Characterization of micronutrient supplements use by Brazilian children 6-59 months of age: <i>Brazilian National Survey on Child Nutrition</i> (ENANI-2019)

Freitas, Maiara Brusco de; Castro, Inês Rugani Ribeiro de; Schincaglia, Raquel Machado; Carneiro, Letícia B. Vertulli; Alves-Santos, Nadya Helena; Normando, Paula; Andrade, Pedro Gomes; Kac, Gilberto; ,

doi:10.1590/0102-311XEN085222

person Maiara Brusco de Freitas

contributed to the study conception, design, execution · the article’s writing and revision

school Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0003-1737-8918

person Inês Rugani Ribeiro de Castro

contributed to the study conception, design, execution · the article’s writing and revision

school Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0002-7479-4400

person Raquel Machado Schincaglia

contributed to the study conception, design, execution, performed the statistical analysis · the article’s writing and revision

school Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0002-8450-6775

person Letícia B. Vertulli Carneiro

contributed to the study execution · the article’s writing and revision

school Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0003-0832-2293

person Nadya Helena Alves-Santos

contributed to the study execution · the article’s writing and revision

school Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Marabá, Brasil.

0000-0002-0098-6047

person Paula Normando

contributed to the study execution · the article’s writing and revision

school Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0002-6443-7733

person Pedro Gomes Andrade

performed the statistical analysis · contributed to the article’s writing and revision

school Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0002-3964-6787

person Gilberto Kac

contributed to the study conception, design, execution · the article’s writing and revision

school Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.

0000-0001-8603-9077

personBrazilian Consortium on Child Nutrition 5

personCorrespondence G. Kac Departamento de Nutrição Social e Aplicada, Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro. Av. Carlos Chagas Filho 373, Centro de Ciências da Saúde, Bloco J, 2° andar, sala 29, Rio de Janeiro, RJ 21941-902, Brasil.
gilberto.kac@gmail.com

Additional information

ORCID: Maiara Brusco de Freitas (0000-0003-1737-8918); Inês Rugani Ribeiro de Castro (0000-0002-7479-4400); Raquel Machado Schincaglia (0000-0002-8450-6775); Letícia B. Vertulli Carneiro (0000-0003-0832-2293); Nadya Helena Alves-Santos (0000-0002-0098-6047); Paula Normando (0000-0002-6443-7733); Pedro Gomes Andrade (0000-0002-3964-6787); Gilberto Kac (0000-0001-8603-9077).

Other members of the Brazilian Consortium on Child Nutrition

Cristiano Siqueira Boccolini, Dayana Rodrigues Farias, Elisa Maria de Aquino Lacerda, Luiz Antonio dos Anjos, Neilane Bertoni, Talita Lelis Berti.

Supplements	Age group (months)
	6-59		6-23		24-59
	%	95%CI	%	95%CI	%	95%CI
Supplements use	54.2	50.5; 57.8	69.5	65.7; 73.3	46.5	42.4; 50.5
Number of supplements consumed
1	32.2	29.9; 34.4	35.8	32.6; 39.0	30.3	27.6; 33.0
2	16.8	14.9; 18.7	25.0	22.9; 27.2	12.7	10.5; 14.9
≥ 3	5.2	3.9; 6.4	8.7	6.7; 10.6	3.4	2.3; 4.6
Supplements containing only iron *	14.6	13.1; 16.1	29.7	26.1; 33.2	7.1	5.9; 8.3
PNSF supplements	5.9	4.7; 7.2	11.5	8.8; 14.3	3.1	2.1; 4.0
Supplements containing only vitamin
A **	23.3	19.4; 27.1	25.5	20.8; 30.1	22.2	18.4; 25.9
C	13.0	10.4; 15.5	15.9	12.4; 19.4	11.5	9.2; 13.8
D	3.2	2.2; 4.1	7.8	5.3; 10.3	0.8	0.4; 1.2
Multivitamin supplements with or without minerals ***	24.3	21.4; 27.2	30.1	26.0; 34.3	21.4	17.9; 24.9
Multivitamin supplements without minerals	16.1	13.9; 18.3	22.4	19.1; 25.6	13.0	10.7; 15.3
Vitamins A, C, D, E, and B complex	4.9	3.8; 6.0	7.1	5.3; 8.9	3.9	2.7; 5.0
Vitamins A and D	4.6	3.4; 5.9	11.7	8.4; 15.0	1.1	0.6; 1.5
Vitamins C and B complex	4.3	3.3; 5.2	1.3	0.8; 1.9	5.7	4.4; 7.1
Vitamins A, C, D, and B complex	1.4	1.0; 1.8	0.9	0.4; 1.4	1.7	1.1; 2.2
Vitamins A, D and E	0.5	0.3; 0.7	1.0	0.5; 1.5	0.2 ^#	0.0; 0.4
B complex	0.5 ^#	0.2; 0.9	0.3 ^#	0.0; 0.5	0.7 ^#	0.3; 1.1
Multivitamin supplements with minerals ***	9.2	7.1; 11.3	9.1	7.0; 11.2	9.2	6.5; 12.0
Vitamins A, D, E, and B complex, iron, zinc, copper, selenium, iodine ***	2.4	0.7; 4.2	0.5	0.2; 0.8	3.4	0.8; 6.1
Vitamins C e D, iron and calcium	1.8	1.0; 2.6	1.4 ^#	0.3; 2.5	2.0	1.1; 2.9
Vitamins A, C, D and B complex, iron, zinc	1.0	0.7; 1.3	1.5	09; 2.1	0.7	0.3; 1.0
B complex and iron	0.7 ^#	0.4; 1.0	1.2 ^#	0.4; 2.0	0.4 ^#	0.1; 0.7
B complex, Vitamin D, calcium and zinc	0.5	0.3; 0.7	1.1	0.5; 1.7	0.2 ^#	0.1; 0.4

Variables	Supplement use	Number of supplements used			Supplements containing iron *	PNSF supplements
	Supplement use	1	2	≥ 3
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	54.2 (50.5; 57.8)	32.2 (29.9; 34.4)	16.8 (14.9; 18.7)	5.2 (3.9; 6.4)	14;6 (13.1; 16.1)	5.9 (4.7; 7.2)
Macroregion
North	80.2 (74.9; 85.6)	43.2 (39.8; 46.7)	27.6 (27.6; 31.6)	9.4 (6.1; 12.8)	10.2 (7.0; 13.4)	2.6 (1.5; 3.7)
Northeast	69.9 (60.9; 78.9)	35.4 (31.8; 38.9)	25.9 (20.1; 31.7)	8.6 (4.9; 12.4)	11.0 (8.8; 13.1)	1.9 (1.1; 2.6)
Southeast	44.7 (38.6; 50.9)	30.3 (25.5; 35.1)	11.3 (9.4; 13.2)	3.1 (1.8; 4.5)	19.1 (15.9; 22.3)	10.5 (7.5; 13.6)
South	27.5 (22.9; 32.0)	19.2 (15.5; 22.9)	7.4 (5.4; 9.3)	1.0 (0.4; 1.5)	12.5 (10.1; 15.0)	4.1 (2.8; 5.4)
Central-West	54.4 (47.7; 61.1)	36.7 (31.8; 41.5)	13.2 (10.3; 16.2)	4.5 (2.8; 6.3)	14.9 (12.0; 17.9)	5.1 (3.0; 7.2)
Mother or caregiver education level (years of study)
0-7	49.3 (43.5; 55.2)	31.0 (26.5; 35.4)	14.3 (11.9; 16.8)	4.0 (2.6; 5.4)	12.4 (9.8; 14.9)	6.5 (4.4; 8.5)
8-10	53.2 (48.0; 58.5)	33.1 (29.1; 37.1)	15.7 (12.2; 19.1)	4.5 (2.8; 6.1)	11.5 (8.6; 14.4)	6.9 (4.1; 9.7)
11	57.2 (53.1; 61.4)	32.2 (29.5; 36.9)	18.8 (16.4; 21.3)	5.2 (3.9; 6.5)	17.3 (15.0; 19.5)	6.2 (4.3; 8.1)
≥ 12	54.7 (49.9; 59.4)	30.2 (27.2; 33.2)	16.8 (14.2; 19.4)	7.7 (4.3; 11.1)	15.4 (12.0; 18.9)	3.1 (1.4; 4.8)
Health care service used
SUS user	53.7 (49.6; 57.9)	32.4 (29.7; 35.2)	16.2 (14.0; 18.4)	5.1 (3.8; 6.4)	14.3 (12.5; 16.0)	7.0 (5.4; 8.6)
SUS non-user	55.8 (51.3; 60.4)	31.1 (27.9; 34.4)	19.2 (16.0; 22.3)	5.5 (3.6; 7.5)	16.0 (13.0; 19.0)	1.5 (0.6; 2.5) **
Variables	Supplements containing only vitamin				Multivitamin supplements with or whithout minerals ***
	A ^#	PNSVA	C	D
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	23.3 (19.4; 27.1)	23.1 (19.2; 26.9)	13.0 (10.4; 15.5)	3.2 (2.2; 4.1)	24.3 (21.4; 27.2)
Macroregion
North	43.3 (32.0; 54.6)	42.6 (31.5; 53.7)	31.8 (23.3; 40.3)	3.9 ** (0.4; 7.5)	32.4 (25.5; 39.3)
Northeast	45.8 (35.2; 56.3)	45.7 (35.1; 56.2)	21.1 (13.6; 28.7)	4.2 (2.7; 5.8)	27.5 (20.8; 34.1)
Southeast	7.8 ** (2.7; 12.9)	7.7 ** (2.6; 12.7)	6.1 (3.7; 8.6)	1.9 ** (0.2; 3.6)	25.0 (19.8; 30.2)
South	1.9 ** (0.6; 3.2)	1.5 ** (0.2; 2.9)	2.5 (1.2; 3.8)	4.2 (2.3; 6.2)	13.6 (10.5; 16.7)
Central-West	28.6 (20.1; 37.2)	28.5 (20.0; 37.0)	9.8 (7.6; 11.9)	2.9 (1.8; 3.9)	17.4 (15.3; 19.6)
Mother or caregiver education level (years of study)
0-7	25.6 (20.6; 30.5)	25.2 (20.2; 30.2)	10.4 (7.4; 13.3)	1.1 (0.6; 1.6)	19.7 (15.6; 23.7)
8-10	27.0 (21.1; 32.8)	26.9 (21.1; 32.7)	12.5 (9.3; 15.7)	1.9 (1.0; 2.7)	22.6 (18.9; 26.4)
11	23.1 (18.9; 27.2)	22.8 (18.7; 27.0)	13.9 (10.9; 17.0)	3.8 (1.8; 5.7)	25.4 (22.1; 28.7)
≥ 12	15.9 (10.5; 21.4)	15.9 (10.4; 21.3)	14.8 (10.7; 18.9)	6.2 (4.6; 7.7)	30.3 (25.6; 35.1)
Health care service used
SUS user	25.0 (20.7; 29.3)	24.8 (20.5; 29.0)	12.5 (10.0; 15.1)	2.4 (1.4; 3.3)	23.2 (20.0; 26.5)
SUS non-user	16.3 (12.5; 20.1)	16.2 (12.4; 20.0)	14.7 (11.1; 18.3)	6.3 (4.5; 8.1)	28.8	(25.2; 32.4)

Variables	Supplement use	Number of supplements used			Supplements containing iron *	PNSF supplements
	Supplement use	1	2	≥ 3
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	69.5 (65.7; 73.3)	35.8 (32.6; 39.0)	25.0 (22.9; 27.2)	8.7 (6.7; 10.6)	29.7 (26.1; 33.2)	11.5 (8.8; 14.3)
Macroregion
North	87.2 (79.4; 94.9)	42.9 (37.2; 48.6)	28.9 (24.6; 33.2)	15.4 (9.7; 21.0)	16.6 (9.5; 23.8)	3.5 ** (0.8; 6.2)
Northeast	78.9 (70.9; 86.9)	34.5 (29.3; 39.6)	30.2 (25.0; 35.4)	14.3 (9.7; 18.8)	21.5 (16.5; 26.5)	3.0 (1.7; 4.3)
Southeast	65.9 (59.1; 72.8)	36.0 (29.5; 42.5)	24.3 (21.0; 27.6)	5.7 (2.4; 9.0)	40.3 (32.7; 47.9)	21.6 (14.8; 28.3)
South	50.8 (42.2; 59.3)	31.3 (23.8; 38.8)	17.5 (12.3; 22.6)	2.0 (0.6; 3.4)	29.4 (22.9; 35.9)	10.4 (6.9; 14.0)
Central-West	61.2 (53.3; 69.2)	37.6 (3.3; 43.9)	17.8 (13.7; 21.9)	5.8 (2.5; 9.1)	24.8 (20.8; 28.7)	5.9 (3.5; 8.3)
Mother or caregiver education level (years of study)
0-7	63.8 (57.6; 70.1)	35.4 (30.0; 40.9)	22.3 (17.3; 27.3)	6.1 (3.2; 9.0)	25.9 (20.4; 31.5)	14.5 (11.3; 17.6)
8-10	62.5 (56.0; 69.0)	34.6 (28.4; 40.8)	21.4 (16.2; 26.6)	6.5 (3.5; 9.6)	21.4 (16.0; 26.8)	12.0 (6.9; 17.1)
11	74.4 (70.4; 78.9)	37.0 (31.3; 42.6)	28.7 (24.2; 33.1)	9.1 (6.4; 11.7)	34.9 (28.3; 41.6)	12.2 (6.5; 17.8)
≥ 12	74.1 (67.8; 80.5)	35.3 (29.1; 41.6)	25.1 (19.9; 30.4)	13.7 (8.0; 19.3)	33.4 (26.6; 40.2)	6.3 (3.0; 9.6)
Health care service used
SUS user	67.9 (63.8; 72.0)	35.4 (31.9; 39.0)	23.9 (21.2; 26.7)	8.5 (6.3; 10.7)	28.3 (24.9; 31.8)	14.1 (10.6; 17.5)
SUS non-user	75.7 (69.6; 81.9)	37.2 (31.6; 42.7)	29.2 (23.6; 34.7)	9.4 (5.8; 13.0)	34.8 (27.7; 41.8)	1.7 ** (0.0; 3.6)
Variables	Supplements containing only vitamin				Multivitamin supplements with or whithout minerals ***
	A ^#	PNSVA	C	D
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	25.5 (20.8; 30.1)	25.2 (20.5; 29.8)	15.9 (12.4; 19.4)	7.8 (5.3; 10.3)	30.1 (26.0; 34.3)
Macroregion
North	43.2 (28.5; 57.9)	43.2 (28.5; 57.9)	38.6 (28.6; 48.6)	8.2 (0.7; 15.7)	36.7 ** (29.7; 43.7)
Northeast	50.0 (38.0; 62.0)	49.9 (37.8; 61.9)	27.2 (16.7; 37.7)	10.4 (6.9; 13.8)	27.0 (19.5; 34.4)
Southeast	9.7 ** (3.0; 16.4)	9.3 ** (2.6; 16.1)	7.9 (4.2; 11.6)	5.2 (0.1; 10.3)	35.2 ** (26.7; 43.8)
South	3.1 ** (0.9; 5.2)	2.5 ** (0.4; 4.6)	1.5 ** (0.2; 2.9)	11.0 (5.3; 16.6)	24.2 (16.3; 32.1)
Central-West	29.2 (20.1; 38.3)	28.9 (19,9; 37.9)	8.6 (5.8; 11.3)	6.2 (3.7; 8.7)	17.8 (14.9; 20.8)
Mother or caregiver education level (years of study)
0-7	28.6 (22.1; 35.0)	27.7 (21.0; 34.4)	15.5 (9.7; 21.3)	2.7 (1.4; 4.1)	22.1 (17.4; 26.9)
8-10	29.1 (22.7; 35.5)	29.0 (22.6; 35.4)	15.7 (10.1; 21.3)	3.6 (1.8; 5.5)	24.7 (19.0; 30.5)
11	25.3 (19.3; 31.3)	25.2 (19.2; 31.2)	16.1 (11.5; 20.7)	9.8 (4.2; 15.3)	33.4 (27.5; 39.3)
≥ 12	17.6 (10.0; 25.1)	17.3 (9.7; 24.9)	16.1 (9.5; 22.7)	15.2 (11.0; 19.4)	39.7 (32.7; 46.7)
Health care service used
SUS user	27.5 (22.4; 32.6)	27.2 (22.1; 32.3)	16.2 (12.1; 20.3)	6.3 (6.5; 9.0)	28.0 (23.6; 32.4)
SUS non-user	17.6 (11.5; 23.8)	17.5 (11.3; 23.7)	14.8 (10.1; 19.4)	14.0 (9.8; 18.1)	38.4	(32.8; 44.0)

Variables	Supplement use	Number of supplements used			Supplements containing iron *	PNSF supplements
	Supplement use	1	2	≥ 3
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	46.5 (42.4; 50.5)	30.3 (27.6; 33.0)	12.7 (10.5; 14.9)	3.4 (2.3; 4.6)	7.1 (5.9; 8.3)	3.1 (2.1; 4.0)
Macroregion
North	76.7 (71.2; 82.3)	43.4 (39.5; 47.3)	26.9 (21.7; 32.1)	6.4 (4.1; 8.8)	7.0 (4.3; 9.7)	2.1 (1.3; 3.0)
Northeast	65.4 (55.1; 75.7)	35.8 (30.9; 40.8)	23.8 (16.8; 30.7)	5.8 (2.1; 9.5)	5.6 (4.0; 7.3)	1.3 ** (0.5; 2.1)
Southeast	34.1 (27.2; 41.0)	27.5 (22.0; 32.9)	4.8 (2.7; 6.8)	1.9 (0.9; 2.8)	8.5 (6.0; 11.1)	5.0 (2.8; 7.3)
South	15.8 (11.5; 20.2)	13.1 (9.0; 17.2)	2.3 (1.1; 3.6)	0.4 (0.0; 0.9)	4.1 (2.6; 5.6)	0.9 (0.4; 1.5)
Central-West	51.0 (44.2; 57.8)	36.2 (31.2; 41.2)	10.9 (8.1; 13.7)	3.9 (2.1; 5.7)	10.0 (9.8; 13.1)	4.7 ** (1.9; 7.4)
Mother or caregiver education level (years of study)
0-7	42.7 (35.7; 49.7)	28.9 (23.4; 34.5)	10.7 (8.1; 13.3)	3.1 (1.4; 4.7)	6.2 (3.7; 8.7)	2.9 ** (0.9; 4.9)
8-10	48.0 (42.1; 53.9)	32.3 (28.0; 36.5)	12.5 (8.9; 16.0)	3.3 (1.5; 5.1)	5.9 (4.1; 7.7)	4.1 (2.3; 5.8)
11	48.9 (44.2; 53.7)	31.4 (27.7; 35.1)	14.2 (11.6; 16.7)	3.4 (2.3; 4.5)	8.9 (6.7; 11.0)	3.4 (1.9; 4.9)
≥ 12	43.8 (38.3; 49.2)	27.2 (23.0; 31.5)	12.2 (8.7; 15.6)	4.3 (0.9; 7.8)	5.3 (2.9; 7.7)	1.3 ** (0.1; 2.6)
Health care service used
SUS user	46.7 (42.0; 51.4)	30.9 (27.6; 34.3)	12.4 (10.0; 14.8)	3.4 (2.3; 4.6)	7.3 (5.7; 8.9)	3.5 (2.3; 4.6)
SUS non-user	45.4 (39.7; 51.2)	28.0 (24.1; 31.8)	14.0 (10.4; 17.5)	3.5 (1.5; 5.5)	6.2 (4.2; 8.2)	1.4 ** (0.2; 2.6)
Variables	Supplements containing only vitamin				Multivitamin supplements with or whithout minerals ***
	A ^#	PNSVA	C	D
	% (95%CI)	% (95%CI)	% (95%CI)	% (95%CI)
Brazil	22.2 (18.4; 25.9)	22.0 (18.3; 25.7)	11.5 (9.2; 13.8)	0.8 (0.4; 1.2)	21.4 (17.9; 24.9)
Macroregion
North	43.3 (32.7; 54.0)	42.3 (32.2; 52.5)	28.4 (20.1; 36.6)	1.8 ** (0.1; 3.5)	3.3 (22.8; 37.7)
Northeast	43.6 (32.9; 54.3)	43.6 (32.9; 54.2)	18.1 (11.3; 24.8)	1.1 ** (0.0; 2.2)	27.7 (20.2; 35.2)
Southeast	6.9 ** (2.2; 11.5)	6.8 ** (2.2; 11.5)	5.3 (2.8; 7.7)	0.2 ** (0.0; 0.5)	19.9 (13.2; 26.6)
South	1.3 ** (0.2; 2.4)	1.1 ** (0.0; 2.1)	3.0 (1.4; 4.6)	0.8 ** (0.2; 1.5)	8.2 (5.3; 11.2)
Central-West	28.3 (19.5; 37.2)	28.2 (19.4; 37.1)	10.4 (7.7; 13.1)	1.2 (0.6; 1.7)	17.2 (14.7; 19.8)
Mother or caregiver education level (years of study)
0-7	24.2 (18.8; 29.6)	24.1 (18.6; 29.5)	8.0 (5.5; 10.6)	0.3 ** (0.0; 0.7)	18.6 (13.3; 23.8)
8-10	25.7 (19.3; 32.2)	25.7 (19.2; 32.2)	10.7 (7.8; 13.5)	0.9 ** (0.1; 1.7)	21.5 (17.0; 25.9)
11	22.0 (18.2; 25.9)	21.7 (17.9; 25.5)	12.9 (10.0; 15.9)	0.9 ** (0.3; 1.5)	21.6 (17.4; 25.8)
≥ 12	15.1 (10.0; 20.1)	15.0 (9.9; 20.1)	14.1 (9.9; 18.2)	1.2 (0.5; 1.8)	25.1 (19.6; 30.5)
Health care service used
SUS user	23.8 (19.5; 28.1)	23.6 (19.3; 27.8)	10.7 (8.5; 12.9)	0.4 (0.2; 0.7)	20.8 (16.8; 24.9)
SUS non-user	15.6 (11.9; 19.2)	15.6 (11.9; 19.2)	14.7 (10.4; 19.0)	2.3 ** (0.7; 3.9)	23.8	(19.7; 27.8)

[TFN1] 95%CI: 95% confidence interval.

[TFN2] * Includes information on supplements use from the Brazilian National Iron Supplementation Program (PNSF);

[TFN3] ** Includes information on supplements use from the Brazilian National Vitamin A Supplementation Program (PNSVA);

[TFN4] *** Includes information on the use of the Brazilian National Strategy of Fortification of Infant Feeding with Micronutrients in Powder (NutriSUS);

[TFN5] ^# Coefficients of variation ≥ 30%. The coefficients of variation is a measure of dispersion that indicates the heterogeneity of the data obtained by the ratio between the standard error and the estimated value of the indicator.

Characterization of micronutrient supplements use by Brazilian children 6-59 months of age: Brazilian National Survey on Child Nutrition (ENANI-2019)

Caracterização do uso de suplementos de micronutrientes por crianças brasileiras de 6-59 meses de idade: Estudo Nacional de Alimentação e Nutrição Infantil (ENANI-2019)

Caracterización del uso de suplementos de micronutrientes por niños brasileños de 6-59 meses de edad: Estudio Nacional de Alimentación y Nutrición Infantil (ENANI-2019)

Abstract