No abstract

Vitamin D deficiency and insufficiency pose significant public health problems in Jordanian children with female children disproportionately affected. Strong associations between vitamin D status in children and urban residency and maternal vitamin D status suggest that the behaviors related to sun exposure in urban mothers likely also affect the sun exposure and thus vitamin D status of their children.

VDD is prevalent in women with asthma in northern Jordan. The severity of VDD correlated with poor asthma control and a need for more medications to control asthma. There was no association between vitamin-A and asthma.

Aims: This survey aimed to identify nutritional deficits affecting Bedouin children as they enter school age and illustrate their families’ dietary consumption patterns. Methods: 560 healthy schoolchildren aged 5.5–10 years from 8 Badia hamlets were nutritionally investigated by applying anthropometric, laboratory and dietary assessment methods. Results: Mean and median serum retinol concentrations (SRCs) were 228 and 218 μg/l, respectively. Mean prevalence of nutritional deficits among children were stunting (23.4%), anemia (57.5%), vitamin A deficiency (29.5%), iron deficiency (28.4%), and vitamin E deficiency (17.1%). Including those with borderline values, the proportion of children vulnerable to VAD threats reached 90%. Compared to normal subjects, anemic children had lower SRC (207 vs. 233 μg/l; p < 0.001) and ferritin (9.6 vs. 11.3 μg/l; p < 0.001) levels; stunted children had lower serum vitamin E (6.5 vs. 7.3 mg/l; p < 0.001) and ferritin (10.3 vs. 11.1 μg/l; p < 0.001) levels; vitamin A-deficient children had lower hemoglobin (11.3 vs. 11.8 g/dl; p < 0.001), serum vitamin E (6.69 vs. 7.23 mg/l; p < 0.01), and serum ferritin (10.4 vs. 11.2 μg/l; p < 0.001) levels, and vitamin E-deficient subjects had lower SRC levels (206 vs. 232 μg/l; p < 0.001). Except for hemoglobin status, no significant differences between genders were detected. SRC correlated strongly with hemoglobin, vitamin E, BMI and serum ferritin. The frequency of consumption of meat and fats seemed to be among the determinants of SRC and hemoglobin values. Conclusion: Urbanization has brought Bedouins towards poverty and undernutrition, with older children suffering more severe consequences in comparison with preschool-age children. This multifaceted nutritional problem requires implementation of multicomponent interventions.

Aims: The purpose of this cross-sectional study was to assess growth and nutritional status of Bedouin preschool children with special focus on the extent of the interaction of anemia with iron deficiency and vitamin A deficiency as possible underlying factors. Methods: Subjects aged 6–66 months were included by recruitment of 262 mothers having either an infant or a preschool child. Nutritional assessment by anthropometric, laboratory and dietary methods was carried out, with anthropometric indices expressed in z-score units. Serum retinol concentration, α-tocopherol, ferritin and blood hemoglobin and hematocrit were assessed. Results: Stunting, vitamin A deficiency, anemia, and iron deficiency were prevalent at rates of 21.1, 25.2, 57.3, and 20.2%, respectively. Mean serum retinol concentration was 249 ± 64 μg/l. More than 50% of the children were at risk of vitamin A deficiency. Compared to others, subjects with vitamin A deficiency tended to have lower hemoglobin (10.0 ± 1.9 vs. 10.95 ± 1.99 g/dl, p < 0.001) and lower serum ferritin concentrations (9.2 ± 3.4 vs. 16.3 ± 6.2 μg/l, p < 0.001). Serum retinol concentration correlated with hemoglobin (r = 0.41, p < 0.001) and ferritin (r = 0.42, p < 0.001). No gender differences were found. Conclusions: Bedouin preschool children are at risk for anemia, iron deficiency, nonocular vitamin A deficiency and stunting. Vitamin A deficiency exacerbates the development of anemia and iron deficiency among children. Urbanization has led Bedouins to the verge of poverty. They have been losing their characteristic lifestyle as traditional livestock keepers, with their children deprived of milk to drink or meat to eat. Coordinated interventional actions by the socioeconomic development planners and decision makers are needed.