RT info:eu-repo/semantics/article T1 Prevalencia de anemia en niños de 1 a 4 años de edad en Asunción y Central, Paraguay 2017 T2 Prevalence of anemia in children aged 1 to 4 years in Asunción and the Central Department, Paraguay 2017 A1 Galeano Valdez, Fernando Agustín A1 Sanabria Báez, Gabriela Ariane A1 Sanabria, Marta Cristina A1 Kawabata Inoue, Aníbal Yasunari A1 Aguilar Barreto, Gloria Celeste A1 Estigarribia Sanabria, Gladys Mercedes A1 Vuyk de Manera, Iris Nilda A1 Muñoz, Sergio A1 Pizarro, Fernando AB Introduction: Children are the group most affected by anemia. In Paraguay there are no updated data on the prevalence of anemia in children under 5 years of age. Objectives: To determine the prevalence of anemia in previously healthy children aged 1 to 4 years who presented to health services clinics and nurseries in Asunción and the Central Department, Paraguay, during the year 2017. Materials and Methods: This was a prospective, cross-sectional, observational descriptive study. We used random, stratified sampling. Confidence level: 95% Sample error: 5%. Variables: age, sex, hemoglobin, hematometric indices, ferritin, C-reactive protein (CRP), albumin, z Weight / Age, z Weight / Height, z Height / Age, birth weight. Parametric and non-parametric measures, χ2, were analyzed. Anemia was defined by WHO criteria for the 1 to 5 year-old group: Hemoglobin Hb <11 g / dL and Mean Corpuscular Volume MCV <72 fL The Anthro Program v 3.2.2 and SPSS 16.0 were used. The study was approved by the Ethics Committee of the Institute of Tropical Medicine, and informed consent was obtained. Significance level <0.05. Results: 806 patients were recruited. Hgb, MCV and ferritin were determined in 706 patients. 327 (46.3%) were male. The mean Hgb was 11.9 ±1.03 g / dL. Mean corpuscular volume 71.2 ± 26 fL. 83/706 patients with anemia (11.8%) were found, 44/83 (53%) were microcytic (MCV <72 fL). Negative CRP 640/706 (90.7%) patients. Average albuminemia was 4.5 ± 0.2 g / dL. The mean of z Weight / Age was 0.29 ± 1.33, z Weight / Height - 0.38 ± 1.52 and the z Height / Age was 0.92 ± 1.64. Ferritin <12μg / L was 17.6%. No relationship was found between birth weight and anemia [p = 0.11. RR: 1.45 (0.6-2.3)]. The prevalence of anemia in the 12 to 23 month group was 39% vs 6.9% in preschool children (χ2 p <0.05). Conclusions: The prevalence of anemia in infants from Asunción and the Central Department constitutes a public health problem. PB Sociedad Paraguaya de Pediatría SN 1683-979X YR 2021 FD 2021-08-12 LK http://hdl.handle.net/20.500.14066/4541 UL http://hdl.handle.net/20.500.14066/4541 LA spa NO Galeano, F., Sanabria, G., Sanabria, M., Kawabata, A., Aguilar, G., Estigarribia, G., Vuyk, I., Muñoz, S., & Pizarro, F. (2021). Prevalencia de anemia en niños de 1 a 4 años de edad en Asunción y Central, Paraguay 2017. Pediatría (Asunción), 48(2), 120-126. https://doi.org/10.31698/ped.48022021006 NO Correspondencia: Marta Cristina Sanabria. Correo: marta.sanabria@gmail.com NO Consejo Nacional de Ciencia y Tecnología DS MINDS@UW RD 04-sep-2026