Prevalence and Factors Associated with Iron Deficiency Anaemia among Children Aged 6-23 Months in Southwestern Uganda

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Dickson Kajoba, Walufu Ivan Egesa, Solomon Muyombya, Y. Ortiz, M. Nduwimana, Grace Ndeezi
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Abstract

Iron deficiency anaemia is still a global public health concern with the highest burden among children 6 to 23 months due to their rapid growth spurt exceeding breastmilk supply. Therefore, nutritional supply is a key source of iron to attain the required nutrients for better growth and development. This was a cross-sectional descriptive study done at Ishaka Adventist Hospital (IAH) and Kampala International University Teaching Hospital (KIUTH) from April to July 2022. Participants were consecutively enrolled in the study. Structured questionnaires, 24-hour dietary recall, and clinical assessment were used to obtain data. Data analysis was done using the statistical package for social scientists (SPSS) V22.0. Bivariable and multivariable analyses were done using logistic regression for associations with significance set at P value < 0.05. A total of 364 participants were enrolled, with the majority being males (198, 54.4%) and born at term (333, 91.5%). The modal age was 12-17 months [163(44.8%)] with a mean age of 14.1 months (SD 5.32). The overall prevalence of IDA was 151/364 (41.5%). The factors associated with IDA included male sex (aOR 1.61), current episode of diarrhoea (aOR 1.71), poor meal frequency (aOR 1.78), no vegetable consumption (aOR 2.47), and consuming fruits once (aOR 1.97) in 7 days preceding the study. The study finds a high prevalence of IDA among infants 6-23 months with at least four in 10 being affected. Screening for IDA should be recommended in male children with current diarrhoea, poor intake of fruits and vegetables, and poor meal frequency. The Mentzer index is an equally good alternative screening test for IDA.
乌干达西南部 6-23 个月大儿童缺铁性贫血的患病率及相关因素
缺铁性贫血仍然是一个全球性的公共卫生问题,在 6 至 23 个月的儿童中,缺铁性贫血的负担最重,这是因为他们的快速增长超过了母乳的供应量。因此,营养供给是铁的关键来源,以获得更好的生长发育所需的营养。这是一项横断面描述性研究,于 2022 年 4 月至 7 月在伊沙卡基督复临会医院(Ishaka Adventist Hospital,IAH)和坎帕拉国际大学教学医院(Kampala International University Teaching Hospital,KIUTH)进行。参与研究的人员是连续注册的。研究采用结构化问卷、24小时饮食回忆和临床评估来获取数据。数据分析采用社会科学家统计软件包(SPSS)V22.0。使用逻辑回归法进行二变量和多变量分析,以P值小于0.05为显著性。共有 364 名参与者,其中大多数为男性(198 人,占 54.4%)和足月出生者(333 人,占 91.5%)。平均年龄为 12-17 个月[163(44.8%)],平均年龄为 14.1 个月 (SD 5.32)。IDA 的总体发病率为 151/364(41.5%)。与 IDA 相关的因素包括男性(aOR 1.61)、当前腹泻发作(aOR 1.71)、进餐频率低(aOR 1.78)、不食用蔬菜(aOR 2.47)以及在研究前 7 天内只食用过一次水果(aOR 1.97)。研究发现,6-23 个月婴儿的 IDA 患病率很高,每 10 个婴儿中至少有 4 个患有 IDA。建议对目前腹泻、水果和蔬菜摄入量少以及进餐频率低的男婴进行 IDA 筛查。Mentzer 指数也是筛查 IDA 的一个很好的替代方法。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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