Prevalence of anaemia among the hospitalized children in a rural tertiary care teaching hospital

Authors

  • Bala Gopal Muthusamy Department of Pediatrics, Sri Manakula Vinayagar Medical College, Madagadipet, Puducherry-605107, India
  • Vinayagamoorthy Venugopal Department of Community Medicine, Sri Manakula Vinayagar Medical College, Madagadipet, Puducherry-605107, India
  • Sumithra S. Department of Pediatrics, Sri Manakula Vinayagar Medical College, Madagadipet, Puducherry-605107, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20170683

Keywords:

Anemia, Iron deficiency, Prevalence

Abstract

Background: The most important nutritional deficiency (micronutrient deficiency) among children in the present world is iron deficiency. The objective of this study was to evaluate the prevalence of nutritional anemia (iron deficiency anemia) among the hospitalized children in the tertiary care rural hospital. To evaluate the distribution of anemia among various age groups, sex and its association with various systemic illness.

Methods: Retrospective (record based) cross sectional study carried out in a tertiary care teaching hospital. Information regarding age, gender, chief complaints, laboratory investigations carried out like total WBC count, haemoglobin was collected. Final diagnosis with system of involvement was documented. These factors were analysed.

Results: Data collected from 905 patients were analysed for the study purpose. Out of 270 children in the age group of less than 2 years 72% of children were anemic. In the age group of 2-5 years55.7% of children were anemic. Nearly 2/3 of children in less than 5 years of hospitalized children were anemic. Overall 50% of children between1 month to 12 years were anemic. System wise analysis have shown 57% of respiratory cases, 47 % of gastrointestinal cases and 48% of infectious disease cases were anaemic.

Conclusions: Nutritonal anemia is a major health burden in young children in developing countries. Iron deficiency in early life during the period of brain maturation is extensively studied by various research groups. Changes in brain were also reported in animal studies. Understanding the impacts of iron deficiency in terms of its role in cognitive development, intellectual development, motor development, immune function, school performance and physical development this is considered as an important and urgent public health problem in our country.

Author Biography

Bala Gopal Muthusamy, Department of Pediatrics, Sri Manakula Vinayagar Medical College, Madagadipet, Puducherry-605107, India

associate professor,department of pediatrics.

References

Iron deficiency anaemia. Assessment, prevention, and control. A guide for programme managers. Available at http://www.who. int/nutrition /publications/en/ida_assessment_prevention_control.pdf. Accessed on 21 December 2016.

Global estimates of the prevalence of anaemia in infants and children aged 6-59 months, 2011. Available at http://www.who.int /nutrition/ publications/micronutrients/global_prevalence_anaemia_2011_maps.pdf. Accessed on 17 December 2016.

The global prevalence of anaemia in, 2011. Available at http://apps.who.int /iris/bitstream/ 10665/177094/1/9789241564960eng.pdf?ua=1. Accessed on 17 December 2016.

Halterman JS, Kaczorowski JM, Aligne CA, Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement among school-aged children and adolescents in the United States. Pediatr. 2001;107(6):1381-6.

Villalpando S, Shamah-Levy T, Ramírez-Silva CI, Mejía-Rodríguez F, Rivera JA. Prevalence of anemia in children 1 to 12 years of age. Results from a nationwide probabilistic survey in Mexico. Salud Publica Mex. 2003;45 Suppl 4:S490-498.

Krantman HJ, Young SR, Ank BJ, O’Donnell CM, Rachelefsky GS, Stiehm ER. Immune function in pure iron deficiency. Am J Dis Child. 1960;1982 Sep;136(9):840-4.

Lozoff B, De Andraca I, Castillo M, Smith JB, Walter T, Pino P. Behavioral and developmental effects of preventing iron-deficiency anemia in healthy full-term infants. Pediatrics. 2003;112(4):846-54.

Lozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med. 1991;325(10):687-94.

Algarín C, Peirano P, Garrido M, Pizarro F, Lozoff B. Iron deficiency anemia in infancy: long-lasting effects on auditory and visual system functioning. Pediatr Res. 2003;53(2):217-23.

Beard JL, Connor JR. Iron status and neural functioning. Annu Rev Nutr. 2003;23:41-58.

Black MM, Baqui AH, Zaman K, Ake Persson L, El Arifeen S, Le K, et al. Iron and zinc supplementation promote motor development and exploratory behavior among Bangladeshi infants. Am J Clin Nutr. 2004;80(4):903-10.

Lozoff B, Beard J, Connor J, Barbara F, Georgieff M, Schallert T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutr Rev. 2006;64(5 Pt 2):S34-43-91.

Moffatt ME, Longstaffe S, Besant J, Dureski C. Prevention of iron deficiency and psychomotor decline in high-risk infants through use of iron-fortified infant formula: a randomized clinical trial. J Pediatr. 1994;125(4):527-34.

Enwonwu CO. Functional significance of iron deficiency. Annual nutrition workshop series. Available at http://eric.ed.gov/?id=ED337422. Accessed on 17 December 2016.

Indian Pediatrics - Editorial. Available at http://www.indianpediatrics.net/apr2003/apr-293-295.htm. Accessed on 17 December 2016.

dos Santos RF, Gonzalez ESC, de Albuquerque EC, de Arruda IKG, Diniz A da S, Figueroa JN, et al. Prevalence of anemia in under five-year-old children in a children’s hospital in Recife, Brazil. Rev Bras Hematol E Hemoter. 2011;33(2):100-4.

Simbauranga RH, Kamugisha E, Hokororo A, Kidenya BR, Makani J. Prevalence and factors associated with severe anaemia amongst under-five children hospitalized at Bugando Medical Centre, Mwanza, Tanzania. BMC Hematol. 2015;15:13.

Ughasoro MD, Emodi IJ, Okafor HU, Ibe BC. Prevalence of moderate and severe anaemia in children under 5 in university of Nigeria teaching hospital Enugu, Southeast Nigeria. Pediatr Res. 2011;70(S5):489-9.

Oladeinde BH, Omoregie R, Olley M, Anunibe JA, Onifade AA, Oladeinde OB. Malaria and anemia among children in a low resource setting in Nigeria. Iran J Parasitol. 2012;7(3):31-7.

Saba F, Poornima S, Balaji PAR, Varne SRR, Jayashree K. Anemia among hospitalized children at a multispecialty hospital, Bangalore,Karnataka, India. J Fam Med Prim Care. 2014;3(1):48-53.

A study of anemia in hospitalised infants at a tertiary care hospital, 2015. Available at http://www.njcmindia.org/uploads/6-2_155-160.pdf.

Ekiz C, Agaoglu L, Karakas Z, Gurel N, Yalcin I. The effect of iron deficiency anemia on the function of the immune system. Research Gate. 2005;5(7):579-83.

Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet Lond Engl. 2011;378(9809):2123-35.

Prevalence of anemia among children (% of children under 5) Available at http://data. worldbank.org/indicator/SH.ANM.CHLD.ZS. Accessed on 19 December 2016.

Janus J, Moerschel SK. Evaluation of anemia in children. Am Fam Physician. 2010;81(12):1462-71.

Shaw JG, Friedman JF. Iron deficiency anemia: focus on infectious diseases in lesser developed countries. Anemia. Available at https://www.hindawi.com/journals/anemia/2011/260380/abs/. Accessed on 15 May 2011.

Anemia and infection: a complex relationship. Available at http://www.scielo.br/ pdf/rbhh/ v33n2/v33n2a02.pdf. Accessed on 28 December 2016.

Kim YJ, Park SK, Lim HJ, Lee H. Gastrointestinal disease in children with iron deficiency anemia. Korean J Pediatr. 1999;42(5):697-703.

Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007;77(1):44-51.

Tatala S, Svanberg U, Mduma B. Low dietary iron availability is a major cause of anemia: a nutrition survey in the Lindi District of Tanzania. Am J Clin Nutr. 1998;68(1):171-8.

Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr. 2001;131(2S–2):649S-666S.

Pollitt E. Iron deficiency and cognitive function. Annu Rev Nutr. 1993;13(1):521-37.

Walter T, De Andraca I, Chadud P, Perales CG. Iron deficiency anemia: adverse effects on infant psychomotor development. Pediatr. 1989;84(1):7-17.

Kariger PK, Stoltzfus RJ, Olney D, Sazawal S, Black R, Tielsch JM, et al. Iron deficiency and physical growth predict attainment of walking but not crawling in poorly nourished Zanzibari infants. J Nutr. 2005;135(4):814-9.

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Published

2017-02-22

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Original Research Articles