Iron deficiency anemia in an Egyptian pediatric population: A cross-sectional study

Ghwass, Mohamed M.E. Al; Halawa, Eman Fawzy; Sabry, Samar; Ahmed, Dalia

doi:10.4103/1596-3519.148725

Cited by 24 publications

(16 citation statements)

References 21 publications

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“…This is This is consistent with the results of Kim et al [23] who observed IDA more frequently in infants whose nutrition was supplied only by breastfeeding for more than 6 months, in those who were fed weaning food with low iron content and in those who took a long time to adapt to the weaning food [23] . This is similar to Al Ghwass et al [24] who studied 345 children aged 6 months to 12 years and found that the frequency of IDA was 64% among them. This high prevalence of iron deficiency among study population explained by the consumption of unfortified cow's milk feeding during the 1 st year of life, low intake of iron-rich foods, unmet increased needs for iron due to rapid growth.…”

Section: Dietetic Historysupporting

confidence: 89%

“…Similarly Al Ghwass et al [24] showed that stunting, wasting and underweight were associated among iron deficient anemic children, but underweight only was statistically significant. This agrees with Luo et al, who reported that IDA during the first 2 years of life significantly impairs growth, and there is a significantly correlation between growth velocity and SF concentration.…”

Section: Anthropometric Measuresmentioning

confidence: 91%

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Iron Deficiency Anemia in Children and Adolescents with Type I Diabetes, Is it a Real Problem?

Soliman¹,

Thabet

2021

The Medical Journal of Cairo University

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Background: Iron deficiency anemia (IDA) in children with type I diabetes (T1D) represents a significant burden. Aim of Study:To asses iron status in children and adolescent with T1D of and to correlate it with glycemic control and diabetic vascular complications.Patients and Methods: Two hundred children with T1D recruited from Pediatrics and Adolescent Diabetes Unit (PADU), Ain Shams University in the period from December 2019 to July 2020. They were 123 males (61.5%) and 77 females (38.5%) aged 10.97 ±3.93 years (Range: 2-18 years). History taking, fundus examination and general examination were done stressing on anthropometric measurements. Laboratory evaluation including complete blood count, glycosylated haemoglobin (HbA1c), urinary albumin/creatinine ratio (ACR), lipid profile and patients with microcytic hypochromic anaemia underwent Serum iron, total iron-binding capacity (TIBC), serum ferritin, Hepcidin, Anti-tissue transglutaminase (IgA), Occult blood in stool and H-pylori antigen in stool.Results: Seventy two of diabetic children were anemic (36%) and fifty one had IDA (25.5). IDA was more prevalent in males. Children with T1D and IDA experienced more clinically significant hypoglycemic attacks, more DKA attacks, high fatigue severity scale and history of menorrhagia. Low body weight, low BMI, low mean corpuscular volume (MCV), high TIBC and low hepcidin level were present in diabetic children with IDA. They also had high HbA1c, neuropathy, high triglycerides and high level of low density lipoprotein (LDL cholesterol).Conclusions: IDA is a significant morbidity among children with T1D and it should be screened. Serum hepcidin levels are significantly associated with iron status in children, and could be useful indicators of ID.

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Section: Dietetic Historysupporting

confidence: 89%

Section: Anthropometric Measuresmentioning

confidence: 91%

Iron Deficiency Anemia in Children and Adolescents with Type I Diabetes, Is it a Real Problem?

Soliman¹,

Thabet

2021

The Medical Journal of Cairo University

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“…The principal risk factors associated with IDA were age 6–18 months, male sex, higher birth order, consumption of cow’s milk, predominant breastfeeding >6 months, and/or low iron intake. In another cross-sectional study of 300 infants and children, 0.5–12 years, conducted a pediatric outpatient clinic in Egypt, Al Ghwass et al found that 64% of patients had IDA, with a distribution of 20%, 41.7%, and 2.3% for mild, moderate, and severe cases, respectively [69]. In a community-based survey of 397 Egyptian children, aged 0.5–15 years, Barakat et al reported that 18% had anemia (Hb < 11 g/dL) and 32.5% had manifestations of iron deficiency [70].…”

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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“…Anemia is a global public health problem affecting both developing and developed countries. The most common causes of anemia are nutritional causes as deficiency of one or more of the essential nutrients (usually iron, less frequently folate or Vitamin B12) [1].…”

Section: Introductionmentioning

confidence: 99%

Impact of Nutritional Health Education on Knowledge and Practices of Mothers of Anemic Children in El Othmanyia Village – Egypt

Metwally

Hanna

Galal

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: In Egypt, more than one in four children suffers from some degree of anemia. AIM: This study was carried out to assess and improve the nutritional knowledge and risky nutritional habits of the mothers of anemic children aged 2–12 years old in El Othmanyia village. MATERIALS AND METHODS: An interventional study was conducted among anemic children aged 2–12 years old and their mothers in El Othmanyia village, Egypt. The study passed through three stages over 1 and ½ years; pre-interventional assessment of awareness (n = 350), educational interventions targeting anemic children and their mothers, and post-interventional evaluation of change in awareness and practice. RESULTS: The mean knowledge % score of mothers increased significantly after the intervention (82.2 ± 14.2 vs. 6.3 ± 5.8, respectively). Furthermore, the mean hemoglobin of the studied children increased significantly after the intervention (11.1 ± 0.7 vs. 10.5 ± 0.7). The percent of children with anemia decreased significantly from 100% to 40.3% after the intervention (p < 0.001). CONCLUSION: The knowledge and practices of mothers are moving in a desirable direction after the health education intervention. Hence, nutrition education is an appropriate, effective, and sustainable approach to combat iron deficiency anemia. Recommendations: A multiple interventional strategies between different ministries to set policies and guidelines that support the healthy nutritional behavior among children are recommended.

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Iron deficiency anemia in an Egyptian pediatric population: A cross-sectional study

Cited by 24 publications

References 21 publications

Iron Deficiency Anemia in Children and Adolescents with Type I Diabetes, Is it a Real Problem?

Iron Deficiency Anemia in Children and Adolescents with Type I Diabetes, Is it a Real Problem?

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

Impact of Nutritional Health Education on Knowledge and Practices of Mothers of Anemic Children in El Othmanyia Village – Egypt

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