Anemia in Pregnant Women and Children Aged 6 to 59 Months Living in Mozambique and Portugal: An Overview of Systematic Reviews

Cane, Réka Maulide; Chidassicua, José Braz; Varandas, Luís; Craveiro, Isabel

doi:10.3390/ijerph19084685

Cited by 4 publications

(4 citation statements)

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“…This can be attributed to low levels of essential minerals such as iron, zinc, and folate, as well as vitamins A and B12, in the breast milk of the anemic mother, which could also affect the Hb level of the breastfeeding child (Wang et al, 2015). Furthermore, it can potentially be a result of the depletion of iron stores due to successive pregnancies and lactation resulting in iron deficiency anemia (Cane et al, 2022; Cardoso et al, 2012). Additionally, it might be due to that mothers and their children share similar socioecological environments.…”

Section: Discussionmentioning

confidence: 99%

“…Anemia is often associated with multiple proximal risk factors (iron and vitamin A deficiencies, inflammation, malaria, age, gender, and body mass index [BMI]) and distal risk factors (education status, sanitation and hygiene facilities, and urban or rural residence) (Cane et al, 2022; Mrimi et al, 2022; Wirth et al, 2017). In Zimbabwe, the major causes of anemia in children and WRA are likely to include malaria, helminths, iron, and other nutritional deficiencies and chronic infections (ZIMSTAT, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe

Mutonhodza

Dembedza

Lark

et al. 2022

Food Science & Nutrition

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Globally, anemia is a public health problem affecting mostly women of reproductive age (WRA, n = 452) and children aged 6-59 months (n = 452) from low-and lowermiddle-income countries. This cross-sectional study assessed the prevalence and determinants of anemia in WRA and children aged 6-59 months in rural Zimbabwe.The venous blood sample was measured for hemoglobin utilizing a HemoCue machine. Anthropometric indices were assessed and classified based on World Health Organization standards. Socioeconomic characteristics were assessed. The median (±inter quartile range (IQR)) age of WRA was 29 ± 12 years and that for children was 29 ± 14 months. The prevalence of anemia was 29.6% and 17.9% in children and WRA, respectively, while the median (±IQR) hemoglobin levels were 13.4 ± 1.8 and 11.7 ± 1.5 g/dl among women and children, respectively. Multiple logistic regression analysis was used to assess determinants of anemia. Anemia in children was significantly associated with maternal anemia (odds ratio (OR) = 2.02; 95% CI 1.21-3.37; p = .007) and being a boy (OR = 0.63; 95% CI 0.41-0.95; p = .029), while anemia in WRA was significantly associated with the use of unimproved dug wells as a source of drinking water (OR = 0.36; 95% CI 0.20-0.66; p = .001) and lack of agricultural land ownership (OR = 0.51; 95% CI 0.31-0.85; p = .009). Anemia is a public health problem in the study setting. The positive association between maternal and child anemia reflects the possibility of cross-generational anemia. Therefore, interventions that focus on improving preconceptual and maternal nutritional status may help to reduce anemia in low-income settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe

Mutonhodza

Dembedza

Lark

et al. 2022

Food Science & Nutrition

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“…Anaemia is a condition associated with a decrease in the mass of red blood cells or haemoglobin (Hb), limiting the body's ability to exchange blood gases and carry oxygen to the body's tissues [1]. Anaemia remains a public health concern and a major contributor to morbidity and mortality of pregnant women and their fetuses [2][3][4]. Globally, close to 2 billion people are affected by anaemia, of which 29.9% of them are women of reproductive age [5].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with anaemia among pregnant women in Rwanda: An analysis of the Rwanda Demographic and Health Survey of 2020

Nuwabaine¹,

Kawuki

Kamoga

et al. 2022

Preprint

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Background: Anemia in pregnancy is associated with several adverse outcomes for mothers and newborns, as well as their families. In this study, we assessed the prevalence of anaemia and the associated factors among pregnant women in Rwanda. Methods: Secondary data were from the 2020 Rwanda Demographic and Health Survey (RDHS). Multistage stratified sampling was used to select 435 pregnant women included in the study. Anaemia among pregnant women was considered as a haemoglobin value <11 g/dL. Multivariable logistic regression was used to assess the associated factors with anaemia in pregnancy, using SPSS (version 25). Results: Of the 435 pregnant women, 24.6%, (95%CI: 21.1-29.3) were anaemic. Not working (AOR=1.90, 95%CI: 1.08-3.33), being unmarried (AOR=1.23, 95%CI: 1.24-3.57), low wealth index (AOR=2.94, 95%CI: 1.19-7.30), second pregnancy trimester (AOR=1.36, 95%CI: 1.16-4.00), having big problems with distance to a nearby health facility (AOR= 2.34, 95%CI: 1.21-4.54), and normal body mass index (AOR=3.02, 95%CI: 1.63-5.60) were associated with higher odds of being anaemic. Having no health insurance (AOR=0.23, 95%CI: 0.06-0.91), being from the southern region (AOR=0.23, 95%CI: 0.08-0.68), and low husband/partner's education (AOR=0.24,95%CI: 0.06-0.97) were, however, associated with lower odds of being anaemic. Conclusions: Study findings indicate a high prevalence of anaemia in pregnancy, which was associated with several socio-demographics. There is a need for setting up mobile clinics and health facilities in hard-to-reach areas for easy accessibility to early anaemia screening services. Conducting mass screening for anaemia targeting pregnant women who are not working, the unmarried, those with a low wealth index, and those in their second pregnancy trimester would also be beneficial.

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“…Anaemia continues to pose as a global public health burden in low and high-income countries, among diverse group of individuals including pregnant women, female adolescents as well as infants younger than five years (Maulide Cane, et al, 2022). Anaemia in pregnancy, marked by haemoglobin concentration beneath 11 g/dl, is largely the consequence of iron deficiency.…”

Section: Introductionmentioning

confidence: 99%

Anaemia and Comorbidities in Pregnant Women Routinely Supplemented With Haematinics – A Cross-Sectional Study at the Awutu Municipality of Ghana

Boachiea¹,

Attorkwe²,

Jingbeja³

et al. 2022

J. Hcare. Dvp. Ctries.

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Background:Anaemia, thrombocytopenia and cardiovascular disease are major public health problems especially in women of childbearing age and have significant effect on pregnancy outcomes. Supplementation with haematinics such as iron, folic acid and/or multivitamins in pregnancy is targeted at reducing the incidence and/ or severity of anaemia, however, these also influence platelet production and occurrence of obesity. Aim: The aim of the study was to assess anaemia, prolonged bleeding tendency and cardiometabolic risk in pregnant women routinely supplemented with haematinics, attending the Kasoa Polyclinic at the Awutu municipality of Ghana. Methods: The study was a cross-sectional design involving consented pregnant women who were routinely administered haematinic supplements such as iron and folic acid, from their first antenatal visit at the hospital. Socio-demographic data was collected using structured questionnaires. In addition, anthropometrics including body mass index (BMI) was obtained. EDTA anticoagulated venous blood samples were obtained for haemoglobin (Hb) and platelet count estimation using automated full blood count analyzer (Sysmex XP 300, USA). Bleeding time assay and stained thin blood films were examined for platelet disorders. The data was analyzed using SPSS version 22.0, and p-value <0.05 was considered statistically significant. Results: The prevalence of anaemia was 53 (51.4%), with 26 (25.2%)-mild and 27 (26.2%)-moderate cases. Likewise, 39 (37.9%) were overweight whereas 40 (38.8%) were obese, whereas 4 (3.9%) had thrombocytopenia. Among the pregnant women utilizing the antenatal care, 98 (95%) confirmed absolute compliance with the haematinic supplementation schedule. Employment and education were significantly associated with compliance. Anaemia prevalence was significantly associated with thrombocytopenia in the pregnant women. Conclusion: The study revealed that although there was high compliance with the haematinic supplementation, the prevalence of anaemia was high and was associated with thrombocytopenia and cardiometabolic risk.

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Anemia in Pregnant Women and Children Aged 6 to 59 Months Living in Mozambique and Portugal: An Overview of Systematic Reviews

Cited by 4 publications

References 45 publications

Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe

Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe

Factors associated with anaemia among pregnant women in Rwanda: An analysis of the Rwanda Demographic and Health Survey of 2020

Anaemia and Comorbidities in Pregnant Women Routinely Supplemented With Haematinics – A Cross-Sectional Study at the Awutu Municipality of Ghana

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