Assessment of the Prevalence, Severity, Risk Factors of Anemia Among 2-12 Years of Aged Children Attending a Hospital in Western Uttar Pradesh Region
Keywords:
Hemoglobin, Children, Prevalence, SeverityAbstract
Background: This study was done to create awareness among people about the problems of Anemia and health care providers in further management. The aim of this study was to assess the prevalence, severity, risk factors of anemia among 2-12 years of aged children attending a hospital. Subjects and Methods: Blood and stool samples were collected from the patient. Among those children with hemoglobin <11 g/dl, were screened for iron deficiency anemia (serum ferritin estimation is done). Among these 500 children, 100 children with a hemoglobin level of 11gm/dl and serum ferritin <12 μg/l were taken up for detailed study. Results: A total of 138 males 62.7% were having hemoglobin less than 11.4 gm. /dl indicating anemia. total 230 female children about 66.5% were detected with anemia, 73 (31.73%) children had Hemoglobin levels less than 8 gm. /dl indicating severe anemia and about 49 (21.30%) children had moderate anemia and 31 (13.47%) had mild anemia and only 77 (33.47%) were having their hemoglobin concentration of greater than 11.5 gm. /dl were classified as non-anemic. Conclusion: Anemia was slightly more prevalent in girls of the same age group as compared to boys.
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1. Ghasemi A, Keikhaei B. Effects of Nutritional variables in children with iron deficiency anemia. International Journal of Pediatrics, 2014; 2(3.1): 183-87. doi: 10.22038/ijp.2014.2619
2. McLean E, Cogswell M, Egli I, Wojdyla D, and de Benoist B. Worldwide prevalence of Anemia, WHO Vitamin and Mineral Nutrition Information System, 1993– 2005. Public Health Nutr. 2009;12(4):444-54.
3. Stevens GA, Finucane MM, De-Regil LM, Paciorek CJ, Flaxman SR, Branca F, et al. Global, regional, and national trends in hemoglobin concentration and prevalence of total and severe anemia in children and pregnant and non-pregnant women for 1995- 2011: a systematic analysis of population- representative data. Lancet Glob Health. 2013; 1(1):e16-25.
4. Key Findings from NFHS. [Last accessed on 2016 Feb 23]. Availableat: http://www.rchiips.org/NFHS/factsheet_NFHS -4.shtml. 5. Demaeyer EM. Preventing and controlling iron deficiency anemia through primary health care. World Health Organization, Geneva.1989.
6. Benoist B, McLean E, Egli I, Cogswell. Worldwide Prevalence of Anemia 1993-2005. eds. Geneva, Switzerland: World Health Organization; 2008.
7. International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS-3), 2005–2006: Key Findings. Mumbai, India: International Institute for Population Sciences; 2007.
8. Lozoff B, Jemenez E, Wolf AW. Long term developmental outcome of infants with iron deficiency. New Eng J Med.1991; 325:687-94. 9. Politt E. Iron deficiency and cognitive function. Annu Rev Nutr. 1993; 13:521-37.
10. Halterman JS, Kaczorowski JM, Aligne CA, Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement among school-aged children and adolescents in the United States. Pediatr. 2001; 107:1381- 6.
11. Walter T, Kovalskys J, Stekel A. Effect of mild iron deficiency on infant mental development scores. J Pediatr.1983; 102:519-22. 12. Lozoff B, Smith J, Liberzon T, Argul-Barroso R, Jiminez E.
Longitudinal analysis of cognitive and motor effects of iron deficiency in infancy. Pediatr Res. 2004;55:23A.
13. Schauer C, Zlotkin S. Home fortification with micronutrient sprinkles – A new approach for the prevention and treatment of nutritional anemias. Paediatr Child Health. 2003; 8(2):87-90.
14. KhosraviAnbaran Z, BaghdariN, SadeghiSahebzad E, Moradi M, Karimi FZ. Comparing Infant Nutrition in Wanted and Unwanted Pregnancies. Int J Pediatr 2016; 4(12): 4043-50.
15. Khadivzadeh T, Karimi FZ, Tara F, Bagheri S. The Effect of Postpartum Mother– Infant Skin-to-Skin Contact on Exclusive Breastfeeding In neonatal period: A Randomized Controlled Trial. Int J Pediatr 2016; 4(5):5409-17.
16. Karimi A, Bagheri S, Khadivzadeh T, MirzaiiNajmabadiKh. The Effect of an Interventional Program, Based on the Theory of Ethology, on Breastfeeding Competence of Infants. Iranian Journal of Neonatology 2014; 5(3): 10-12.
17. Anbaran ZK, Baghdari N, Pourshirazi M, Karimi FZ, Rezvanifard M, Mazlom SR. Postpartum sexual function in women and infant feeding methods. J Pak Med Assoc 2015; 65(3):248-252.
18. Pacifici, G. Effects of Iron in Neonates and Young Infants: a Review. International Journal of Pediatrics, 2016; 4(7): 2256-71. doi: 10.22038/ijp.2016.6991.
19. Saeidi M,Vakili R,KhakshourA,TaghizadeMoghaddam H, Kiani MA, Zarif B, et al. Iron and multivitamin supplements in children and its association with growth rate. International Journal of Pediatrics. 2013; 1(1):13-17.
20. WHO. Haemoglobin concentrations for the diagnosis of Anemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization,2011.
21. Finch CA. Iron nutrition, Food and Nutrition in health and disease. Ann NY AcadSci 1977; 300; 22.
22. Verma M,Chhatwal J. Prevalence of anemia among urban school children of Punjab. Indian Pediatr 35(12):1181-6 Dec1998. 23. Vasanthi G, Pawashe AB, H Susie, T Sujatha, Raman L. Iron nutritional status of adolescent girls from rural area and urban slum. Indian Pediatr 1994; 31:127-132.
24. Sheshadri S. Nutritional Anemia in South Asia. In: Malnutrition in South Asia: A Regional Profile Ed. Gillespie S. Katmandu, UNICEF Regional Office for South Asia 1997; pp75-124.
25. Kapoor G, Aneja S. Nutritional disorders in adolescent girls. Indian Pediatr 1992; 29:969-973.
26. Maharashtra, India. Indian Journal of Community Health 2012; 24:4-8. 27. Tiwari K. Seshadri S. The prevalence of anemia and morbidity profile among school going adolescent girls of urban Kathmandu, Nepal. J Nep Med Assoc 2000; 39:319-25.
28. Basu S, ,Basu S, Hazarika R, Parmar V. Prevalence of anemia among school going adolescents of Chandigarh. Indian Pediatr. 2005; 42(6):593-7.
29. Schellenberg D, Schellenberg JR, Mushi A, SavignyDd, Mgalula L, Mbuya C, et al. The silent burden of Anemia in Tanzanian children: a community-based study. Bull World Health Organ. 2003; 81(8):581- 90. Epub 2003 Oct14.
30. Crawley J. Reducing the burden of Anemia in infants and young children in malaria- endemic countries of Africa: From evidence to action. Am J Trop Med Hyg. 2004; 71(2 Suppl): 25-34.
31. Arlappa N, Balakrishna N, Laxmaiah A, and Brahmam GNV. Prevalence of Anemia among rural pre-school children.
