Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: 2006-11-10 PERU Serum / plasma retinol concentration (µmol/l) Prevalence of xerophthalmia (%) Level L N N Date 2005 P 2003 -2004 2001 Location and sample descriptor Sex Age (years) Lambayeque department: Infants by group: 1 B 0.50-1.07 Lambayeque department: Infants by group: 2 B 0.50-1.07 Lambayeque department: Infants by group: 3 B 0.50-1.07 Lambayeque department: Infants by group: 4 B 0.50-1.07 National: Women: Total F 15.00-49.99 Women by age F 15.00-19.99 Women by age F 20.00-24.99 Women by age F 25.00-29.99 Women by age F 30.00-34.99 Women by age F 35.00-49.99 Women by area: Urban F 15.00-49.99 Women by area: Rural F 15.00-49.99 Women by region: Lima Metropolitana F 15.00-49.99 Women by region: Resto Costa F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra F 15.00-49.99 National: Pre-SAC: Total B NS-4.99 National: SAC: Total B 5.00-15.99 National: Women: Total F 15.00-49.99 Pre-SAC by region: Costa B NS-4.99 Pre-SAC by region: Lima B NS-4.99 Pre-SAC by region: Selva B NS-4.99 Pre-SAC by region: Sierra rural B NS-4.99 Pre-SAC by region: Sierra urbana B NS-4.99 Pre-SAC by region: Trapecia Andino B NS-4.99 SAC by region: Costa B 5.00-15.99 SAC by region: Lima B 5.00-15.99 SAC by region: Selva B 5.00-15.99 SAC by region: Sierra rural B 5.00-15.99 SAC by region: Sierra urbana B 5.00-15.99 SAC by region: Trapecio B 5.00-15.99 Women by region: Costa F 15.00-49.99 Women by region: Lima F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra rural F 15.00-49.99 Women by region: Sierra urbana F 15.00-49.99 Sample size Prevalence (%) Mean Current XN Previous XN 82 82 73 76 1773 255 435 417 359 306 1068 705 458 407 285 623 734 1036 1228 126 117 162 142 91 96 170 168 189 222 150 137 198 205 218 248 180 X1B X2 X3A X3B XS <0.35 <0.70 3.4 10.2 5.7 9.6 6.50 5.60 7.80 4.10 6.10 9.10 6.20 6.90 5.80 2.90 8.40 8.50 14.9 13.1 8.6 15.1 10.3 17.9 9.9 14.3 22.9 13.5 12.5 14.3 7.2 13.3 21.2 11.1 11.2 8.3 6.0 4.4 SD Reference < 1.05 Notes General 1.03 0.99 0.98 1.02 0.20 0.23 0.20 0.25 Line 5122 * 1 2 3 4 5357 * 5 6 7 8 9 10 11 12 13 14 15 16 5412a * © WHO Global Database on Vitamin A Deficiency Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: 2006-11-10 PERU Serum / plasma retinol concentration (µmol/l) Prevalence of xerophthalmia (%) Level Date Location and sample descriptor Sex Age (years) F 15.00-49.99 179 15.00-49.99 6377 657 842 968 129 83 137 114 103 91 149 135 152 139 143 124 173 154 171 166 171 133 882 741 148 116 174 165 138 141 148 116 174 165 N 2001 Women by region: Trapecia Andino N 2000 National: Women F N 2000 National: Pre-SAC: Total B NS-4.99 National: SAC: Total F 5.00-15.99 National: Women: Total F 15.00-49.99 Pre-SAC by region: Costa B NS-4.99 Pre-SAC by region: Lima B NS-4.99 Pre-SAC by region: Selva B NS-4.99 Pre-SAC by region: Sierra rural B NS-4.99 Pre-SAC by region: Sierra urbana B NS-4.99 Pre-SAC by region: Trapecia Andino B NS-4.99 SAC by region: Costa B 5.00-15.99 SAC by region: Lima B 5.00-15.99 SAC by region: Selva B 5.00-15.99 SAC by region: Sierra rural B 5.00-15.99 SAC by region: Sierra urbana B 5.00-15.99 SAC by region: Trapecio B 5.00-15.99 Women by region: Costa F 15.00-49.99 Women by region: Lima F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra rural F 15.00-49.99 Women by region: Sierra urbana F 15.00-49.99 Women by region: Trapecia Andino F 15.00-49.99 National: Pre-SAC: Total B NS-4.99 National: Women: Total F 15.00-49.99 Pre-SAC by region: Costa B NS-4.99 Pre-SAC by region: Lima B NS-4.99 Pre-SAC by region: Selva B NS-4.99 Pre-SAC by region: Sierra rural B NS-4.99 Pre-SAC by region: Sierra urbana B NS-4.99 Pre-SAC by region: Trapecia Andino B NS-4.99 Women by region: Costa F 15.00-49.99 Women by region: Lima F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra rural F 15.00-49.99 N 1999 Sample size Prevalence (%) Mean Current XN Previous XN X1B X2 X3A X3B XS <0.35 <0.70 SD Reference < 1.05 Notes General Line 3148 * 17 13.1 8.6 9.7 14.0 4.8 10.2 20.2 13.6 14.3 11.4 8.9 8.6 7.9 7.0 9.7 5.8 3.2 15.2 11.4 8.2 15.0 5412b * 10.4 10.4 9.5 6.9 11.5 16.4 9.4 11.3 9.5 6.9 11.5 16.4 5412c * 11.2 8.30 5412a © WHO Global Database on Vitamin A Deficiency Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: 2006-11-10 PERU Serum / plasma retinol concentration (µmol/l) Prevalence of xerophthalmia (%) Level N N N L Date 1999 1998 1997 1995 -1997 Sex Age (years) Women by region: Sierra urbana F 15.00-49.99 Women by region: Trapecia Andino F 15.00-49.99 National: Pre-SAC: Total B NS-4.99 National: Women: Total F 15.00-49.99 Pre-SAC by region: Costa B NS-4.99 Pre-SAC by region: Lima B NS-4.99 Pre-SAC by region: Selva B NS-4.99 Pre-SAC by region: Sierra rural B NS-4.99 Pre-SAC by region: Sierra urbana B NS-4.99 Pre-SAC by region: Trapecia Andino B NS-4.99 Women by region: Costa F 15.00-49.99 Women by region: Lima F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra rural F 15.00-49.99 Women by region: Sierra urbana F 15.00-49.99 Women by region: Trapecia Andino F 15.00-49.99 National: Pre-SAC: Total B NS-4.99 National: Women: Total F 15.00-49.99 Pre-SAC by region: Costa B NS-4.99 Pre-SAC by region: Lima B NS-4.99 Pre-SAC by region: Selva B NS-4.99 Pre-SAC by region: Sierra rural B NS-4.99 Pre-SAC by region: Sierra urbana B NS-4.99 Pre-SAC by region: Trapecia Andino B NS-4.99 Women by region: Costa F 15.00-49.99 Women by region: Lima F 15.00-49.99 Women by region: Selva F 15.00-49.99 Women by region: Sierra rural F 15.00-49.99 Women by region: Sierra urbana F 15.00-49.99 Women by region: Trapecia Andino F 15.00-49.99 Lima: Women by group: Supplementation F NS Lima: Women by group: Placebo F NS Lima: Infants by group: Supplementation B 0.12 Lima: Infants by group: Placebo B 0.12 Location and sample descriptor Sample size Prevalence (%) Mean Current XN Previous XN X1B X2 X3A X3B XS <0.35 <0.70 SD Reference < 1.05 Notes General 138 141 9.4 11.3 5412c 946 1001 162 158 173 164 151 138 217 158 173 164 151 138 13.6 9.4 17.9 12.7 11.6 13.4 9.9 15.9 1.8 12.7 11.6 13.4 9.9 15.9 5412d * 504 831 79 50 101 92 74 108 148 150 133 136 131 133 19.2 6.4 17.7 26.0 25.7 12.0 14.9 28.7 6.8 8.0 5.3 5.9 4.6 2.3 5412e * 4732 * 492 501 98 91 10.00 10.00 57.1 45.1 0.70 0.73 Line 0.18 0.17 © WHO Global Database on Vitamin A Deficiency Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: 2006-11-10 PERU Serum / plasma retinol concentration (µmol/l) Prevalence of xerophthalmia (%) Level R L Date 1992 -1993 1987 Location and sample descriptor Sex Age (years) Sample size Lima I area: Pre-SAC B 1.00-4.08 Lima II area: Pre-SAC B 1.00-4.08 Lima - Pueblos Jovenes: Pre-SAC B 1.00-4.08 Libertadores Wari region (coast): Pre-SAC B 0.00-3.08 Libertadores Wari region (mountains): Pre-SAC B 0.00-3.08 78 75 72 94 74 Lima city suburbs: Pre-SAC B 0.92-1.1 65 Prevalence (%) Mean Current XN Previous XN X1B X2 X3A X3B XS <0.35 <0.70 2.6 6.7 23.6 21.3 24.3 2.0 14.0 SD Reference < 1.05 1.07 0.97 0.88 0.92 0.90 Notes General Line 933 * 18 19 20 21 250 * © WHO Global Database on Vitamin A Deficiency NOTES PERU Reference No: 5122 General notes: Note 1 Infants randomly selected from peri-urban communities in the cities of Lambayeque and Chiclayo, Lambayeque department. Area selected because a previous survey identified the prevalence of anaemia, VAD and infection. Baseline data of supplementation trial. Group 1: Placebo. Note 2 Group 2: Daily iron. Note 3 Group 3: Daily multiple micronutrients. Note 4 Group 4: Weekly multiple micronutrients. Reference No: 5357 General notes: Note 5 Multi-stage PPS cluster sampling. Nationally representative survey of 6377 households covering urban and rural areas. Previous XN is XN during pregnancy with a live birth in the 5 years preceding the survey. For women with 2 or more live births in the 5 years period, data refer to the most recent birth. Women's age is age at time of delivery. XN prevalence adjusted for daytime visual problems: 1.20% Note 6 XN prevalence adjusted for daytime visual problems: 0.50% Note 7 XN prevalence adjusted for daytime visual problems: 1.50% Note 8 XN prevalence adjusted for daytime visual problems: 1.70% Note 9 XN prevalence adjusted for daytime visual problems: 1.20% Note 10 XN prevalence adjusted for daytime visual problems: 0.90% Note 11 XN prevalence adjusted for daytime visual problems: 1.10% Note 12 XN prevalence adjusted for daytime visual problems: 1.40% Note 13 XN prevalence adjusted for daytime visual problems: 0.70% Note 14 XN prevalence adjusted for daytime visual problems: 0.40% Note 15 XN prevalence adjusted for daytime visual problems: 1.50% Note 16 XN prevalence adjusted for daytime visual problems: 2.00% Reference No: 5412a General notes: Report is part of the National Monitoring of Nutritional Indicators. Sample representative at national level and regionally in 6 geographical regions: Lima Metropolitana, Resto de Costa, Sierra Urbana, Sierra Rural, Selva, and Trapecio Andino. Data for 2000-2001 taken from reference No. 5732. Reference No: 3148 General notes: Note 17 Multi-stage PPS cluster sampling. XN prevalence adjusted for daytime visual problems: 1.80% Reference No: 5412b General notes: Report is part of the National Monitoring of Nutritional Indicators. Sample representative at national level and regionally in 6 geographical regions: Lima Metropolitana, Resto de Costa, Sierra Urbana, Sierra Rural, Selva, and Trapecio Andino. Data for 2000-2001 taken from reference No. 5732. Reference No: 5412c General notes: Report is part of the National Monitoring of Nutritional Indicators. Sample representative at national level and regionally in 6 geographical regions: Lima Metropolitana, Resto de Costa, Sierra Urbana, Sierra Rural, Selva, and Trapecio Andino. Data for 2000-2001 taken from reference No. 5732. 5412d Reference No: General notes: Report is part of the National Monitoring of Nutritional Indicators. Sample representative at national level and regionally in 6 geographical regions: Lima Metropolitana, Resto de Costa, Sierra Urbana, Sierra Rural, Selva, and Trapecio Andino. Data for 2000-2001 taken from reference No. 5732. © WHO Global Database on Vitamin A Deficiency NOTES PERU Reference No: 5412e General notes: Report is part of the National Monitoring of Nutritional Indicators. Sample representative at national level and regionally in 6 geographical regions: Lima Metropolitana, Resto de Costa, Sierra Urbana, Sierra Rural, Selva, and Trapecio Andino. Data for 2000-2001 taken from reference No. 5732. Reference No: 4732 General notes: Sample comprised of women and their newborns identified in Canto Grande (Lima) who agreed to participate. Study designed to assess the safety and efficacy of postpartum maternal vitamin A supplementation. Study methods in reference No. 3627. Previous XN is XN during last pregnancy, which ended with delivery 6 weeks prior to the start of the study. 933 Reference No: General notes: Note 18 Multi-stage PPS cluster sampling. Note 20 Lima I included the districts of Lince, Magdalena del Mar, Magdalena Vieja, Miraflores, San Isidro, San Miguel, Santiago de Surco, Santa Marià del Mar. La Molina, Jesus Maria, San Borja, Bellavista and La Punta. Lima II included the districts of Lima, Ancon, Ate, Brena, Carabayllo, Chaclacayo, Chorrillos, La Victoria, Lurigancho, Lurin, Pachacamac, Puente Piedra, Rimac, Barranco, Surquillo, Pucusana, San Bartolo, Punta Hermoza, Punta Negra, Comas, Villa Maria del Triunfo, Santa Rosa, Independencia, San Juan de Miraflores, Agustino, San Juan de Lurigancho, San Luis, San Martin de Porres, Cieneguilla, Villa El Salvador, Callao, La Perla, Carmen de la Legua, Reinoso and Ventanilla. Lima - Pueblos Jovenes included the metropolitan areas of Lima, slum areas, popular housing areas and areas where a least 50% of the houses have water intradomicile. Note 21 Libertadores-Wari region included the provinces of Huamanga, Huanta, Pisco and Ica. Note 19 Reference No: 250 General notes: Sample comprised of a control group of healthy children (children with absence of diarrhea up to 2 months before the collection of the blood sample) from the suburbs of Lima. © WHO Global Database on Vitamin A Deficiency REFERENCES PERU Reference 250 Reference 933 Salazar-Lindo E, Salazar M, Alvarez JO. Association of diarrhea and low serum retinol in Peruvian children. American Journal of Clinical Nutrition, 1993, 58 :110-113. Asociación Benéfica Proyectos en Informatica Salud Medicina y Agricultura. Encuesta Bioquímica del Estado de Hierro y Vitamina A: regiones Lima y Libertadores-Wari 1992-93 [Biochemical Study of the Iron and Vitamin A Status: regions Lima and Libertadores-Wari 1992-93]. Lima, Asociación Benéfica Proyectos en Informática Salud Medicina y Agricultura/Programa de Alimentación y Nutrición de la Familia en Alto Riesgo, 1993. Reference 3148 Reyes J, Ochoa LH. Perú Encuesta Demográfica y de Salud Familiar 2000 [Peru Demographic Health Survey 2000]. Lima, Instituto Nacional de Estadística e Informática, 2001. Reference 4732 Bahl R, Bhandari N, Wahed MA, Kumar GT, Bhan MK; WHO/CHD Immunization-Linked Vitamin A Group. Vitamin A supplementation of women postpartum and of their infants at immunization alters breast milk retinol and infant vitamin A status. Journal of Nutrition, 2002, 132 :3243-3248. Reference 5122 López de Romaña G, Cusirramos S, López de Romaña D, Gross R. Efficacy of multiple micronutrient supplementation for improving anemia, micronutrient status, growth, and morbidity of Peruvian infants. Journal of Nutrition, 2005, 135 :646S-652S. Reference 5357 Céspedes R, Dácila E, Fort A, Ulloa L, Castro Z. Perú Encuesta Demográfica y de Salud Familiar ENDES Continua 2004; Informe principal. Lima, Peru, Instituto Nacional de Estadístic e Informática (INEI), Agenvia de los Estados Unidos para el Desarrollo Internacional (USAID), Programa Measure DHS+/ ORC Macro., 2005. Reference 5412 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de deficiencia de vitamina A en niños menores de 05 años y mujeres en edad fertil 1997-2001. Lima, Ministerio de Salud, 2001. Reference 5412 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de deficiencia de vitamina A en niños menores de 05 años y mujeres en edad fertil 1997-2001. Lima, Ministerio de Salud, 2001. Reference 5412 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de deficiencia de vitamina A en niños menores de 05 años y mujeres en edad fertil 1997-2001. Lima, Ministerio de Salud, 2001. Reference 5412 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de deficiencia de vitamina A en niños menores de 05 años y mujeres en edad fertil 1997-2001. Lima, Ministerio de Salud, 2001. Reference 5412 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de deficiencia de vitamina A en niños menores de 05 años y mujeres en edad fertil 1997-2001. Lima, Ministerio de Salud, 2001. © WHO Global Database on Vitamin A Deficiency ADDITIONAL REFERENCES PERU Reference 252 Reference 2108 Segura L. Vitamin A deficiency in Peru. Nutriview, 1997, :1;3. Brown KH. Proposal for a survey of the vitamin A status of childhood populations in selected regions of Peru: preparation for a possible evaluation of the effect of vitamin A supplementation on infant and child morbidity and mortality and development of a vitamin A. 1986. Reference 3149 [Anonymous]. Información pertinente al requerimiento de información sobre micronutrientes solicitado por ops. Reference 3150 Republica de Peru. Monitoreo de incadores nutricionales. Centro Nacional de Alimentación y Nutrición INS. Reference 4314 FAO. Informe de Perú. Rome, Organización de la Naciones Unidas para la Agricultura y la Alimentación, 1992. 2000. 2000. Reference 4315 Ministerio de Salud, Instituto Nacional de Alimentacion y Nutricion. Informe nacional: la situación nutricional en el Perú, análisis y recomendaciones para acciones futuras [National report: the nutritional situation in Peru, analysis and recommendations for future actions]. Lima, Ministerio de Salud, Instituto Nacional de Alimentación y Nutrición, 1992. Reference 4966 Alarcon K, Kolsteren PW, Prada AM, Chian AM, Velarde RE, Pecho IL, Hoeree TF. Effects of separate delivery of zinc or zinc and vitamin A on hemoglobin response, growth, and diarrhea in young Peruvian children receiving iron therapy for anemia. American Journal of Clinical Nutrition, 2004, 80 :1276-1282. Reference 5532 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Informe nacional de niveles de hemoglobina y prevalencia de anemia en niños de 12 a 36 meses y mujeres en edad fertil 2003. Lima, Ministerio de Salud, 2003. Reference 5732 Instituto Nacional de Salud, Centro Nacional de Alimentación y Nutritción, Dirección Ejecutiva de Vigilancia Alimentaria y Nutricional. Analisis secundario de la informacion del monitoreo nacional de indicadores nutricionales, 1996-2001. Lima, Peru, Ministerio de Salud, 2003. © WHO Global Database on Vitamin A Deficiency