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138 Malnutrición proteinoenergética

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160 Carencia de hierro y otras anemias nutricionales

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!PQ.RS \O/0D574+#$+=74+870?/2%50#$%74+872?72/=#4+:#+95#227+3+?/2`0#%274+:#+=/D72/%7257+:#=+#4%/:7+:#+95#227:"2/$%#+#=+:#4/227==7+:#+8/2#$85/+?72+D/=/$8#+$#>/%5@7+87$%5$"7+:#+95#227

Agotamiento progresivo de hierro corporal

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Depósitos de hierro

Hemoglobina

(hierro en

glóbulos rojos)

Ferritina

sérica

Saturación de la

transferrina

(TS)

Protoporfirina

eritrocítica

libre (PEL)

Concentración

de hemoglobina

Nivel más bajo

de hemoglobina

en sujetos normales

Normal

Anemia por carencia de hierro

Carencia de hierro

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162 Carencia de hierro y otras anemias nutricionales

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164 Carencia de hierro y otras anemias nutricionales

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166 Trastornos por carencia de yodo

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Áreas que se definen con carencia de yodo

Algunas áreas no sombreadas pueden representar países donde no se han realizado estudios de TCY

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170 Trastornos por carencia de yodo

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172 Trastornos por carencia de yodo

Nutrición humana en el mundo en desarrollo 173

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174 Trastornos por carencia de yodo

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208 Caries dentales y fluorosis

-./012 3;<6$,"$)4'&,4'+#6$)=4%$#:6:&)484&7"(#+:&)4$,4,6>&):$4?4+43@4+>&)4$,4'6(:+:$)4'&,484)6,4+A(+4B9(&#+:+4

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Edad (años)

Kingston (sin flúor en el agua)Newburgh (1-1,2 ppm de flúor en el agua)

5,5

5,0

4,5

4,0

3,5

3,0

2,5

2,0

1,5

1,0

0,5

0

6 7 8 9 10

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

Nutrición humana en el mundo en desarrollo 209

-./012 3D<6$,"$)4B+9"+,"$)4%&#4+:(9"&4$,4'&*(,6:+:$)4'&,48)6,4+A(+4B9(&#+:+

Die

ntes

falta

ntes

por

per

sona

-($,"$T#P-+?-<#$"4+9C8#5BV6A

Grupo de edad (años)

Boulder (sin flúor en el agua)Colorado Springs (2,5 ppm de flúor en el agua)

16

12

8

4

0

20-24 25-29 30-34 35-39 40-44

@#U6#-O4)#>(#(>->8#(&#"4)#!)+->4)#M&%>4)8#*&X6 24,#'%(&+4#?-C3-&#2(,>%>4#+4>4)#)*)#>%(&;+()A#!&#'4&+,-)+(8#24'4)#-:,%'-&4)#9*(#/%/(&(&# D,(-)# ,*,-"()# ?-&#2,()(&+->4#*&-# (&:(,;<(>->#2(,%4>4&+-"#)(,%-#9*(#2*>%()(#'-*)-,"-#20,>%>-#>(#>%(&+()A#P-)#>%(+-)#+,->%'%4&-;"()#'4&#:,('*(&'%-#)4&#,("-+%/-<(&+(#2,4+(';+4,-)#'4&+,-#"-)#'-,%()#>(&+-"()#@#"-#:4,<-'%=&>(#2"-'-)A#P-)#>%(+-)#4''%>(&+-"()#)4&#*&#:-';+4,#>(#,%()E4A

;3<=,=/-/!&#-"E*&-)#2-,+()#>("#<*&>48#%&'"*)4#'%(,+-)D,(-)#>(#"-#K&>%-8#g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

'4<4#24,#(N(<2"4#(&#("#-&+(C,-$4#.^4+4#YB7AP-#:"*4,4)%)#()9*("0+%'-#2*(>(#'-*)-,#>4"4,#>(()2-">-#@#,%E%>($#-)3#'4<4#>(:4,<%>->()#&(*;,4"=E%'-)A

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h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

210 Caries dentales y fluorosis

-EFE4DGH+#6$)4:$,"+9$)

-EFE4DI<6$,"$)4J+)%$+:&)4+4'+()+4:$49+4B9(&#&)6)4:$,"+9

Nutrición humana en el mundo en desarrollo 211

-EFE4DK1+:6&A#+BL+4:$49&)4+,"$7#+M&)4:$4(,+4%$#)&,+4'&,4B9(&#&)6)4$)5($9N"6'+=4)$4$O6:$,'6+4(,+*+8&#4:$,)6:+:4P)$+484'+9'6B6'+'6P,4$,"#$4$94#+:6&484$94'Q76"&

212 Caries dentales y fluorosis

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214 Otras carencias de micronutrientes y desórdenes nutricionales menores

Ojos y párpados dolo-

rosos y rojos

Estomatitis angular

Glositis de la lengua

Queilosis de los labios

Dermatitis escrotal

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232 Enfermedades crónicas con implicaciones nutricionales

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234 Enfermedades crónicas con implicaciones nutricionales

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248 Hambruna, inanición y refugiados

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250 Hambruna, inanición y refugiados

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254 Hambruna, inanición y refugiados

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Nutrición humana en el mundo en desarrollo 255

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256 Hambruna, inanición y refugiados

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Nutrición humana en el mundo en desarrollo 257