Prevalence Of Anemia In Children Research Articles

Child health outcomes and associated factors among under five years children in Ethiopia: a population attributable fractions analysis of Ethiopia demographic and health survey (2005–2016)

IntroductionIn Ethiopia, more than half (57%) of children aged 6–59 months were estimated to be anemic in 2016 alone. The country had about 37% of under-five children suffering from stunting and under-five mortality rate of 59 deaths per 1000 live births in 2019. The main purpose of this paper was to estimate the proportion of under-five children prevented from childhood undernutrition, anemia, and under-five mortality by removing the risk factors or inequalities.MethodThis cross-sectional study was based on a pooled total sample of 29,831 children aged 0–59 months drawn from three rounds of the Ethiopian Demography and Health Surveys (2005–2016). We employed multiple logistic regression analysis to identify the modifiable risk factors associated with childhood anemia, undernutrition, and under-five mortality among under-five children. We also used Population Attributable Fractions (PAFs) to estimate the proportion of under-five children that could be prevented from childhood undernutrition, anemia, and under-five mortality by removing inequalities.ResultPAF analyses of risk factors of childhood anemia confirmed that 38.5% of occurrence of childhood anemia was attributed to five selected risk factors, which include having a large household size (5+), being in a poor household, being born from anemic and unemployed mothers, and being breastfed for less than six months. About 45.6% of occurrences of childhood undernutrition were attributed to unimproved toilet facility, solid cooking fuel, and home delivery. About 72% of the reported under-five mortality could possibly be averted by removing the use of unimproved toilet facilities, early age childbirth (< 18 years old mothers), and a large number of children ever born to mothers and less than six months breastfeeding practice at the population level.ConclusionThe present study suggests that a substantial reduction in the prevalence of childhood anemia, undernutrition, and under-five mortality in the country is attainable if child survival-focused program interventions and policies target households and mothers with low socioeconomic status and those who have low awareness of child healthcare, including breastfeeding practice and use of safe sanitation facilities.

A Study of the Prevalence of Anemia in Children With Severe Acute Malnutrition at a Pediatric Tertiary Care Hospital in South India.

Introduction In developing countries such as India, severe acute malnutrition (SAM) has been a cause for great concern in the pediatric population. SAM is associated with significant morbidity and mortality in children less than 60 months of age and leaves them vulnerable to diseases due to a decrease in immunological response. Children with SAM are prone to infections, and due to nutritional deficiency, many have anemia whichmay be a direct or indirect cause of morbidity and mortality. They are affected by frequent respiratory and gastrointestinal infections. Methodology A cross-sectional study was conducted for a period of two months, from December 1,2023, to January 31, 2024, in children with SAM aged less than 60 months. A detailed history and demographic profile were taken and recorded in a predesigned proforma. Anthropometric measurements of the study subjects were recorded, and lab investigations included complete blood picture, serum iron, serum ferritin, serum folate, and serum vitamin B12 levels. The prevalence and severity of anemia were determined by assessing the hemoglobin levels. The data collected was analyzed in Excel sheets (Microsoft Corporation, Redmond, Washington, United States) and the results were depicted in the form of graphs. Results A total of 300 children were included in the study of which 22 children were aged less than six months and 278 children were in the age group of 6-60 months. The overall gender distribution was 124 (41.4%) males and 176 (58.6%) females. In the age group of <6 months, of the 22 children, six (27.27%) were females while 16 (72.72%) were male. In the age group of 6-60 months, of the 278 children, 170 (61%) were females while 108 (39%) were males. Of the total 300 children, 232 (77.3%) were found to be anemic, of which 54 (23.2%) had mild anemia, 162 (69.8%) had moderate anemia, and 16 (6.89%) had severe anemia. Low serum iron levels were detected in 134 (44.6%) with iron deficiency being more common in females; below-normal ferritin levels were seen in 153 (51%) cases. Folate levels were found to be deficient in 97 (32.3%) children while vitamin B12 levels were deficient in 186 (62%). Conclusion Anemia is a common occurrence in children with SAM. Prevention of anemia starts from the womb by improvement of maternal nutrition and iron, and folic acid supplementation during pregnancy. Exclusive breastfeeding up to six months of age and further continuation of breastfeeding coupled with initiation of home-available complementary feeding from the age of six months onwards go a long way in maintaining healthy nutrition status inchildren in the vulnerable age group of less than 60 months. Healthcare professionals should utilize thewell-baby and well-child visits to educate the parents and primary caretakers regarding the feeding practicesto prevent, detect, and treatanemia, which will help reduce the morbidity and mortality in children with SAM.

Prevalence and classification of anemia among children in Sudan: a systematic review and meta-analysis.

Anemia remains a significant public health concern, particularly in developing countries like Sudan, where children are particularly vulnerable to its associated health implications. This study aimed to systematically assess the prevalence of anemia among Sudanese children. We conducted a comprehensive literature search in August 2021 and updated it in December 2022 to identify studies on anemia among Sudanese children. We searched databases including PubMed, Scopus, Science Direct, and Google Scholar. Studies eligible for inclusion in this systematic review and meta-analysis (SRMA) reported data to calculate anemia prevalence in children using WHO criteria. We performed meta-analysis using R software with metaprop and metafor packages. Using a random effects model, we estimated the pooled prevalence of anemia among 8006 Sudanese children to be 53.5% (95% CI, 36.6-70.4%). Subgroup analysis revealed that 62.7% of the children had unclassified anemia, 39.1% had iron deficiency anemia, and 8.7% had sickle cell anemia. Over a 21-year period, childhood anemia in Sudan showed an increasing trend, rising from 40.7% (1999-2009) to 55.1% (2010-2015) and 58.1% (2016-2020). The findings indicate a significantly higher prevalence of anemia among Sudanese children compared to many other countries, highlighting the need for proactive measures to prevent and control anemia in this population.

Correlation of tuberculosis-related anemia severity with tuberculosis-induced inflammation in children: a six-year retrospective study

BackgroundAnemia is a common complication of tuberculosis (TB), and there is evidence that its prevalence is higher in patients with TB. Although TB is very important in epidemiology, careful investigation of TB-related anemia in children has not been carried out systematically. This study aimed to describe the details of anemia in children with TB and its association with clinical characteristics and the severity of inflammation.MethodsIn this retrospective study, we explored Hb levels in 103 children with pulmonary TB (PTB) and they were divided into anemic or non-anemic groups. Logistics regression analysis was used to study the associations between anemia and demographic characteristics. Spearman correlations analysis was performed to analyse the associations between the biochemical parameters and hemoglobin levels in blood.ResultsThe prevalence of anemia in children with TB was 37.9% (48.7% showed microcytic hypochromic anemia, and 5.1% showed normal cell anemia). Compared with the anemia (n = 39) group, the non-anemic group (n = 64) had longer fever duration and increased respiratory rate (P < 0.05). In logistic regression analysis, anemia was associated with lower levels of Alb and higher levels of WBC, CRP, LDH, and ESR (P < 0.05). Spearman correlations analysis showed a significant negative correlation between hemoglobin (Hb) levels and inflammatory markers. After one month of antitubercular therapy (ATT), the Hb levels of 76.9% children returned to normal.ConclusionsAnemia is common among children with TB at diagnosis. The majority of children with TB-related anemia are mild to moderate microcytic hypochromic anemia. There is a strong correlation between the severity of anemia and the inflammation induced by TB. This suggests that anemia is a biomarker of the severity of TB in clinical practice among children.

Impacts of anemia and its determinants among 6–59 months age children residing in Dayniile internally displaced person’s camps, Banadir region, Somalia

Abstract: BACKGROUND: The prevalence of anemia in children under 5 years of age is a multifaceted issue influenced by various factors, leading to diverse findings across studies. This study aimed to assess the prevalence of anemia and its associated factors among children under 5 years of age living in internally displaced persons camps in the Dayniile district of Somalia. MATERIALS AND METHODS: This cross-sectional study was conducted between December 2022 and July 2023 in Mogadishu, Somalia. Blood samples from children under 5 years of age were checked for malaria and parasites, as well as for hemoglobin, erythrocytes, hematocrit, mean cell volume, and hematocrit. SPSS version 27.0.1 was used for data analysis, involving descriptive and inferential statistics. Fisher’s exact test examined anemia associations due to low expected counts. RESULTS: The prevalence of anemia among children under 5 years old was 17.6%. Anemia severity varied from mild (8.4%) to moderate (8.7%) to severe (0.5%). No significant correlation was found between a child’s primary caregiver and anemia status nor between anemia and sex, age, maternal factors, or family income sources. However, the presence of income from other relatives was statistically significant (P = 0.046*), indicating that financial support from extended family members may reduce the incidence of severe anemia in young adults. Children with a history of malaria had notably higher rates of mild and moderate anemia (25.0% and 75.0%, respectively) than those without. CONCLUSION: Our study, along with previous research, underscores the complexity of the prevalence of childhood anemia and its contributing factors. Addressing anemia in children from lower-income families and urban areas requires tailored intervention. In addition, controlling malaria and promoting breastfeeding are essential strategies for reducing the prevalence of anemia in young children. Overall, a multifaceted approach considering socioeconomic, health, and dietary factors is crucial for the well-being of children under 5 years old.

Random Forest and CatBoost with Handling Imbalanced Class for Detection of Risk Factors Anemia in Children (5-12 Years)

The prevalence of anemia in children (5-12 years) remains a public health issue in Indonesia. Early detection and control of risk factors are crucial for prevention. Machine learning models can be employed to address this problem. One practical approach is using ensemble learning models. However, it is expected to encounter imbalanced class problems when analyzing health data. Therefore, this study aims to perform classification modeling using two ensemble learning models: Random Forest (RF) and CatBoost. The proposed methods for handling imbalanced class issues include Random Over Sampling, SMOTE, G-SMOTE, Random Under Sampling, Instance Hardness Threshold (IHT), and SMOTE-ENN. Additionally, SHAP is used to explain the best-performing model based on Shapley values. The research findings indicate that the ensemble learning model using the CatBoost algorithm with G-SMOTE data handling produces the best performance compared to other methods. Based on the average performance metrics from 100 replicate validation, the CatBoost G-SMOTE model produces a sensitivity of 0.7104, specificity of 0.7043, G-Mean of 0.7067, and AUC of 0.7844. Handling the imbalance class problem using the G-SMOTE method effectively increases the sensitivity value in the two proposed ensemble learning models. Meanwhile, the SMOTE-ENN method produces effective G-Mean values for the Random Forest (RF) algorithms. Based on Shapley's value, the features with the highest contribution to predicting anemia in children (5-12 years) are ferritin, vitamin A, consumption of vegetables, diagnosed pneumonia, zinc, calcium total, and consumption of soft or carbonated drinks.

A Sustainable Approach to Combat Micronutrient Deficiencies and Ensure Global Food Security through Biofortification

Micronutrient deficiencies, particularly in essential vitamins and minerals, pose a significant public health challenge, affecting over two billion people worldwide. These deficiencies contribute to various health issues, impaired cognitive development, and reduced productivity, ultimately hindering social and economic progress. Biofortification, a process of enhancing the nutritional content of staple crops through conventional breeding or genetic engineering, has emerged as a promising and sustainable approach to combat micronutrient deficiencies and ensure global food security. This review explores the potential of Biofortification as a cost-effective and sustainable solution to address hidden hunger and improve the nutritional status of vulnerable populations. Biofortification offers several advantages over traditional interventions, such as supplementation and food fortification. By targeting staple crops consumed by the majority of the population, Biofortification ensures a wide reach and sustained nutrient intake without requiring significant changes in dietary habits. Moreover, biofortified crops can be grown locally, reducing the reliance on external interventions and empowering farmers to improve their nutritional status and livelihoods. Numerous studies have demonstrated the efficacy of bio fortified crops in increasing micronutrient intake and improving health outcomes. For instance, iron-biofortified pearl millet has been shown to increase iron absorption and reduce anemia prevalence in children, while zinc-biofortified wheat has improved zinc status and reduced stunting. Additionally, vitamin A-biofortified sweet potato and cassava have significantly increased vitamin A intake and reduced vitamin A deficiency in various populations.&#x0D; Despite the promising results, the success of Biofortification relies on several factors, including the development of nutrient-dense varieties, consumer acceptance, and effective dissemination strategies. Collaboration among researchers, policymakers, and stakeholders is essential to scale up Biofortification efforts and ensure their long-term sustainability. By prioritizing Biofortification as a key strategy in combating micronutrient deficiencies, we can work towards a more nourished and food-secure world.

Mothers’ education and childhood anaemia in Uganda

ABSTRACT This article employs ordered probit to examine the effect mother’s education and other socio-economic and community factors on the prevalence of childhood anaemia in urban and rural areas and severity of anaemia in Uganda using the Uganda Demographic and Health Survey. In Uganda, 53% of children aged 6–59 months suffered from some degree of anaemia, with 24% being mildly anaemic, 27% moderately anaemic, and 2% severely anaemic (UDHS, 2016). Anaemia has substantial negative effects on the health and economic wellbeing of nations and communities. The study findings indicate that mother’s education attainment and the partner’s schooling and socio-economic factors are important in explaining the prevalence of childhood anaemia in Uganda. The major implication of these results is that raising women’s education improves their economic opportunities, and the behavioural responses and this can greatly improve children’s health outcomes in terms of low prevalence of childhood anaemia.

Nutritional status of children left behind by migrant parents: Evidence from a survey in rural Anhui, eastern China.

We aimed to explore and analyse the dietary intake patterns of 3-6 year-oldchildren left behind by one or both parents and to assess their associations with body mass index (BMI) and the prevalence of childhood anaemia in rural Anhui, eastern China. We used random cluster sampling to recruit rural children aged 3-6 years in two rural areas in Anhui province. Sociodemographic information and dietary intake were collected by self-reported questionnaires. Height, weight and prevalence of anaemia were measured by trained nurses blinded to parental migration status. Factor analysis was applied to determine that major dietary patterns, binary logistic regression and generalised linear regression were used to explore the associations between anaemia and BMI Z-score with dietary patterns. Of 1720 children aged 3-6 years, 236 were left by both parents and 388 were left by a single parent. The prevalence of stunting and underweight among left-behind children with migration of both parents (BLBC) was significantly higher than that of non-left-behind children (NLBC). Three dietary patterns-"grain-vegetable," "meat-egg" and "fast food-sweet"-were identified in our study, and the total variance explained was 46.9%. The meat-egg dietary pattern was associated with a decreased risk of anaemia after adjustment for confounding factors in the left-behind children with migration of both parents (BLBC), left-behind children with single parent migration (SLBC) and non-left-behind children (NLBC) groups. After adjusting for confounding factors, the fast food-sweet dietary pattern was found to be associated with an increased risk of anaemia (OR [95% CI]: Q4: 2.21 [1.14, 4.57], p = 0.034). In addition, children with obesity had a lower intake of vegetables and fruits (β = -0.08, 95% CI: -0.13, -0.02) compared with children with a normal weight. In conclusion, there are correlations between different types of parental migration and children's nutritional status in rural Anhui. The meat-egg dietary pattern may have a preventive effect on anaemia in comparison with other dietary patterns, irrespective of whether children are left behind or not. Children with overweight and obesity had a higher intake of pork and red meat and snacks compared with children with normal BMI.

Household environment associated with anaemia among children aged 6–59 months in Ethiopia: a multilevel analysis of Ethiopia demographic and health survey (2005–2016)

BackgroundAnaemia continues to be a major public health challenge globally, including in Ethiopia. Previous studies have suggested that improved household environmental conditions may reduce anaemia prevalence; however, population-level evidence of this link is lacking in low-income countries. Therefore, this study aimed to examine the association between environmental factors and childhood anaemia in Ethiopia.MethodsIn this study, we conducted an analysis of the data from the Ethiopian Demographic and Health Survey (EDHS), a nationally representative population-based survey conducted in Ethiopia between 2005 and 2016. The study included a total of 21,918 children aged 6–59 months. Children were considered anemic if their hemoglobin (Hb) concentration was less than 11.0 g/dl. To examine the association between environmental factors and anemia, we used multilevel mixed-effect models. These models allowed us to control for various confounding factors including: child, maternal, household and community-level variables. The study findings have been reported as adjusted odds ratios (AORs) along with 95% confidence intervals (CIs) at a significance level of p < 0.05.ResultsThe study found the overall prevalence of childhood anaemia to be 49.3% (95%CI: 48.7–49.9) between 2005 and 2016 in Ethiopia. The prevalence was 47.6% (95%CI: 46.1–49.1) in 2005, 42.8% (95%CI: 41.8–43.8) in 2011, and increased to 57.4% (95%CI: 56.3–58.4) in 2016. The pooled data showed that children from households practising open defecation were more likely to be anaemic (AOR: 1.19, 95% CI: 1.05–1.36). In our survey specify analysis, the odds of anaemia were higher among children from households practising open defecation (AOR: 1.33, 95% CI: 1.12–1.58) in the EDHS-2011 and EDHS-2016 (AOR: 1.49, 95% CI: 1.13–1.90). In contrast, neither household water sources nor the time to obtain water was associated with anaemia after controlling for potential confounders. The other variables significantly associated with childhood anaemia include: the child’s age (6–35 months), not fully vaccinated (AOR: 1.14, 95%CI: 1.05–1.24), children not dewormed in the last 6 months (AOR: 1.11, 95%CI: 1.01–1.24), children born to mothers not working (AOR: 1.10, 95%CI: 1.02–1.19), children from poor households (AOR: 1.18: 95%CI: 1.06–1.31), and rural residence (AOR: 1.23, 95%CI: 1.06–1.42).ConclusionIn Ethiopia, about fifty percent of children suffer from childhood anemia, making it a serious public health issue. Open defecation is a major contributing factor to this scourge. To address this issue effectively, it is recommended to strengthen initiatives aimed at eliminating open defecation that involve various approaches, including sanitation infrastructure development, behavior change campaigns, and policy interventions. In addition, to reduce the burden of anemia in children, a multi-faceted approach is necessary, involving both prevention and treatment strategies.

Variations in the Prevalence of Childhood Anemia by Ethnicity Before and During the COVID-19 Pandemic in Peru.

We aimed to determine the variations in the prevalence of childhood anemia according to the ethnic group before and during the COVID-19 pandemic in Peru. Secondary analysis of the Demographic and Family Health Survey during 2016-2021. The outcome variable was anemia, and the exposure variable was maternal ethnicity. Also, we included sociodemographic and clinical confounding variables. We constructed generalized linear models of the Poisson family with a logarithmic link function. We evaluated 85,905 records; 30.34% had anemia, 50.83% were mestizo, 25.98% were Quechua, and 2% were Aymara. Compared with mestizos, Quechua children (PR: 1.11; 95% CI: 1.07-1.15; p < 0.001), Aymara (PR: 1.35; 95% CI: 1.27-1 .44; p < 0.001), natives of the Amazon (PR: 1.20; 95% CI: 1.12-1.28; p < 0.001) and those who belonged to other indigenous peoples (PR: 1.29; 95% CI: 1.05-1.57; p = 0.013) had a higher prevalence of childhood anemia. On the contrary, compared to mestizos, white children had a lower prevalence of anemia (PR: 0.93; 95% CI: 0.89-0.99; p = 0.019). During the COVID-19 pandemic, compared to mestizos, only Quechua (PR: 1.15; 95% CI: 1.08-1.23; p < 0.001) and Aymara (PR: 1.38; 95% CI: 1.23-1.55; p < 0.001) had a higher prevalence of childhood anemia. Except for Afro-descendants, children from 6 to 59months of age who belong to an ethnic minority had a higher probability of having childhood anemia than mestizos. However, only Quechua and Aymara children had higher odds of anemia during the COVID-19 pandemic than mestizos.

Anemia and intestinal parasites in Mbya Guarani children, Misiones, Argentina.

This study aimed to assess the prevalence of anemia in children of two Guarani communities in Misiones, Argentina, and to analyze its association with socioenvironmental and parasitic factors. This cross-sectional study took place in two villages, Koen Ju and Kaa Poty, and included Mbya Guarani children aged 6 months to 14 years. A multivariable analysis was performed to evaluate the association of anemia with the presence of intestinal parasites. Altogether, 162 children were included in the study: 53.1% were boys, 32.7% had low weight-for-age, and 22.2% low height-for-age. Nearly half (46.9%, n=76) had anemia, which was mainly mild (92.1%), with a few moderate cases (7.9%). Of the 109 children who underwent testing for intestinal parasites, 89 (81.7%) had at least one, and 53 (59.5%) had more than one. The main parasite was Blastocystis hominis (49.5%), followed by Entamoeba coli (47.7%), hookworms (36.7%), and Ascaris lumbricoides (31.5%). In the multivariable analysis, anemia was associated with intestinal parasitosis (adjusted odds ratio [OR] 4.24, 95% confidence interval [CI] 1.08-16.5; p=0.038) and male sex (adjusted OR 2.66; 95% CI 1.08-6.47; p= 0.01). Overall, we found that both anemia and intestinal parasites are common in the pediatric population of the Guarani ethnic group. Intestinal parasites and male sex were associated with the presence of anemia.

Interacción social, cultura y prevalencia de anemia infantil en un distrito limeño (2017-2021)

The research «Social interaction, culture and prevalence of childhood anemia in a district of Lima (2017-2021)» was carried out in the district of San Martín de Porres. The main objective was to describe and explain the socio-family factors that affect the generation and prevalence of anemia in children from 6 to 35 months. The method has been mixed; 320 surveys and 5 life stories were applied. The information has been processed in the Statistical-Informatics Program SPSS (version 25). Main results, 80.31% of children had mild or acute anemia, the age of 60% of the mothers ranged from 18 to 29 years, 54% of them have only studied secondary school, 72% come from the coast, 72% do not work outside the home, 41% of families have an income of 930 soles per month, 22% less than 930, 21% an income of 1,000 soles and 17% equal to or greater than 1500.00. 51% of families share the family pot with more than 5 people, 56.56% are cohabitants, 28.44% single mothers and 48.13% live alone. The social conditions and the culture of mothers, with anemic children, are determining factors to prevent and restore them from said disease.

Prevalence of Anemia in Children of India: A State-level Analysis from NFHS-4 and NFHS-5

As per the report of NFHS-5 in India 514 districts have more than 40 per cent prevalence of anemia among the children aged between 6-59 months. The present study analyses the status of anemia prevalence among the children (6-59 months) across states of India using the data from NFHS-4 and 5 factsheets. The study finds that prevalence of anemia in children (6-59 months) has increased for most of the states. The results of pooled OLS regression suggest that prevalence of iron-deficiency in women (age 15-49 years), public health expenditure and proper diet intake by children are important determinants of child anemia prevalence. The latter two factors have negative relation with child anemia prevalence whereas the former one has a positive relation with child anemia.

Knowledge, Attitude and Practices of Mothers attending Primary Healthcare Facilities in South-east Nigeria towards Prevention of Childhood Anaemia

Studies carried out in the past have shown that the incidence and prevalence of childhood anaemia in Enugu, south-east Nigeria, is high despite various intervention programs carried out in the past by the Federal government to reduce the prevalence. A cross-sectional study investigating knowledge, attitude and practices was carried out among the mothers of reproductive age 15-49 attending Abakpa health centre located in Abakpa district, Enugu, South East Nigeria. A total of one hundred and fifty-nine mothers attending Abakpa health centre consented and participated in the study. The sample was selected using the purposive sample method. Participants were interviewed using a structured questionnaire. Analysis of the data was done using a statistical package for social science software (SPSS) version 23.0. Analysis of the socio-demographic characteristics of the participants and their children was done, evaluation of knowledge, attitude and practices of the participants towards childhood anaemia was done. They revealed that the majority of the participant had heard about childhood anaemia in the past. However, they still indulged in wrong practices and negligence that can lead to childhood anaemia. The majority of the participants do not practice exclusive breastfeeding, malaria chemoprophylaxis and good hygiene, which is one the major preventive measures for childhood anaemia. The study also revealed there is a positive moderate correlation between knowledge and practice using Pearson (r) correlation at 0.649 and there is no significant level between knowledge and practice at 0.236. Reduction in childhood anaemia can be achieved if proper training and enlightenment programs are organized for mothers, which help to close the knowledge gap that will result in better practices and reduction in the incidence of childhood anaemia in Enugu.

Prevalence of anemia in children until ten years in a private laboratory in Serra Gaúcha

One of the main hematological changes seen in laboratory routine is anemia, especially iron deficiency. In this case, in addition to decreased hemoglobin stores, we find the same situation with iron stores. Ferritin, on the other hand, is used to visualize iron stores. In the present study, a sample was selected from the database of a private laboratory in the city of Nova Petrópolis, Rio Grande do Sul, consisting of 668 patients, aged between zero and ten years. Hemoglobin and ferritin measurements were evaluated over a twelve-month period. The prevalence of anemia in children aged zero to ten years was zero, with the main hemoglobin value being 12g/dL. The ferritin values ​​were also all above the respective reference values, however, when we analyze the standard deviation, it is increased, indicating that the data is spread over a wide range of values. As the standard deviation of hemoglobin measurements is stable, iron deficiency anemia cannot be attributed to the participants.

Prevalence of Iron Deficiency Anemia among Under Five Years Children in a Tertiary Health Care Center of Nepal

BackgroundGlobally 39.8% children under five years old are anemic, with prevalence of childhood anemia in Nepal reported to be 52.7% by 2016. The aim of this study is to analyze the prevalence of anemia among pediatric age group between 2 months to 60 months to provide some insight for prevention of anemia among children. MethodsThis is a prospective observational cross-sectional study conducted over the period of 15st March 2019 to 14th August 2019 at Nobel Medical College Teaching Hospital which included children presenting to pediatric department between ages 2 to 60 months. Children with known history of hemolytic disorders, malignancies and chronic diseases were excluded from the study. Hemoglobin level and Mean Corpuscular Volume (MCV) was obtained. Descriptive statistics such as mean, percentage and standard deviation were calculated. ResultsTotal 500 children selected randomly for the study, 234 (46.8%) children were non-anemic while mild anemia was seen in 86 (17.2%), moderate anemia in 155 (31.0%) and severe anemia in 25(5.0%) children. Mean hemoglobin was 10.2 gm/dl with standard deviation of 1.847. Among male 45.6% were anemic whereas 42.7%female were anemic. Children of age group 2 to 12 months had higher percentage of anemia with 76.2% being anemic. Among 266 anemic children 219 (82.3%) had MCV below the normal range. ConclusionOur study shows the higher prevalence of anemia in children between 2 to 60 months of age. Microcytic anemia was more common which represents higher prevalence of iron deficiency anemia among anemic children.

Anemia status of infants and young children aged six to thirty-six months in Ma'anshan City: A retrospective study.

Anemia in infants and young children can have long-term effects on cognitive and physical development. In Ma'anshan City, China, there has been growing concern about the prevalence of anemia among children aged 6 to 36 mo. Understanding the factors influencing this condition is crucial for targeted interventions and improving overall child health in the region. To analyze the anemia status and influencing factors of infants and young children aged 6 to 36 mo in Ma'anshan City, China. Providing scientific evidence for reducing the incidence of anemia and improving the health level of children in this age group. The study encompassed 37698 infants and young children, aged from 6 to 36 mo, who underwent health examinations at the Ma'anshan Maternal and Child Health Hospital from January 2018 to October 2022 were included in the study. Basic information, physical examination, and hemoglobin detection data were collected. Descriptive analysis was used to analyze the prevalence of anemia in children in the region, and univariate analysis was used to analyze the influencing factors of anemia. The mean hemoglobin level of infants and young children aged 9 to 36 mo increased with age, and the anemia detection rate decreased with age. The anemia detection rate in rural infants aged 6, 9, and 12 mo was higher than that in urban infants. Although the anemia detection rate was higher in 6-mo-old boys than girls, it was higher in 24-mo-old girls than boys. There were statistically significant differences in the anemia detection rates among 9-mo-old and 12-mo-old infants with different nutritional statuses (emaciation, overweight, obese, and normal). Moreover, there were no statistically significant differences in anemia detection rates among infants and young children with different nutritional statuses at other ages. Besides, the anemia detection rates in obese infants aged 9 and 12 mo were higher than those in normal and overweight infants, with statistically significant differences. Finally, there were no statistically significant differences in the anemia detection rates between emaciation infants and those with other nutritional statuses. The anemia situation among infants and young children aged 6 to 36 mo in Ma'anshan City, China, is relatively prominent and influenced by various factors. Our result shown that attention should be paid to the anemic infant and young child population, with strengthened education and targeted prevention and dietary guidance to help them establish good living habits, improve nutritional status, and reduce the occurrence of anemia to improve children's health levels.

Dietary Patterns and Association with Anemia in Children Aged 9-16 Years in Guangzhou, China: A Cross-Sectional Study.

Anemia affects 1.8 billion people worldwide, and diet is one of the key modifiable factors for treating anemia in children. The dietary pattern has changed rapidly in recent decades, but its effect on childhood anemia has not been reported. This study aimed to identify dietary patterns among children in rural areas of Guangzhou, China, and explore their association with anemia. A total of 1476 children aged 9-16 years old were included in this study. Demographics, lifestyle, and anthropometric and dietary information were collected. Factor analysis was used to identify dietary patterns, and anemia was diagnosed based on hemoglobin levels. Robust Poisson regression and subgroup analysis were used to analyze the association between dietary patterns and anemia. The prevalence of anemia in children was 10.4%, with 6.1% in boys and 15.4% in girls. Four dietary patterns were identified, including a fast food pattern, a vegetarian pattern, a meat and egg pattern, and a rice and wheat pattern. A high score in the fast food pattern was positively associated with risk of anemia in children entering puberty (PR = 1.767, 95% CI: 1.026~3.043, p = 0.039), especially in girls after menarche, with marginal significance (PR = 1.740, 95% CI: 0.977~3.097, p = 0.059). A high score in the meat and egg pattern was negatively associated with risk of anemia in children entering puberty (PR = 0.498, 95% CI: 0.286~0.866, p = 0.013), especially in boys after spermatorrhea (PR = 0.237, 95% CI: 0.031~0.590, p = 0.007). The fast food pattern was a risk factor for anemia in children, and the meat and egg pattern was a protective factor for anemia in children entering puberty. The findings of this study could be used to guide the strategies of evidence-based preventive nutrition interventions to curb anemia in children.

Child anemia in Cambodia: A descriptive analysis of temporal and geospatial trends and logistic regression-based examination of factors associated with anemia in children.

Anemia in children remains a public health concern in many resource-limited countries. To better understand child anemia in Cambodia, we examined temporal and geospatial trends of childhood anemia and used logistic regression to analyze its association with individual and household characteristics using data from the Cambodia Demographic and Health Surveys for 2005, 2010, and 2014. The prevalence of childhood anemia decreased from 62.2% in 2005 to 56.6% in 2014. The prevalence of childhood anemia was highest in Pursat (84.3%) for 2005, Kampong Thom (67%) for 2010, and Preah Vihear and Steung Treng (68.6%) for 2014. After adjusting for other variables, factors positively associated with childhood anemia included having a mother who was anemic (adjusted odds ratio (AOR) = 1.77, 95% CI: 1.58-1.97); being male vs. female (AOR = 1.20, 95% CI: 1.07-1.33), underweight (AOR = 1.24, 95% CI: 1.14-1.57), or stunted (AOR = 1.24, 95% CI: 1.09-1.41); or having had a recent episode of fever (AOR = 1.16, 95% CI: 1.03-1.31). Children were less likely to have anemia if they were older than 12 months. They were also less likely to have anemia if they were from a wealthier household (AOR = 0.64; 95% CI: 0.50-0.84) or had taken medications for intestinal parasites (AOR = 0.86; 95% CI: 0.89-0.93). These associations were generally consistent across time and space. Public health interventions and policies to alleviate anemia should be prioritized to address these factors across geospatial divides. Anemia remains highly prevalent among children aged 6-59 months in Cambodia.