article-title":"An adapted version of the US Department of Agriculture Food Insecure Module is a valid tool for assessing food insecurity in Campinas, Brasil","volume":"134","author":"P\u00e9rez-Escamilla R","year":"2004","journal-title":"J Nutr"},{"edition":"2\u00aa","year":"2010","series-title":"Recomenda\u00e7\u00f5es da Sociedade Brasileira de Patologia Cl\u00ednica Medicina Laboratorial para coleta de sangue venoso.","key":"ref31"},{"key":"ref32","first-page":"232","article-title":"Simultaneous determination of retinol, tocopherols, carotenes and lycopene in plasma by means of high-performance liquid chromatography on reversed phase","volume":"61","author":"Hess D","year":"1991","journal-title":"Int J Vitam Nutr Res"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1093\/jn\/130.4.882","article-title":"Retinol analysis in dried blood spots by HPLC.","volume":"130","author":"Craft NE","year":"2000","journal-title":"J Nutr"},{"year":"2001","series-title":"Iron deficiency anemia: assessment, prevention and control - a guide for programme managers","key":"ref34"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"88","DOI":"10.2307\/146316","article-title":"Recent advancens in quantile regression models a practical guideline for empirical research","volume":"33","author":"Buchinsky 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