Prevalence of anemia in under five-year-old children: a hospital-based study
DOI:
https://doi.org/10.18203/2349-3291.ijcp20190740Keywords:
Anemia, Pre-school children, Prevalence, Under five-year-old childrenAbstract
Background: Anemia affects individuals of both gender and all ages, there is a need for localized and age- and context-specific studies to improve our knowledge of prevalence patterns and associated risk factors of Indian population. The present study was done to determine the prevalence of and associated risk factors for anemia in under five-year-old children in a tertiary care teaching hospital.
Methods: A prospective observational study was carried out among under five-year-old children suffering from anemia. For the diagnosis of anemia, WHO criteria for haemoglobin (Hb) threshold in different age group were used. The growth and development statuses of children were evaluated by WHO's Child Growth Standards 2006.
Results: Total 240 anaemic children were enrolled into the study. Children of age group of between 2-5 years was more affected. A majority of the mother of anaemic children had primary level of school education. More than half of the children belong to lower socioeconomic classes (Class IV + Class V). Nutritional deficiency was the single most important causative factor in the development of anemia. Infectious diseases found to be more prevalent.
Conclusions: Nutritional deficiency, particularly, iron deficiency is the leading cause of anemia in the present study. In addition to nutritional deficiency, socioeconomic factors like, gender, maternal education and SE class also play an important role in development of anemia.
References
World Health Organization (WHO). Anaemia prevention and control. Geneva: WHO; 2011. Available at: www.who.int/medical_devices/initiatives/anaemia_control/en.
World Health Organization (WHO). Health topics-Anaemia. Available at: https://www.who.int/topics/anaemia/en/.
McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutr. 2009;12(4):444-54.
GlobalData Healthcare. Anemia prevalence nears 40% in India. Verdict Hospital. Available at: https://www.hospitalmanagement.net/comment/anemia-prevalence-nears-40-india/.
India-Prevalence of anemia. Indexmundi. Available at:https://www.indexmundi.com/facts/india/prevalence-of-anemia.
Rammohan A, Awofeso N, Robitaille MC. Addressing female iron-deficiency anaemia in india: is vegetarianism the major obstacle? ISRN Public Health. 2012;2012:8.
Seshadri S, Shah A, Bhade S. Haematologic response of anaemic preschool children to ascorbic acid supplementation. Hum Nutr Appl Nutr. 1985;39(2):151-4.
Chiplonkar SA, Agte VV, Mengale SS, Tarwadi KV. Are lifestyle factors good predictors of retinol and vitamin C deficiency in apparently healthy adults? Eur J Clin Nutr. 2002;56(2):96-104.
Nair KM, Iyengar V. Iron content, bioavailability and factors affecting iron status of Indians. Indian J Med Res. 2009;130(5):634-45.
Anand T, Rahi M, Sharma P, Ingle GK. Issues in prevention of iron deficiency anemia in India. Nutrition. 2014;30(7-8):764-70.
Food and Agricultural Organization, “Iron,” in Human vitamin and mineral requirements. Available at:http://www.fao.org/docrep/004/Y2809E/y2809e0j.htm.
Assunção MC, Santos IS, Barros AJ, Gigante DP, Victora CG. Anemia em menores de seis anos: estudo de base populacional em Pelotas, RS. Rev Saude Publica. 2007;41:328-35.
Grantham-Mcgregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr. 2001;131:649-68.
Lozoff B, Jimenez E, Hagen J, Mollen E, Wolf AW. Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy. Pediatrics. 2000;105:E51.
Iron deficiency anemia: assessment, prevention and control. A guide for programme managers. Geneva, World Health Organization, 2001 (WHO/NHD/01.3).
WHO. WHO Multicentre Growth Reference Study Group (2006). WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development. 2006. Available at: http://www.who.int/childgrowth/standards/technical_report/en/
Sharma R. Revision of Prasad’s social classification and provision of an online tool for real-time updating. South Asian J Cancer. 2013;2:157.
Tengco LW, Rayco-Solon P, Solon JA, Sarol JN Jr, Solon FS. Determinants of anemia among preschool children in the Philippines. J Am Coll Nutr. 2008;27:229-43.
Brooker S, Peshu N, Warn PA, Mosobo M, Guyatt HL, Marsh K, et al. The epidemiology of hookworm infection and its contribution to anaemia among pre-school children on the Kenyan coast. Trans R Soc Trop Med Hyg. 1999;93:240-6.
Stoltzfus RJ, Chwaya HM, Tielsch JM, Schulze KJ, Albonico M, Savioli L. Epidemiology of iron deficiency anemia in Zanzibari schoolchildren: the importance of hookworms. Am J Clin Nutr. 1997;65:153-9.
Kanchana, Madhusudan SR, Ahuja S, Nagaraj N. Prevalence and risk factors of anemia in under five-year-old children in children’s hospital. Int J Contemp Pediatr. 2018;5:499-502.
Siti-Noor AS, Wan-Maziah WM, Narazah MY, Quah BS. Prevalence and risk factors for iron deficiency in Kelantanese pre-school children. Singapore Med J. 2006;47:935-9.
Dey S, Gosawmi S, Dey T. Identifying predictors of childhood anaemia in north-east India. J Health Populat Nutr. 2013;31(4):462-70.
Hashizume M, Kunii O, Sasaki S, Shimoda T, Wakai S, Mazhitova Z, et al. Anemia and iron deficiency among schoolchildren in the Aral Sea region, Kazakhstan. J Trop Pediatr. 2003;49:172-7.
Zhang Q, Li Z, Ananth CV. Prevalence and risk factors for anaemia in pregnant women: a population-based prospective cohort study in China. Paediatr Perinat Epidemiol. 2009;23:282-91.
El Hioui M, Ahami AO, Aboussaleh Y, Rusinek S, Dik K, Soualem A, et al. Risk factors of anaemia among rural school children in Kenitra, Morocco. East Afr J Public Health. 2008;5:62-6.
Foo LH, Khor GL, Tee ES, Prabakaran D. Iron status and dietary iron intake of adolescents from a rural community in Sabah, Malaysia. Asia Pac J Clin Nutr. 2004;13:48-55.
Al-Mekhlafi MH, Surin J, Atiya AS, Ariffin WA, Mahdy AK, Abdullah HC. Anaemia and iron deficiency anaemia among aboriginal schoolchildren in rural Peninsular Malaysia: an update on a continuing problem. Trans R Soc Trop Med Hyg. 2008;102:1046-52.
Winichagoon P. Prevention and control of anemia: Thailand experiences. J Nutr. 2002;132(4):862S-6S.
World Health Organization. Switzerland: WHO; 2008. Global Burdon of Diseases 2004 update, World Health Organization, 20 Avenue Appia, 1211Geneva 27.
Slotzfus RJ, Dreyfuss ML. Nutrition Foundation; Mimeo. Washington, DC: USA: INCAG; 1998. Guidelines for the Iron Supplements to prevent and treat iron-deficiency anemia: A draft document prepared for the International Nutritional Anemia Consultative Group (INCAG), 17th Jul 1997.
Anemia and infection: a complex relationship. Available at: http://www.scielo.br/pdf/rbhh/
v33n2/v33n2a02.pdf.
Rocha Dda S, Capanema FD, Pereira Netto M, Franceschini Sdo C, Lamounier JA. Prevalence and risk factors of anemia in children attending daycare centers in Belo Horizonte--MG. Rev Bras Epidemiol. 2012;15(3):675-84.
