CLINICO-HEMATOLOGICAL PROFILE OF NUTRITIONAL ANEMIA IN HOSPITALISED INFANTS AT A TERTIARY CARE HOSPITAL

M. A. SUPRIYA; RAVICHANDRA KOTHUR RANGEGOWDA; SHILPA KRISHNAPURA LAKSHMINARAYANA; LAKSHMI M.

doi:10.22159/ijcpr.2023v15i5.3067

Authors

M. A. SUPRIYA Department of Paediatrics, Bangalore Medical College and Research Institute, Bangalore-560002, Karnataka, India
RAVICHANDRA KOTHUR RANGEGOWDA Department of Paediatrics, Bangalore Medical College and Research Institute, Bangalore-560002, Karnataka, India
SHILPA KRISHNAPURA LAKSHMINARAYANA Department of Paediatrics, Bangalore Medical College and Research Institute, Bangalore-560002, Karnataka, India
LAKSHMI M. Department of Paediatrics, Bangalore Medical College and Research Institute, Bangalore-560002, Karnataka, India

DOI:

https://doi.org/10.22159/ijcpr.2023v15i5.3067

Keywords:

Anemia, Iron, Vitamin B12, Exclusive breastfeeding, Complementary feeding

Abstract

Objective: Anemia is a serious global public health problem that particularly affects young children. As many as 67.1% children aged 6-59 mo surveyed suffered from anemia in 2019 and 65.5% in Karnataka, according to NFHS-5. Nutritional anemia is most common but preventable cause for anemia in children in developing countries. This is due to improper feeding habits, especially during the initiation of complementary foods. Hence the present study is to know the pattern of anemia in infants of age group between 6 mo to 12 mo and to assess the nutritional and other associated risk factors contributing to Anemia.

Methods: This study was carried out in 193 children aged 6 mo to 12 mo admitted in our hospital. Detailed clinical evaluation and relevant laboratory investigations were done as per proforma.

Results: In our study majority were of age group 6 to 9 mo (52.8%). 40.4% of mothers of our study infants were anemic during pregnancy and 9.3% were blood transfused. Majority (53.4%) were exclusively breastfed. 45.6% were started on complementary feeding at 4 to 6 mo age.17.6% were moderately wasted and 9.3% of infants were severely wasted. There was a significant association between severity of anemia and mother’s anemia, inclusion of cow’s milk in diet, adequacy of complementary feeding, and inclusion of formula feeds (p<0.05).

Conclusion: Nutritional anemia is most common cause of anemia in childhood, especially in developing countries like India. Parents and caregiver need awareness regarding the effect, causes of anemia and how to prevent it.

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References

Anaemia. Who. Int. Vol. 1; 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/anaemia. [Last accessed on 01 Dec 1 2021]

National Family Health survey (NFHS-5). Rchiips. Org; 2021. p. 5-7. Available from: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml. [Last accessed on 01 Dec 2021]

Blaney S, Februhartanty J, Sukotjo S. Feeding practices among Indonesian children above six months of age: a literature review on their magnitude and quality (part 1). Asia Pac J Clin Nutr. 2015;24(1):16-27. doi: 10.6133/apjcn.2015.24.1.13, PMID 25740738.

Gupte S, Gupta RK, Gupta R. Iron deficiency anemia: a diagnostic approach in children. JK Sci. 2000;2:175-9.

Sahana KS, Ghaliyah K, Anitha P, Prakash S. A study of anemia in hospitalised infants at a tertiary care Hospital. National Journal of Community Medicine. 2015;6(2):22-7.

Ramawat DP, Jain DN. Clinicohematological profile of anemia in children–a retrospective descriptive study. Scholars J Appl Med Sci. 2020;8(10):2266-70. doi: 10.36347/sjams.2020.v08i10.012.

Reis MCG, Nakano AMS, Silva IA, Gomes FA, Pereira MJB. Prevalence of anemia in children 3-12 mo old in a health service in Ribeirao preto, SP, Brazil. Rev Latino-Am Enfermagem. 2010 Jul-Aug;18(4):792-9.

Hughes HK, Kahl LK. editors. The harriet lane handbook: a manual for pediatric house officers. 21st ed. Philadelphia: Saunders/Elsevier; 2018. p. 365.

Hughes HK, Kahl LK. editors. The Harriet Lane handbook: a manual for pediatric house officers. 21st ed. Philadelphia: Saunders/Elsevier; 2018. p. 712-6.

Sahana KS, Ghaliyah K, Anitha P, Prakash S. A study of anemia in hospitalised infants at a Tertiary Care Hospital. National J Community Med. 2015;6(2):22-7.

Goel RG, Bhan MK, Shafiza Azami RA, Srivastava RN. A study of severe anaemia in hospitalized children in Afghanistan. Ind Pediatr. 1981;18:643.

Manchanda SS, Khanna HL. Severe Anaemias in children. Ind J Child Health. 1962;11:463.

Kumbhat MM. Anaemias in infancy and childhood. Indian J Child Health. 1959;8:113.

Chellan R, Paul L. Prevalence of iron-deficiency anemia in India: results from a large nationwide survey. J Pop Soc Stu. 2010;19:59-80.

Ahuja S, Nagaraj N, Ahuja S, Nagaraj N. Prevalence and risk factors of anemia in under five-year-old children in Children’s Hospital. Int J Contemp Pediatr. 2018 Feb 22;5(2):499-502. doi: 10.18203/2349-3291.ijcp20180543.

Mehrotra SK, Mathur JS, Maheshwari BB. Epidemiological aspects of nutritional anaemia in children below five years. Indian J Pediatr. 1976 May 1;43(5):132-5. doi: 10.1007/BF02749244.

Sharma DK, Kalra K, Thapar RK, Agarwal HC, Bansal OP, Dayal RS. Anemia in childhood. Indian Pediatr. 1970;7(7):388-93. PMID 5492562.

Patel BD, Parekh JG, Jhala HJ, Suraiya GC. Anaemia in infants and children. Ind J Child Health. 1960;9:1.

Maheshwari BK, Raut P, Agarwal SK, Joshi U, Dhirhe TC, Gahine R. A study on the Iron status in Iron deficiency anemia one month before and after iron therapy in school going children. J Clin Diagn Res. 2011;5(2):324-7.

Stekel A. Iron requirements in infancy and childhood. Iron Nutr Infancy Child. 1984;10.

Chithambaram NS, Reddy RR. Clinical and biochemical profile of iron deficiency state in preanemic under 5 children in a tertiary care hospital. Int J Contemp Pediatr. 2017 Feb 22;4(2):530-3. doi: 10.18203/2349-3291.ijcp20170703.