Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Scott, Samuel; Lahiri, Anwesha; Sethi, Vani; Wagt, Arjan de; Menon, Purnima; Yadav, Kapil; Varghese, Mini; Joe, William; Vir, Sheila C.; Nguyen, Phuong Hong

doi:10.1111/mcn.13391

Cited by 17 publications

(13 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Besides socioeconomic factors, we have also examined the role of perceived hand hygiene behaviour and dietary diversity in nutritional outcomes. The study has found that stunting (29⋅9 %) and anaemia (39⋅6 %) are more prevalent among females ( 16 ) . Females are relatively more disadvantaged (2⋅23 times) in terms of anaemia compared with stunting.…”

Section: Discussionmentioning

confidence: 96%

“…But due to lack of comprehensive and representative data on adolescent nutrition, the scope of earlier studies is a limited to specific region or gender ( 8 , 9 , 13 , 14 ) . Two recent studies on adolescent malnutrition ( 15 ) and anaemia ( 16 ) conducted using CNNS (2016–18) data shows substantial socioeconomic and regional disparities in adolescent malnutrition. However, none of these large-scale studies assessed the roles of dietary diversity and individual-level hygiene practices in adolescent malnutrition.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

Kumar

Mohanty

2023

J Nutr Sci

View full text Add to dashboard Cite

In 2021, the Lancet Commission on adolescent nutrition highlighted the need to prioritise the elimination of adolescent malnutrition to tap the human capital potential and break the intergenerational malnutrition trap. The nutritional requirement during adolescence reaches its peak. The present study aims to appraise the prevalence of undernutrition (stunting and thinness) and anaemia among adolescents (10–19 years) in India and the role of socioeconomic, individual-level hygiene behaviour and dietary diversity in nutritional outcomes. We have used the nationally representative Comprehensive National Nutrition Survey (CNNS-2016–18) that covers children and adolescents (0–19 years) in India. The prevalence of stunting, anaemia and thinness among adolescents was 27⋅2, 28⋅5 and 24⋅1 %, respectively. Bivariate and multivariable logistic regression models were applied to estimate the likelihood of undernutrition. The likelihood of stunting was higher for late adolescence (OR 1⋅21, 95 % CI 1⋅15, 1⋅27), low dietary diversity (OR 1⋅37, 95 % CI 1⋅26, 1⋅49) and low hygiene behaviour compliance (OR 1⋅53, 95 % CI 1⋅42, 1⋅64). Adolescents from the poorest quintile were more likely to be stunted (OR 3⋅20, 95 % CI 2⋅94, 3⋅48), anaemic (OR 1⋅66, 95 % CI 1⋅47, 1⋅87) and thin (OR 1⋅68, 95 % CI 1⋅54, 1⋅82). We found that lower hygienic compliance was significantly associated with undernutrition and anaemia. Therefore, promoting hygienic practices should be emphasised to tackle undernutrition and anaemia. Furthermore, dietary diversity and poverty were strong predictors of stunting and thinness, therefore targeting the poor and focusing on improving dietary diversity should be the priority.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

Kumar

Mohanty

2023

J Nutr Sci

View full text Add to dashboard Cite

show abstract

“…Because our results showed a decrease in serum zinc concentration following cancer treatment, we predicted that factors associated with post-treatment nutritional status as well as other factors may have contributed to reducing serum zinc concentrations. Therefore, we considered chemotherapy and radiotherapy, which result in decreased dietary intake, as possible factors associated with zinc deficiency; moreover, factors such as anemia ( 25 ) and hypoalbuminemia ( 26 ), which are indicators of malnutrition and are correlated with zinc concentrations, were considered. However, we observed that only cancer recurrence was associated with zinc deficiency.…”

Section: Discussionmentioning

confidence: 99%

Zinc deficiency is associated with gynecologic cancer recurrence

et al. 2022

View full text Add to dashboard Cite

Zinc deficiency can cause various symptoms, including hair loss, anemia, and taste disorders. Recently, the association between cancer and zinc deficiency has received much attention with respect to its antioxidant properties. However, only a few studies have investigated the association between gynecologic cancers and zinc; to date, no studies have evaluated serum zinc status at the onset of gynecologic cancer or the relationship between zinc and cancer recurrence. The objectives of the present study were to determine whether serum zinc concentrations are associated with the development of gynecologic cancer, to clarify serum zinc dynamics between the onset and recurrence of gynecologic cancer, and to identify the associated factors. Accordingly, we retrospectively determined serum zinc concentrations before treatment in gynecologic patients with benign disease or cancer at the Nippon Medical School Chiba Hokusoh Hospital. We investigated anemia and hypoalbuminemia—the most common causes of zinc deficiency—as indicators of hyponutrition to determine the causal relationship of this deficiency with chemotherapy, radiation therapy, and recurrence, which may affect zinc concentration during cancer recurrence. The results indicated that there was no difference in zinc concentration between preoperative cancer patients and noncancer patients and that serum zinc concentrations were not associated with developing gynecologic cancers. However, patients with gynecologic cancer exhibited significantly lower serum zinc concentrations following treatment, and patients with recurrent cancer were 4.8 times more likely to develop zinc deficiency than those with nonrecurrent cancer. A serum zinc concentration of <61 μg/dL was an independent predictor of recurrence. Once zinc deficiency occurred, the recurrence rate of zinc deficiency reached as high as 69%. Overall, our study indicates that zinc deficiency is associated with recurrence in gynecological cancers and physicians should monitor zinc levels during disease management.

show abstract

“…To develop solutions for addressing anaemia in India, a country with large subnational variations in diets and living conditions, it is important to understand if factors associated with anaemia vary across geographies. 19 The present study is aimed to determine the prevalence of anemia and its association with other determinants among adolescent girls (aged 10 to 19 years) in rural Varanasi of Uttar Pradesh. The outcomes of the study can be helpful for formulating effective interventions to prevent occurrence of anemia and its consequences among adolescent girls.…”

Section: Introductionmentioning

confidence: 99%

“…10 Existing studies on factors associated with anaemia in India mostly focus on women of reproductive age and children although there are some small studies on adolescents. [12][13][14][15][16][17] Studies conducted on anaemia among the adolescent girls (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) years are not only few but also did not address societal determinants and the impact of these factors on anaemia prevalence.…”

Section: Introductionmentioning

confidence: 99%

Determinants of anaemia among adolescent girls in rural Varanasi, Uttar Pradesh

2023

View full text Add to dashboard Cite

Background: India is home to 253 million adolescents 10-19 years of age, among the largest cohorts globally. This age group comprises of individuals in a transient phase of life requiring nutrition, education, counselling and guidance to ensure their development into healthy adults. Adolescent girls are the most vulnerable group of population due to different reasons especially anaemia. Anaemia is a major public health problem worldwide. The aim of this study was to assess the prevalence of anaemia and associated factors among adolescent girls (10-19 years) in rural Varanasi, Uttar Pradesh. Methods: The present study was a community-based cross-sectional study conducted among 369 adolescent girls in rural Varanasi with a semi-structured and pretested questionnaire. Results: Study shows that the overall prevalence of anaemia among adolescent girls was 67.8% out of which 41.5% and 24.4% were mild and moderately anaemic respectively. Anaemia was significantly associated with age groups, birth order, menarche status, no. of days of menstruation, gap between two cycles, use of clothes/sanitary pads and no. of pads used during menstrual cycle. Conclusions: Study found some preliminary factors significantly associated with anaemia like low socio-economic status, higher birth order, and knowledge about menstrual hygiene practices. Anaemia continues to be a major public health problem in India despite multiple initiatives to address it among adolescent girls.

show abstract

Anaemia in Indians aged 10–19 years: Prevalence, burden and associated factors at national and regional levels

Cited by 17 publications

References 66 publications

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

Undernutrition and anaemia among Indian adolescents: role of dietary diversity and hygiene practices

Zinc deficiency is associated with gynecologic cancer recurrence

Determinants of anaemia among adolescent girls in rural Varanasi, Uttar Pradesh

Contact Info

Product

Resources

About