Volume : 10, Issue : 02, February – 2023
Title:
21.PREVALENCE AND RISK FACTORS OF IRON DEFICIENCY ANEMIA IN CHILDREN BELOW 10 YEARS OF AGE AT DHQ HOSPITAL DERA GHAZI KHAN PUNJAB, PAKISTAN
Authors :
Kousar Naureen, Shumaila Naz, Tahira Shaheen
Abstract :
Introduction: Anemia is a common medical finding among children. In Pakistan, the prevalence of iron deficiency anemia is around 40-70% under 10 years of age. Anemia not only alters normal physical development but also impairs cognition and endurance in children. The aim of this study is to assess the prevalence and risk factors of iron deficiency anemia in children under 10 years of age presenting to DHQ Dera Ghazi Khan Punjab Pakistan. Materials and Methods: A total of 100 children were enrolled through a purposive random sampling presenting to the Pediatrics ward of DHQ Hospital Dera Ghazi Khan Punjab, Pakistan fulfilling the operational definition and admission criteria during July 2022 to November 2022. Hb level below 11gm/dl) was termed as anemia and further classified into microcytic, normocytic or macrocytic on peripheral blood film. Further testing for serum ferritin, hemoglobin electrophoresis, serum C-reactive protein and stool microscopy was advised to establish the definitive diagnosis. Risk factors were looked for in cases of iron deficiency anemia. Results: Among 100 enrolled children, 72 had anemia, among them 42 had iron deficiency anemia. Lack of financial resources and poor living standards was directly associated with the rate of anemia. Low for birth weight, preterm labor, bottle-feeding, under and non- breastfeeding, early and late weaning and non-recommended weaning diet were observed as important risk factors. Conclusion: Around 70 percent of the hospitalized children under 10 years of age were found to be anemic, among them around half of them were suffering from iron deficiency anemia. The findings of this study stresses upon the significance of evaluating the risk factors of anemia in children of school age group. Prompt awareness campaigns and revamping health education programs focusing mother and child health can serve as a valuable tool to manage this health problem in countries like Pakistan.
Cite This Article:
Please cite this article in press Kousar Naureen et al, Prevalence And Risk Factors Of Iron Deficiency Anemia In Children Below 10 Years Of Age At Dhq Hospital Dera Ghazi Khan Punjab, Pakistan., Indo Am. J. P. Sci, 2023; 10 (02).
Number of Downloads : 10
References:
2. Hamedani P, Hashmi KZ, Manji M. Iron depletion and anaemia: prevalence, consequences, diagnostic and therapeutic implications in a developing Pakistani population. Current medical research and opinion. 1987. January 1;10(7):480–5.
3. Dallman PR, Siimes MA, Stekel A. Iron deficiency in infancy and childhood. Am J Clin Nutr 1980;33:86118.
4. Fleming AF, Werblinska B. Anaemia in childhood in the guinea savana of Nigeria. Ann Trop Paediatr 1982;2:161-73.
5. Calvo EB, Galindo AC, Aspres NB. Iron status in exclusively breast fed infants. Pediatrics 1992;90:375-9.
6. Siimes MA, Salmenpera L, Perheentupa J. Exclusive breast-feeding for 9 months: risk of iron deficiency. J Pediatr 1984;104:196-9.
7. Glader B. The anemias. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson Text Book of Pediatrics. 18th ed. Philadelphia, WB Saunders Co. 2003; p 2017.
8. Mills AF. Surveillance for anaemia: risk factors in patterns of milk intake. Arch Dis Child 1990;65:42831.
9. UNICEF: Spotlights; “Iron, the State of the World’s Children, ‘’ United Nations Children’s Fund: Focus on Nutrition. 1998; p 78.
10. Dallman PR. Iron deficiency and the immune response. Am J Clin Nutr 1987;46:329-34.
11. Mar ns S, Logan S, Gilbert RE. Iron therapy for improving psychomotor development and cognitive function in children under the age of three with iron deficiency anaemia. Cochrane Database of Systematic Reviews, 2001(Issue 2).
12. Walter T, De Andraca I, Chadud P, Perales CG. Iron deficiency anaemia: adverse effects on infant psychomotor development. Pediatrics 1989;84:717.
13. Farthing MJ. Iron and immunity. Acta Paediatr Scand 1989;361:44-52.
14. Sachdev HPS, Gera T, Nestel P. Effect of iron supplementation on mental and motor development in children: systematic review of randomised controlled trials. Public Health Nutr 2004;8(2):117–32.
15. Lozoff B, Bri enham GM, Wolf AW. Iron deficiency anaemia and iron therapy effect on infant developmental test performance. Pediatrics 1987;79:981-95.
16. UNICEF/UNU/WHO. Iron deficiency anemia: assessment, prevention, and control. Geneva, World Health Organiza on, 2001.
17. de Benoist B, McLean E, Egli I, Cogswell, M. Worldwide prevalence of anaemia 1993-2005: WHO Global Database on Anaemia. Geneva: World Health Organization, 2008.
18. UNICEF (United Nations International Children’s Emergency Fund), UNU (United Nations
University), WHO (World Health Organization). Iron deficiency anaemia. Assessment, prevention and control: a guide for programme managers, Geneva; 2001. (WHO/NHD/01.3.).
19. Firkin F, Chesterman C, Penington D, Rush B, editors. de gruchy’s, clinical Haematology in Medical practice. 5th ed. Oxford: Oxford University Press, 1989; p. 39.
20. Grantham-McGregor S. Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr 2001;131:649S-68 S.
21. Anemia is a severe public health problem in preschool children and pregnant women in rural Bangladesh. Dhaka: Helen Keller International; 2002. Helen Keller International; p. 4. (Nutritional Surveillance Project Bulle n no.10)
22. Helen Keller International. Iron deficiency anaemia throughout the lifecycle in rural Bangladesh: national vitamin A survey, 1997-98. Dhaka: Helen Keller International, 1999.
23. HKI & IPHN. Anaemia is a severe public health problem in pre-school children and pregnant women in rural Bangladesh. Dhaka, HKI, 2002.
24. Hall A, Bobrow E, Brooker S, Jukes M, Nokes K, Lambo J, et al. Anaemia in schoolchildren in eight countries in Africa and Asia. Public Health Nutr 2001;4:749-56.
25. Stallkamp G, Ached N, Keller H, The burden of anaemia in rural Bangladesh: the need for urgent ac on. Sight and life 2006;3:16-21.
26. Hercberg S, Chauliac M, Galan P, Devanlay M, Zohoun I, Agboton Y, et al. Prevalence of iron deficiency and iron-deficiency anaemia in Benin. Public Health 1988;102:73-83.
27. Paracha PI, Hameed A, Simon J, Jamil A, Nawab G. Prevalence of anaemia in semi-urban areas of Peshawar, Pakistan: a challenge for health professionals and policy makers. J Pak Med Assoc 1997;47:49-53.
28. Looker AC, Dallman PR, Carroll MD, Gunter EW, Johnson CL. Prevalence of iron deficiency in the United States. JAMA 1997; 277: 973-6.
29. Eden AN, Mir MA. Iron deficiency in 1- to 3-yearold children. A paediatric failure? Arch Pediatr Adolesc Med 1997;151:986-8.
30. Yip R, Binkin NJ, Fleshood L, Trowbridge FL. Declining prevalence of anaemia among low income children in the United States. JAMA 1987;258:1619-23.
31. BBS/UNICEF. Anaemia prevalence survey of Urban Bangladesh and Rural Chittagong Hill Tracts 2003. BBS /UNICEF (2005).
32. BDHS. Bangladesh Health and Demographic Survey 2004.