Características Socioeconômicas E Nutricionais De Crianças E Adolescentes Com Anemia Falciforme: Uma Revisão Sistemática

Abstract

Objective: To describe the socioeconomic and nutritional characteristics of children and adolescents with sickle cell anemia.Data sources: The present study is a systematic literature review based on published scientific articles. The searches were carried out using the electronic database of the National Library of Medicine, National Institutes of Health- PubMed. Two searches of articles published in the last 20years and without limitation of language were carried out. Thefirst one started from the Medical Subject Headings term “Anemia, Sickle Cell” associated with “Socioeconomic Factors”; and the second started from the term “Anemia, Sickle Cell” associated with “Anthropometry”. Thesearches were directed to research conducted on humans in the age group from 0 to 18years.Data synthesis: The final selection was composed by 11 articles on socioeconomic characteristics and 21articles on nutritional characteristics. Allstudies included children and adolescents with sickle cells disease (age range 0-18years), both genders, and most of them of black ethnicity. Families of children and adolescents with sickle cell anemia were of predominantly low socioeconomic status. Parents had lower educational levels when compared to parents of healthy children and adolescents. Body measurements (weight and height) and anthropometric indicators of children with sickle cell anemia were often lower when compared to healthy groups or reference populations.Conclusions: Children and adolescents with sickle cell anemia have socioeconomic limitations and worse nutritional conditions, when compared to reference populations. These limitations may lead to worse growth and greater occurrence of possible complications that can impair their quality of life.

Sickle Cell Disease and Pregnancy

“…SCD patients have delayed physical as well as sexual development 4. These are consequences of various factors like poor nutrition, repetitive infections, blood transfusions, painful crisis, and frequent hospital admissions 5. The onset of menarche is delayed in women with SCD4,6 and is strongly associated with the HbSS phenotype compared to the HbSC phenotype 7.…”

The psychological impact on family caregivers of children and adolescents with sickle cell anemia

“…In this sense, both the child and the adolescent affected by the disease, as well as their family caregivers, are faced with a situation marked by a chronic stress linked to the disease, which extends throughout the treatment and permeates their daily lives (Figueiró & Ribeiro, 2017;Gomes et al, 2019;Jesus, Konstantyner, Lobo, & Braga, 2018;Rodrigues, Araújo, & Melo, 2010;Santos, Damião, Fonseca, Rodrigues, & Aguiar, 2019); being indicated that intervention proposals are directed both to the child (Campelo et al, 2018;Oliveira, Enumo, & Paula, 2017) and to the family (Caprini, 2019;Figueiredo, Moreira, Mota, Oliveira, & Gomes, 2019).…”

Descriptive analysis of sickle cell patients living in France: The PHEDRE cross-sectional study

“…However, these data should be interpreted with caution because, in our study, the question was asked of the children at time T, and the data were not available at the end of schooling, so we could not calculate the actual delay rate. A study has shown that, in some countries, SCD children and adolescents had a lower level of education than the national average, particularly due to the social difficulties faced by the black ethnic groups to which these patients belong [ 28 ]. However, the study data did not include European patients.…”