دورية أكاديمية

Characterisation of anaemia and associated factors among infants and pre-schoolers from rural India.

التفاصيل البيبلوغرافية
العنوان: Characterisation of anaemia and associated factors among infants and pre-schoolers from rural India.
المؤلفون: Nair, Krishnapillai Madhavan, Fernandez-Rao, Sylvia, Nagalla, Balakrishna, Kankipati, Radhakrishna Vijaya, Punjal, Ravinder, Augustine, Little Flower, Hurley, Kristen M, Tilton, Nicholas, Harding, Kimberly B, Reinhart, Greg, Black, Maureen M
المصدر: Public Health Nutrition; Apr2016, Vol. 19 Issue 5, p861-871, 11p
مصطلحات موضوعية: ANEMIA prevention, INFANT nutrition, DIETARY supplements, TRANSFERRIN receptors, RURAL geography, ANEMIA diagnosis, IRON deficiency anemia diagnosis, ANEMIA, BODY weight, C-reactive protein, CELL receptors, COMPARATIVE studies, DISEASES, FAMILIES, FERRITIN, FOLIC acid, FOOD supply, IRON, IRON deficiency anemia, RESEARCH methodology, MEDICAL cooperation, MULTIVARIATE analysis, NUTRITIONAL assessment, QUESTIONNAIRES, RESEARCH, RESEARCH funding, RURAL population, MICRONUTRIENTS, VITAMIN B12, LOGISTIC regression analysis, SOCIOECONOMIC factors, EVALUATION research, BODY mass index, RANDOMIZED controlled trials, DISEASE prevalence, BLOOD
مصطلحات جغرافية: INDIA
مستخلص: ObjectiveIn India, national databases indicate anaemia prevalence of 80 % among 6–35-month-old children and 58 % among 36–59-month-old children. The present study aimed to characterise anaemia and the associated factors among infants and pre-schoolers living in rural India.DesignMultivariate logistic regression analysis of data collected prior to an intervention trial. Fe-deficiency with anaemia (IDA), Fe deficiency with no anaemia (IDNA) and anaemia without Fe deficiency were defined. Serum ferritin, soluble transferrin receptor (sTfR) and sTfR/log ferritin index were used to indicate Fe status.SettingTwenty-six villages of Nalgonda district, Telangana, India. Data were collected in community sites.ParticipantsFour hundred and seventy-six infants (aged 6–12 months), 316 pre-schoolers (aged 29–56 months) and their mothers.ResultsPrevalence of anaemia among infants and pre-schoolers was 66·4 and 47·8 %, prevalence of IDA was 52·2 and 42·1 %, prevalence of IDNA was 22·2 and 29·8 %, prevalence of anaemia without Fe deficiency was 14·2 and 5·7 %. Among infants, anaemia was positively associated with maternal anaemia (OR=3·31; 95 % CI 2·10, 5·23; P<0·001), and sTfR/log ferritin index (OR=2·21; 95 % CI 1·39, 3·54; P=0·001). Among pre-schoolers, anaemia was positively associated with maternal anaemia (OR=3·77; 95 % CI 1·94, 7·30; P<0·001), sTfR/log ferritin index (OR=5·29; 95 % CI 2·67, 10·50; P<0·001), high C-reactive protein (OR=4·39; 95 % CI 1·91, 10·06, P<0·001) and young age (29–35 months: OR=1·92; 05 % CI 1·18, 3·13, P=0·009).ConclusionsAnaemia prevalence continues to be high among infants and pre-schoolers in rural India. Based on sTfR/ferritin index, Fe deficiency is a major factor associated with anaemia. Anaemia is also associated with inflammation among pre-schoolers and with maternal anaemia among infants and pre-schoolers, illustrating the importance of understanding the aetiology of anaemia in designing effective control strategies. [ABSTRACT FROM PUBLISHER]
Copyright of Public Health Nutrition is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:13689800
DOI:10.1017/S1368980015002050