Nutritional and Obstetric Determinant of Iron Deficiency Anemia among Pregnant Women Attending Antenatal Care Services in Public Health Hospitals in Abidjan (Côte d'Ivoire): A Cross-Sectional Study.

IF 1.7 4区医学 Q4 NUTRITION & DIETETICS

Ecology of Food and Nutrition Pub Date : 2022-03-01 Epub Date: 2021-10-21 DOI:10.1080/03670244.2021.1987229

Stéphane Claver Vanié, Angèle Edjème-Aké, Kouakou Nestor Kouassi, Grodji Albarin Gbogouri, Allico Joseph Djaman

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引用次数: 4

Abstract

Poorly diversified and micronutrient-deficient dietary intakes during pregnancy remain one of the major causes of nutritional anemia in developing countries. However, data on diet and its relation to anemia in pregnant women in Côte d'Ivoire are scarce. The objective of this study was to determine prevalence and iron deficiency anemia associated factors in pregnant women in Abidjan. A cross-sectional study was conducted among 389 pregnant women attending antenatal care services at public health hospitals in Abidjan. Sociodemographic, obstetrical, and dietary data were collected. Blood samples taken by venipuncture were analyzed for hemoglobin and iron biomarkers. Data were subjected to descriptive statistics and multivariate logistic regression. 47.8% of the pregnant women tested were anemic, 25.8% and 30.4% had iron deficiency and iron deficiency anemia, respectively. Based on AORs, the second and third trimesters of pregnancy (6.04 v 4.18, respectively), multiparity (13.18), skipping meals (3.05), inadequate energy (5.369), protein (2.74), and vitamin C (2.43) intakes and low dietary diversity (8.35) are the independent and significant determinants of iron deficiency anemia. The high prevalence of anemia among pregnant women in Abidjan reveals a real public health problem. Iron deficiency anemia is due to multiparity, gestational age, inadequate intake, low dietary diversity, and skipping meals.

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在阿比让公立卫生医院接受产前保健服务的孕妇中，营养和缺铁性贫血的产科决定因素(Côte科特迪瓦):一项横断面研究。

在发展中国家，怀孕期间饮食摄入不多样化和微量营养素缺乏仍然是营养性贫血的主要原因之一。然而，关于饮食及其与Côte科特迪瓦孕妇贫血的关系的数据很少。本研究的目的是确定阿比让孕妇缺铁性贫血的患病率和相关因素。对在阿比让公立卫生医院接受产前保健服务的389名孕妇进行了横断面研究。收集了社会人口学、产科和饮食数据。静脉穿刺采集血液样本，分析血红蛋白和铁生物标志物。数据进行描述性统计和多元逻辑回归。孕妇贫血率为47.8%，缺铁率为25.8%，缺铁性贫血率为30.4%。根据AORs，妊娠中期和晚期(分别为6.04和4.18)、多胎(13.18)、不吃饭(3.05)、能量(5.369)、蛋白质(2.74)和维生素C(2.43)摄入不足以及饮食多样性低(8.35)是缺铁性贫血的独立和重要决定因素。阿比让孕妇中贫血的高发病率揭示了一个真正的公共卫生问题。缺铁性贫血是由于多胎、胎龄、摄入不足、饮食多样性低和不吃饭。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ecology of Food and Nutrition 医学-营养学

CiteScore

3.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Ecology of Food and Nutrition is an international journal of food and nutrition in the broadest sense. The journal publishes peer-reviewed articles on all aspects of food and nutrition -- ecological, biological, and cultural. Ecology of Food and Nutrition strives to become a forum for disseminating scholarly information on the holistic and cross-cultural dimensions of the study of food and nutrition. It emphasizes foods and food systems not only in terms of their utilization to satisfy human nutritional needs and health, but also to promote and contest social and cultural identity. The content scope is thus wide -- articles may focus on the relationship between food and nutrition, food taboos and preferences, ecology and political economy of food, the evolution of human nutrition, changes in food habits, food technology and marketing, food and identity, and food sustainability. Additionally, articles focusing on the application of theories and methods to address contemporary food and nutrition problems are encouraged. Questions of the relationship between food/nutrition and culture are as germane to the journal as analyses of the interactions among nutrition and environment, infection and human health.