Determinants of nutritional anaemia in children less than five years age


  • Sandip Ray Department of Pediatrics, Kalawati Saran Children’s Hospital, New Delhi, India Lady Hardinge Medical College (LHMC), Connaught Place, New Delhi, India
  • Jagdish Chandra Department of Pediatrics, Kalawati Saran Children’s Hospital, New Delhi, India
  • Jayashree Bhattacharjee Vardhaman Mahavir Medical College, New Delhi, India
  • Sunita Sharma Department of Pathology, Lady Hardinge Medical College, New Delhi, India
  • Anuja Agarwala All India Institute of Medical Sciences, New Delhi, India



Nutritional anemia, Children under-5 age, Iron, Pre-school age


Background: According to WHO, highest prevalence of anemia is found in pre-school aged children. The objective of this study was to determine demographic, socio-economic & nutritional factors for nutritional anemia in children <5 yrs.

Methods: We conducted a cross-sectional study of children aged 6 to 59 months. Hemoglobin, ferritin, folate, vitamin B12 levels were determined. Anthropometric measurements, nutritional intake, family income and other demographic data were recorded.

Results: Majority of cases (75.0%) were in 6months – 2 years age group. 139 (69.5%) subjects had iron deficiency, 86 (43.0%) had Vitamin B12 deficiency and 28 (14.0%) had folic acid deficiency. On multivariate regression the factors found to be associated were: increasing birth order, low iron intake & symptoms of anemia in mother.

Conclusions: Low iron intake, increasing birth order and symptoms of anemia in mother were significant factors associated with nutritional anemia in children less than 5 years age. 


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