Study of risk factors associated with anaemia in children admitted to a subdistrict hospital

Authors

  • Uchit Patel Department of Pediatrics, Rukshmaniben General Hospital, Khokhara, Ahmedabad, Gujarat, India
  • Rajesh Teckchandani Department of Pediatrics, Rukshmaniben General Hospital, Khokhara, Ahmedabad, Gujarat, India
  • Nimesh Barot Department of Pediatrics, Rukshmaniben General Hospital, Khokhara, Ahmedabad, Gujarat, India
  • Aditya Parmar Department of Pediatrics, Rukshmaniben General Hospital, Khokhara, Ahmedabad, Gujarat, India
  • Shirish Kapadiya Department of Pediatrics, Rukshmaniben General Hospital, Khokhara, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20260006

Keywords:

Anaemia, Children, Risk factors, Nutritional deficiency, Subdistrict hospital

Abstract

Background: Anaemia remains a significant public health problem among children, particularly in developing countries, leading to impaired growth, cognitive delay, and increased morbidity. Identifying the underlying risk factors is essential for effective prevention and management. Objectives were to study the prevalence and risk factors associated with Anaemia among children admitted to a subdistrict hospital.

Methods: A cross-sectional observational study was conducted among 100 children admitted to the paediatric ward of a subdistrict hospital from April to September 2025. Detailed demographic data, dietary history, socioeconomic status (SES), clinical findings, and relevant laboratory investigations were recorded. Haemoglobin estimation was performed, and anaemia was classified as per WHO criteria. The association between potential risk factors and anaemia was analysed using appropriate statistical tests.

Results: Overall, 65% of children were anaemic, with moderate anaemia observed in 55% and severe anaemia in 10%. Anaemia was significantly more prevalent among children with low birth weight (<2.5 kg) (81.0% vs 42.9%; OR=5.70; p<0.001). Children of mothers with low educational status had higher odds of anaemia (84.7% vs 36.6%; OR=9.63; p<0.001). Lower SES was also significantly associated with anaemia (81.1% vs 46.8%; OR=4.89; p<0.001). The prevalence and severity of anaemia increased with worsening nutritional status. Exclusive breastfeeding showed no statistically significant association with anaemia (p=0.23).

Conclusions: Anaemia is highly prevalent among hospitalized under-five children and is strongly associated with low birth weight, poor maternal education, low SES, and malnutrition. Early screening and targeted nutritional and maternal interventions are essential to reduce the burden of childhood anaemia.

Metrics

Metrics Loading ...

References

McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Pub Health Nutrit. 2009;12(4):444-54. DOI: https://doi.org/10.1017/S1368980008002401

Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. The Lancet Global Health. 2013;1(1):e16-25. DOI: https://doi.org/10.1016/S2214-109X(13)70001-9

Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet (London, England). 2011;378(9809):2123-35. DOI: https://doi.org/10.1016/S0140-6736(10)62304-5

Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, et al. A systematic analysis of global anemia burden from 1990 to 2010. Blood. 2014;123(5):615-24. DOI: https://doi.org/10.1182/blood-2013-06-508325

Pasricha SR, Black J, Muthayya S, Shet A, Bhat V, Nagaraj S, et al. Determinants of anemia among young children in rural India. Pediatrics. 2010;126(1):e140-9. DOI: https://doi.org/10.1542/peds.2009-3108

Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutrit. 2001;131(2S-2):649S-68S. DOI: https://doi.org/10.1093/jn/131.2.649S

Beard JL. Why iron deficiency is important in infant development. J Nutrit. 2008;138(12):2534-6. DOI: https://doi.org/10.1093/jn/138.12.2534

Domellöf M, Dewey KG, Lönnerdal B, Cohen RJ, Hernell O. The diagnostic criteria for iron deficiency in infants should be reevaluated. J Nutrit. 2002;132(12):3680-6. DOI: https://doi.org/10.1093/jn/132.12.3680

Christian P, Mullany LC, Hurley KM, Katz J, Black RE. Nutrition and maternal, neonatal, and child health. Seminars Perinatol. 2015;39(5):361-72. DOI: https://doi.org/10.1053/j.semperi.2015.06.009

Kozuki N, Lee AC, Katz J, Child Health Epidemiology Reference Group. Moderate to severe, but not mild, maternal anemia is associated with increased risk of small-for-gestational-age outcomes. J Nutrit. 2012;142(2):358-62. DOI: https://doi.org/10.3945/jn.111.149237

Dewey KG, Chaparro CM. Session 4: Mineral metabolism and body composition iron status of breast-fed infants. Proceedings Nutrit Society. 2007;66(3):412-22. DOI: https://doi.org/10.1017/S002966510700568X

Lönnerdal B. Excess iron intake as a factor in growth, infections, and development of infants and young children. Am J Clin Nutrit. 2017;106(6):1681S-7S. DOI: https://doi.org/10.3945/ajcn.117.156042

Gupta PM, Perrine CG, Mei Z, Scanlon KS. Iron, Anemia, and Iron Deficiency Anemia among Young Children in the United States. Nutrients. 2016;8(6):330. DOI: https://doi.org/10.3390/nu8060330

Frost MB, Forste R, Haas DW. Maternal education and child nutritional status in Bolivia: finding the links. Social Sci Med. 1982;60(2):395-407. DOI: https://doi.org/10.1016/j.socscimed.2004.05.010

Onyeneho NG, Ozumba BC, Subramanian SV. Determinants of Childhood Anemia in India. Scientific Rep. 2019;9(1):16540. DOI: https://doi.org/10.1038/s41598-019-52793-3

Subramanian SV, Ackerson LK, Davey Smith G, John NA. Association of maternal height with child mortality, anthropometric failure, and anemia in India. JAMA. 2009;301(16):1691-701. DOI: https://doi.org/10.1001/jama.2009.548

Bentley ME, Griffiths PL. The burden of anemia among women in India. Europ J Clin Nutrit. 2003;57(1):52-60. DOI: https://doi.org/10.1038/sj.ejcn.1601504

Scrimshaw NS, SanGiovanni JP. Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutrit. 1997;66(2):464S-77S. DOI: https://doi.org/10.1093/ajcn/66.2.464S

Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet (London, England). 2013;382(9890):452-77. DOI: https://doi.org/10.1016/S0140-6736(13)60996-4

Bharati S, Pal M, Bharati P. Prevalence of anaemia among 6- to 59-month-old children in India: the latest picture through the NFHS-4. J Biosocial Sci. 2020;52(1):97-107. DOI: https://doi.org/10.1017/S0021932019000294

Downloads

Published

2026-01-07

How to Cite

Patel, U., Teckchandani, R., Barot, N., Parmar, A., & Kapadiya, S. (2026). Study of risk factors associated with anaemia in children admitted to a subdistrict hospital. International Journal of Contemporary Pediatrics, 13(2), 160–165. https://doi.org/10.18203/2349-3291.ijcp20260006

Issue

Section

Original Research Articles