Incidence and risk factors associated with iron deficiency anaemia among hospitalised Lebanese infants

Mhanna, Razan Ghattas; Rahal, Mohamad; Iskandarani, Mohamad; Halat, Dalal Hammoudi

doi:10.1111/ijpp.12236

Cited by 11 publications

(12 citation statements)

References 24 publications

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“…On the contrary, a study conducted in Nepal [32] and a systematic review [33] revealed that early introduction of complementary foods had improved hemoglobin concentrations of children. This study is consistent with a study conducted in northern Ethiopia [8], Lebanon [34], Brazil [35] and China [36]. Which reports that early introduction of solid or liquid foods is related with childhood anemia.…”

Section: Discussionsupporting

confidence: 92%

Stunting and anemia among children 6–23 months old in Damot Sore district, Southern Ethiopia

Malako¹,

Asamoah

Tadesse

et al. 2019

BMC Nutr

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Background: Stunting and anemia are long-standing public health challenges which adversely affects the cognitive development and physical wellbeing of children in low income settings. The aim of this study was to assess the prevalence and associated factors of stunting and anemia among 6-23 months old children in Damot Sore District, Southern Ethiopia. Methods: Cross-sectional survey was conducted among 477 children aged 6-23 months, which were living in Damot Sore District, in April 2017. A multistage sampling technique was used. Villages were randomly selected and systematic random sampling method was used to select study participants. Data on socio-demographic, anthropometric, dietary, blood samples for hemoglobin were collected. Data were entered into EPI Data V. 3.1 and exported into SPSS Version 21.0 for analysis. A principal component analysis (PCA) was done to generate wealth score of households. Binary logistic regression model was used to identify factors associated with the outcome variables (stunting and anemia) separately, those variables having less than a p-value of 0.25 were chosen as candidate for multivariable analyses and finally multivariable logistic regression model was used to identify independent variables of each outcomes, with statistical significance set at p < 0.05 (95% confidence interval (CI)). Results: Out of 477 children studied, 31.7% were stunted and 52% were anemic. In the multivariable analyses, the number of under five children within a household (AOR = 4.18, 95% CI: 2.65-6.57), drinking water from unsafe source (AOR = 4.08, 95% CI: 1.33-12.54) and anemia (AOR = 3.13, 95% CI 2.00-4.92) were factors significantly associated with stunting. On the other hand, independent variables of anemia were early initiation of complementary feeding (AOR = 2.96, 95% CI: 1.23-4.85), poor dietary diversity (AOR = 2.95, 95% CI: 1.78-4.91), poor breast feeding practice (AOR = 2.94, 95% CI: 1.63-5.32) and stunting (AOR = 3.65, 95% CI: 2.15-6.19). Conclusion: This study revealed higher level of stunting and anemia among children aged 6-23 months than WHO (world health organization) criteria of public health importance. Sustainable promotion of diversified diet, optimal complementary feeding, optimal and complementary breast feeding practices, improving sanitation infrastructure are measures needed to tackle these severe public health challenges.

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Section: Discussionsupporting

confidence: 92%

Stunting and anemia among children 6–23 months old in Damot Sore district, Southern Ethiopia

Malako¹,

Asamoah

Tadesse

et al. 2019

BMC Nutr

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“…The lowest prevalence of anemia was found among Saudi school-aged children and the elderly at approximately 12% [57,58]. …”

Section: Prevalence Of Micronutrient Deficiencies In the Middle Eastmentioning

confidence: 99%

“…The prevalence of anemia in children and adolescents ranges from 11.6% in Saudi school-aged children [60] to 39.6% in Egyptian preschool children [61]. As classified by the WHO, the prevalence of anemia, as a public health issue globally, describes a mild problem at 5%–19.9%, a moderate problem at 20%–39.9%, and a severe problem at ≥40%; most Arab Middle East countries fall within the category of moderate to severe deficiency [57,62]. …”

Section: Prevalence Of Micronutrient Deficiencies In the Middle Eastmentioning

confidence: 99%

The Prevalence of Micronutrient Deficiencies and Inadequacies in the Middle East and Approaches to Interventions

et al. 2017

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Micronutrient deficiencies and inadequacies constitute a global health issue, particularly among countries in the Middle East. The objective of this review is to identify micronutrient deficits in the Middle East and to consider current and new approaches to address this problem. Based on the availability of more recent data, this review is primarily focused on countries that are in advanced nutrition transition. Prominent deficits in folate, iron, and vitamin D are noted among children/adolescents, women of childbearing age, pregnant women, and the elderly. Reports indicate that food fortification in the region is sporadic and ineffective, and the use of dietary supplements is low. Nutrition monitoring in the region is limited, and gaps in relevant information present challenges for implementing new policies and approaches to address the problem. Government-sponsored initiatives are necessary to assess current dietary intakes/patterns, support nutrition education, and to reduce food insecurity, especially among vulnerable population groups. Public–private partnerships should be considered in targeting micronutrient fortification programs and supplementation recommendations as approaches to help alleviate the burden of micronutrient deficiencies and inadequacies in the Middle East.

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“…Since the fetus depends on the maternal iron level, higher risk women for iron deficiency with concomitant increased risk of anemia among newborn babies. Due to these, anemia in the newborn has serious public health issues in developing countries [11,12].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of anemia among full-term newborn babies at University of Gondar comprehensive specialized hospital, Northwest Ethiopia: a cross-sectional study

2020

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Background: Anemia in newborn babies causes asymptomatic to an acute life-threatening event. If untreated, it leads to a delay in brain maturation, tissue hypoxia, and stunted growth. In Sub-Saharan Africa, its burden ranges 23-66%. However, in Ethiopia, there is limited information regarding the prevalence and associated factors of newborn anemia. Thus, this study was aimed to assess the prevalence and associated factors of anemia among fullterm newborn babies. Method: Cross-sectional study was conducted from February 1 to April 30, 2019, among 192 full-term newborn babies. A systematic random sampling technique was employed to select study participants. Socio-demographic characteristics were collected through interviews. Clinical data were collected by reviewing medical records. Cord blood was collected from the clumped cord. Complete blood count was analyzed by using the Sysmex KX-21 N hematology analyzer. SPSS 20 was used to analyze the data. Bivariable and multivariable binary logistic regression were used to identify associated factors. P-value < 0.05 was considered a statistically significant association. Result: The median (interquartile range) of cord hemoglobin was 15 g/dL (13.93-16.2 g/dL). From the total, 25% (95% CI: 18.9, 31.1%) of the newborns were anemic. From anemic 89.5, 6.3, and 4.2% were mild, moderate and severe anemia type, respectively. Maternal vegetable consumption habit (AOR = 0.34, 95%CI: 0.17, 0.69) were significant associated with anemia. Conclusion: Anemia among newborn babies found to be a moderate public health problem. Based on the finding early screening of newborn anemia may reduce further complications.

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Incidence and risk factors associated with iron deficiency anaemia among hospitalised Lebanese infants

Cited by 11 publications

References 24 publications

Stunting and anemia among children 6–23 months old in Damot Sore district, Southern Ethiopia

Stunting and anemia among children 6–23 months old in Damot Sore district, Southern Ethiopia

The Prevalence of Micronutrient Deficiencies and Inadequacies in the Middle East and Approaches to Interventions

Prevalence and associated factors of anemia among full-term newborn babies at University of Gondar comprehensive specialized hospital, Northwest Ethiopia: a cross-sectional study

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