Iron deficiency anemia in Tarahumara women of Mexico

Abstract
The most relevant findings from a nutritional survey carried out in 1999 to assess the prevalence of iron deficiency anemia among Tarahumara women of reproductive age in northern Mexico are presented. Methodological details related to the sampling strategy and the field technique employed to measure serum ferritin from capillary blood are graphically illustrated. The prevalence of anemia found among Tarahumara women is compared to the prevalence reported by the National Nutrition Survey from 1999 for Mexican women from rural areas and the implications of the findings discussed. A multiple regression analysis is performed to identify factors that affect the hemoglobin concentration in these indigenous women. The information contained in this article is aimed at complementing the study previously published on the subject.

Key words
Anemia, mujeres tarahumaras, México

Bibliografía del artículo

1. Monárrez-Espino J, Martinez H, Greiner T. Iron deficiency anemia in Tarahumara women of reproductive-age in northern Mexico. Salud Publica Mexico 2001;43:392-401.
2. Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, González-Cossío T, Hernández-Prado B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, México: Instituto Nacional de Salud Pública, 2001.
3. Monárrez J, Martinez H. Prevalencia de desnutrición en niños tarahumaras menores de cinco años en el municipio de Guachochi, Chihuahua. Salud Publica Mexico 2000;42:8-16.
4. Ahluwalia N, De Silva A, Atukorala S, Weaver V, R. Molls. Ferritin concentrations in dried serum spots from capillary and venous blood in children in Sri Lanka: a validation study. American Journal of Clinical Nutrition 2002;75:289-94.
5. Monárrez J, Lönnerdal B, Greiner T. Assessment of iron deficiency anemia in Tarahumara women of northern Mexico using filter paper to quantify serum ferritin. INACG Symposium, 11-12 March 1999, Durban, South Africa.
6. Monárrez-Espino J, Greiner T. Measuring serum ferritin under field conditions. American Journal of Clinical Nutrition 2002;76:1138.
7. International Nutritional Anemia Consultation Group. Iron deficiency in women. Washington, D.C.: INACG and WHO, 1989.
8. Gillespie S. Major issues in the control of iron deficiency. Ottawa: Micronutrient Initiative, 1998.
9. Martínez H, González-Cossío T, Flores M, Rivera J, Lezana M, Sepúlveda J. Anemia en mujeres de edad reproductiva. Salud Publica Mexico 1995;37:108-119.
10. Hallberg L, Brune M, Rossander L. Effect of ascorbic acid on iron absorption form different types of meals. Human Nutrition Applied Nutrition 1986;40:97-113.
11. Monárrez-Espino J, Martinez H, Martinez V, Greiner T. Nutritional assessment of Tarahumara children at indigenous boarding schools. European Journal of Clinical Nutrition. In press.
12. Monárrez-Espino J. Caracterización de la desnutrición infantil Tarahumara y diseño de un programa de ayuda alimentaria con aceptabilidad cultural. Cuernavaca, México: Instituto Nacional de Salud Publica, 1998.
13. Monárrez-Espino J, Greiner T. Anthropometry in Tarahumara Indian women of reproductive age in Northern Mexico. Is overweight becoming a problem Ecology of Food and Nutrition 2000;39:437-457.