Four years after implementation of a national micronutrient powder program in Kyrgyzstan, prevalence of iron deficiency and iron deficiency anemia is lower, but prevalence of vitamin A deficiency is higher
| العنوان: | Four years after implementation of a national micronutrient powder program in Kyrgyzstan, prevalence of iron deficiency and iron deficiency anemia is lower, but prevalence of vitamin A deficiency is higher |
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| المؤلفون: | Muktar Minbaev, Larissa Praslova, Galina Samohleb, Jennifer N. Lind, Mary K. Serdula, N J Aburto, Arnold Timmer, Tursun Mamyrbaeva, Elizabeth A. Lundeen, Kristie E.N. Clarke, O. Yaw Addo, Cholpon Imanalieva, Ralph D. Whitehead, Asel Ismailova |
| المصدر: | European Journal of Clinical Nutrition. 73:416-423 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, 0301 basic medicine, Vitamin, medicine.medical_specialty, Anemia, Nutritional Status, Medicine (miscellaneous), 030209 endocrinology & metabolism, Gastroenterology, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Internal medicine, Prevalence, medicine, Humans, Micronutrients, Infant Nutritional Physiological Phenomena, Kyrgyzstan, Soluble transferrin receptor, 030109 nutrition & dietetics, Nutrition and Dietetics, Anemia, Iron-Deficiency, biology, Vitamin A Deficiency, business.industry, Infant, Iron Deficiencies, Iron deficiency, Micronutrient, medicine.disease, Ferritin, Vitamin A deficiency, Cross-Sectional Studies, chemistry, Iron-deficiency anemia, Child, Preschool, biology.protein, Female, Powders, business, Program Evaluation |
| الوصف: | In 2009, the Ministry of Health of Kyrgyzstan launched a national Infant and Young Child Nutrition (IYCN) program which included point-of-use fortification of foods with micronutrient powders (MNP) containing iron, vitamin A, and other micronutrients. Caretakers of children aged 6–23 months were given 30 sachets of MNP every 2 months. Micronutrient surveys were conducted in 2009 and 2013. The objective of the study was to compare the prevalence of anemia and deficiencies of iron and vitamin A among children aged 6–29 months prior to the MNP program (2009) with those after full implementation (2013). Cross-sectional national surveys were conducted in 2009 (n = 666) and 2013 (n = 2150). Capillary blood samples were collected to measure hemoglobin, iron (ferritin and soluble transferrin receptor [sTfR]) and vitamin A (retinol binding protein [RBP]) status, and inflammation status (C-reactive protein [CRP] and α-1-acid glycoprotein [AGP]). Ferritin, sTfR, and RBP were adjusted for inflammation; hemoglobin was adjusted for altitude. The prevalence of anemia was non-significantly lower in 2013 compared to 2009 (32.7% vs. 39.0%, p = 0.076). Prevalence of inflammation-adjusted iron deficiency (54.8% vs. 74.2%, p |
| تدمد: | 1476-5640 0954-3007 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::25844ef7ca544957f79940f14b32f3f9Test https://doi.org/10.1038/s41430-018-0368-7Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....25844ef7ca544957f79940f14b32f3f9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14765640 09543007 |
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