Micronutrient status of Indian population

Gonmei, Zaozianlungliu; Toteja, G S

doi:10.4103/ijmr.ijmr_1768_18

Cited by 74 publications

(29 citation statements)

References 57 publications

(34 reference statements)

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“…The contribution of maternal nutritional status and dietary intake to growth faltering may be far more important than is currently assumed. It is important to note that pre-existing deficiencies are common, as ∼20% of Indian mothers have a low BMI and ∼50% exhibit anemia and other micronutrient deficiencies ( 5 , 11 ). Lactation increases nutritional demands, and this may further exacerbate the gaps in the nutrient adequacy of Indian mothers ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of nutritional interventions among lactating mothers on the growth of their infants in the first 6 months of life: a randomized controlled trial in Delhi, India

Taneja

Upadhyay

Chowdhury

et al. 2021

The American Journal of Clinical Nutrition

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Background In lower-middle-income settings, growth faltering in the first 6 mo of life occurs despite exclusive breastfeeding. Objective The aim was to test the efficacy of an approach to improve the dietary adequacy of mothers during lactation and thus improve the growth of their infants. Methods Eligible mother–infant dyads (infants ≤7 d of age) were randomly assigned to either intervention or control groups. Mothers in the intervention group received snacks that were to be consumed daily, which provided 600 kcal of energy—with 25–30% of energy derived from fats (150–180 kcal) and 13% of energy from protein (80 kcal). Micronutrients were supplemented as daily tablets. We provided counseling on breastfeeding and infant-care practices to mothers in both groups. The primary outcome was attained infant length-for-age z scores (LAZ) at 6 mo of age. Secondary outcomes included exclusive breastfeeding proportion reported by the mother, maternal BMI and midupper arm circumference (MUAC), hemoglobin concentrations in mothers and infants, and the proportion of anemic infants at 6 mo of age. Results We enrolled 816 mother–infant dyads. The intervention did not achieve a significant effect on LAZ at 6 mo (adjusted mean difference: 0.09; 95% CI: −0.03, 0.20). Exclusive breastfeeding at 5 mo was higher (45.1% vs. 34.5%; RR: 1.31; 95% CI: 1.04, 1.64) in the intervention group compared with the controls. There were no significant effects on mean hemoglobin concentration or the proportion of anemic infants at 6 mo of age compared with the control group. We noted significant effects on maternal nutritional status (BMI, MUAC, hemoglobin concentration, and proportion anemic). Conclusions Postnatal supplementation of 600 kcal energy, 20 g protein, and multiple micronutrients daily to lactating mothers did not affect infant LAZ at age 6 mo. Such supplementation may improve maternal nutritional status. This trial was registered at Clinical Trials Registry–India as CTRI/2018/04/013095.

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Section: Introductionmentioning

confidence: 99%

Impact of nutritional interventions among lactating mothers on the growth of their infants in the first 6 months of life: a randomized controlled trial in Delhi, India

Taneja

Upadhyay

Chowdhury

et al. 2021

The American Journal of Clinical Nutrition

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“…Zinc deficiency is not only a public health problem in developing countries like Nepal, but recent data from some developed countries such as Japan and New Zealand also report a higher burden of zinc deficiency (Daniels et al, 2018;Yasuda & Tsutsui, 2016). We didn't find nationally representative data from India on zinc deficiency, a neighbouring country of Nepal that share similar socio-cultural and food practices (Gonmei& Toteja, 2018). However, several studies from various regions of India report that prevalence of zinc deficiency were high (43.8%) in 6-60 months children and about 53% in non-pregnant women (Kapil & Jain, 2011;Menon et al, 2011).…”

Section: Discussionmentioning

confidence: 80%

Prevalence and Predictors of Zinc Deficiency among Children and Non-Pregnant Women in Nepal: Analysis of Nepal Micronutrients Status Survey 2016

Mehata¹,

Tamang²,

Parajuli³

et al. 2020

Preprint

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Zinc deficiency, a common malnutrition in children and women is a global public health problem.Burden of zinc deficiencyis more in countries with low meat and high cereal food consumption like Nepal. Nationally representative data on zinc status in Nepal is lacking at present. This study analysed the data from the recent Nepal National Micronutrient status survey 2016(NNMSS-2016) to determinethe prevalence of zinc deficiency and associated risk factors among children aged 6-59 months (n=1462) and non-pregnant women aged 15-49 years(n=1923) from three ecological zones, Hill, Terai, and Mountainof the country. Venous blood was collected from the participants to measure micronutrients such as zinc, markers of anaemia, vitamin A, and markers of inflammation. Stool was collected to assessthe soil-transmitted helminths (STHs) and Helicobacterpylori infection. Socio-demographic, household and other relevant information were collected by a structured questionnaire. Logistic regression was used to examine the predictors of zinc deficiency among the participants.The overall zinc deficiency in children was found to be 22.9% while it was higher in non-pregnant women (24.7%). Predictors associated with zinc deficiency among enrolled children in the study were,living in rural areas (AOR=2.25, 95% CI, [1.13, 4.49]),occurrence of diarrhoea during the two weeks preceding the survey (AOR=1.57, 95% CI, [1.07, 2.30]), household wealth quintile (AOR= 0.48, 95% CI,[0.25, 0.92]) and vitamin A status (AOR=0.49, 95% CI,[0.28, 0.85]. Risk factors associated with zinc deficiency among the non-pregnant women were being underweight (AOR=1.60, 95% CI,[1.15, 2.23]), fever occurrence during two weeks preceding the survey (AOR=1.45, 95% CI,[ 1.06, 1.99]), H. pylori in the stool (AOR=1.32, 95% CI, [1.03, 1.70]), being rich (AOR=0.64, 95% CI,[0.42, 0.98]) and being in the risk of folate deficiency (AOR=0.60, 95% CI,[0.37, 0.96]). We conclude that community focused intervention programs including health and nutrition counselling and livelihood opportunities focusing groups at high-risk may improve the zinc status in Nepal.

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“…20 According to surveys conducted by NFHS 2 and 3, NNMB and ICMR over 70% of preschool children, pregnant women and adolescent girls are anemic. [21][22][23][24] Iron sucrose has been the standard of care for parenteral iron therapy for treatment of anemia in pregnancy. However, the main disadvantage of iron sucrose is the need for multiple visits to deliver the required iron dose, while FCM can be administered in a larger amount at a time.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of ferric carboxymaltose in anaemic antenatal women: a prospective study

Jamkhandi

Tile

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Anemia is one of the most common nutritional deficiency disorders affecting the pregnant women, and is a worldwide problem. In India, prevalence ranges from 23.6%-61.4% and contributes to 80% of maternal mortality as a direct or indirect cause. This study aims to assess the efficacy and safety of intravenous ferric carboxymaltose in antenatal women with moderate anemia in the second and third trimester of pregnancy.Methods: Prospective clinical study; total of 100 antenatal women with moderate anemia in second and third trimester were included in the study from January 2019 to September 2019 and given 1000mg of intravenous ferric carboxymaltose injection. Efficacy was assessed by rate of improvement in hemoglobin at 3 and 6 weeks post infusion. Safety analysis was done by assessing the adverse drug reactions and fetal heart monitoring during the infusion.Results: A total 100 antenatal women with median gestational age of 28week at presentation received 1000mg of intravenous ferric carboxymaltose. There was rise in hemoglobin from 8.3gm% before injection to 11.12gm% 6 weeks post infusion, showing a mean rise of 2.8gm%. There were no reports of drug related major adverse effects in the mother or the fetus.Conclusions: From this study, ferric carboxymaltose is found to be safe and effective treatment option for anemia in pregnancy.

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Micronutrient status of Indian population

Cited by 74 publications

References 57 publications

Impact of nutritional interventions among lactating mothers on the growth of their infants in the first 6 months of life: a randomized controlled trial in Delhi, India

Impact of nutritional interventions among lactating mothers on the growth of their infants in the first 6 months of life: a randomized controlled trial in Delhi, India

Prevalence and Predictors of Zinc Deficiency among Children and Non-Pregnant Women in Nepal: Analysis of Nepal Micronutrients Status Survey 2016

Safety and efficacy of ferric carboxymaltose in anaemic antenatal women: a prospective study

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