MAGNITUDE OF IRON DEFICIENCY ANEMIA AMONG CHILDREN IN DODA (JAMMU AND KASHMIR), INDIA: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i1.46239Keywords:
Prevalence, Iron deficiency anemia, ChildrenAbstract
Objective: The goal of our study was to determine the magnitude, prevalence and severity of iron deficiency anemia among children in Doda (J&K) India.
Methods: It was a prospective, cross-sectional, multistage hospital-based and outpatient department (OPD) study of apparently healthy children who visited our Hospital/OPD clinic for follow-up from different regions of district Doda from February 1, 2021, to February 28, 2022. Five hundred children aged 6 months–12 years were included in our study. The sociodemographic data of subjects were collected using a structured questionnaire. 5 mL of venous blood sample was collected for complete blood count. Hemoglobin level was estimated, along with indices. Anemia was classified into mild (≤12 g/dl – >10 g/dl), moderate (≤10 g/dl – >7 g/dl), and severe (≤7 g/dl), respectively. Microcytic hypochromic picture using indices was considered for labeling iron deficiency. The dietary pattern of children was assessed using questionnaire and anthropometric measurements were done. Data were analyzed using SPSS software version 20.
Results: Overall, the prevalence of anemia was 77.6%. Out of the total vegetarians, 60.1% were anemic. Poor family status particularly families with low income <5000 Rs. per month and less education were more prone to develop anemia. Another important predictor of IDA was no anti-parasitic medications in 60.4%.
Conclusion: Iron deficiency anemia in children seems less severe public health problem; however, its consequences are disastrous and a huge burden on health, wealth and workforce. Parents need special counseling sessions for understanding its magnitude. Recommendations to put preventive strategies in place and mass awareness of people about the consequences of iron deficiency anemia should be made.
Downloads
References
Barret KE, Barman SM, Brooks HL, Yuan J. Blood as a circulatory fluid and the dynamic of blood and lymph flow. In: Ganong’s Review of Medical Physiology. 26th ed. New York: McGraw-Hill; 2021.
Sharman A. Anemia Testing in Population-Based Surveys: General Information and Guidelines for Country Monitors and Program Managers. Calverton: ORC Macro; 2000.
Lee R, Herbert V. Clinical Hematology: Nutritional factors in the Production and Function of Erythrocytes. 10th ed. Philadelphia, PA: Williams and Wilkins; 1999. p. 228-66.
Osazuwa F, Ehigie F. Prevalence of anemia in preschool and school aged children in Nigeria. J N Y Sci 2010;2:212-3.
World Health Organization. CDC. Worldwide Prevalence of Anemia 1993-2005. WHO Global Database on Anemia. Geneva: World Health Organization; 2008.
Muñoz M, Villar I, García-Erce JA. An update on iron physiology. World J Gastroenterol 2009;15:4617-26. doi: 10.3748/wjg.15.4617, PMID 19787824
Stang J, Story M. Leadership, Education, and Training Program in Maternal and Child Nutrition: Guidelines for Adolescent Nutrition Services. Canada: Minnesota University; 2005. Available from: https://www.epi: https://www.umn.edu/let/pubs/adol [Last accessed on 2013 Apr 01].
Hallberg L. Bioavailability of dietary iron in man. Annu Rev Nutr 1981;1:123-47. doi:10.1146/annurev.nu.01.070181.001011, PMID6764713
World Health Organization. Report on the World Nutrition Situation. Geneva: World Health Organization; 2000. Available from: https:// www.unsystem.org/accscn [Last accessed on 2012 Dec 01].
Stoltzfus RJ. Iron deficiency: Global prevalence and consequences. Food Nutr Bull 2003;24:S99-103. doi: 10.1177/15648265030244S206, PMID 17016951
World Health Organization, UNCF UNU. Iron Deficiency Anemia Assessment, Prevention, and Control: A Guide for Program Managers. Geneva: World Health Organization; 2001.
Belachew T, Lindstrom D, Gebremariam A, Hogan D, Lachat C, Huybregts L, et al. Food insecurity, food-based coping strategies and suboptimal dietary practices of adolescents in Jimma Zone Southwest Ethiopia. PLoS One 2013;8:e57643.
DeMaeyer E, Adiels-Tegman M. The prevalence of anemia in the world. World Health Stat Q 1985;38:302-16. PMID 3878044
Osório MM, Lira PI, Ashworth A. Factors associated with Hb concentration in children aged 6-59 months in the State of Pernambuco, Brazil. Br J Nutr 2004;91:307-15. doi: 10.1079/BJN20031042, PMID 14756918
Best C, Neufingerl N, Van Geel L, Van den Briel T, Osendarp S. The nutritional status of school-aged children: Why should we care? Food Nutr Bull 2010;31:400-17. doi: 10.1177/156482651003100303
Maryam F, Hina R, Khawaja T, Fatima A, Mariam Z. Factors responsible for iron deficiency anemia in children. J Biomed Sci Res 2011;3:308- 14.
Published
How to Cite
Issue
Section
Copyright (c) 2022 DR ZAHOOR HUSSAIN DARAZ, DR BERKHEEZ SHABIR, DR MAHVISH QAZI, Dr NAJMUS SAQIB
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.