The impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trial

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dc.contributor.authorKonstantyner, Tulio [UNIFESP]
dc.contributor.authorTaddei ,JosE Augusto de Aguiar Carrazedo [UNIFESP]
dc.contributor.authorOliveira, Mariana de Novaes [UNIFESP]
dc.contributor.authorPalma, Domingos [UNIFESP]
dc.contributor.authorColugnati, Fernando A. B. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionIPTI Res Inst Technol & Innovat
dc.date.accessioned2016-01-24T14:17:03Z
dc.date.available2016-01-24T14:17:03Z
dc.date.issued2011-08-01
dc.description.abstractObjective: To test the impact of training for educators on the health of children enrolled in public and philanthropic day-care nurseries.Design: A randomised, institutional, non-blind clinical trial was conducted. An educational intervention was performed in four day-care centres and the control group consisted of four other day-care centres. Interviews with the mothers, collection of blood from the children by digital puncture and anthropometry were performed. the chosen indicator for the improvement of health was anaemia (Hb <11 g/dl). An unconditional logistic regression model was set for the risk factors for anaemia, considering associations with P <= 0.05 as statistically significant.Setting: Eight day-care centres in the city of São Paulo, Brazil.Subjects: Two hundred and fifty-two children from day-care nurseries.Results: the children from the day-care centres that were not subject to intervention presented a 2.11 times greater risk (95% CI 1.04, 4.30; P=0.40) of having anaemia at the end of the study independent of the control variables (sex, age, time in the day-care centre, anaemia at the beginning of the study, maternal age, use of oral iron supplements, number of siblings, per capita family income, use of antibiotics and the necessity of avoidable hospitalisations) used in the construction of the final logistical model.Conclusions: the assessed educational intervention promoted significant changes in the health status of the children, reinforcing the importance of training for professionals who care for young children in day-care centres in developing countries in order to promote child health.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Pediat, Discipline Nutrol, BR-04040032 São Paulo, Brazil
dc.description.affiliationIPTI Res Inst Technol & Innovat, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Pediat, Discipline Nutrol, BR-04040032 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIDFAPESP: 2006/02597-0
dc.format.extent1450-1457
dc.identifierhttp://dx.doi.org/10.1017/S1368980010001977
dc.identifier.citationPublic Health Nutrition. Cambridge: Cambridge Univ Press, v. 14, n. 8, p. 1450-1457, 2011.
dc.identifier.doi10.1017/S1368980010001977
dc.identifier.issn1368-9800
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/33935
dc.identifier.wosWOS:000292212600016
dc.language.isoeng
dc.publisherCambridge Univ Press
dc.relation.ispartofPublic Health Nutrition
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://journals.cambridge.org/action/displaySpecialPage?pageId=4676
dc.subjectAnaemiaen
dc.subjectDay careen
dc.subjectHealth educationen
dc.subjectHealth promotionen
dc.titleThe impact of training for day-care educators on childhood anaemia in nurseries: an institutional randomised clinical trialen
dc.typeinfo:eu-repo/semantics/article
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