印度尼西亚万隆县2岁以下发育迟缓儿童的贫血患病率、特征和血液学特征

IF 0.3 Q4 PEDIATRICS
Grace Mediana Purnami, Kania Dyatika Praba, Iif Latifah Fauziah, Mia Milanti Dewi, R. Judistiani, B. Setiabudiawan
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引用次数: 0

摘要

摘要贫血和发育迟缓是主要的健康问题,对儿童有不良影响。本研究旨在确定2岁以下发育迟缓儿童贫血的患病率、特征和血液学特征。在印度尼西亚西爪哇万隆县进行了一项儿童队列的嵌套横断面研究。222名6至24个月大的儿童被随机选择。2019年11月至2020年3月,对这些儿童进行了重新检查,进行了人体测量和血液学评估,并就生长迟缓和贫血的相关风险因素进行了访谈。98名发育迟缓儿童被确定并分为发育迟缓和严重发育迟缓组(47.96%对52.04%)。约85.4%的儿童来自低收入家庭,31.7%的儿童年龄严重不足。令人惊讶的是,这些发育迟缓的儿童大多出生时体重和身长正常(68.3%、53.7%和85.4%)。发育迟缓儿童贫血的患病率为41.8%,他们的平均红细胞体积下降(56%),平均红细胞血红蛋白下降(73%),白细胞增多症高于白细胞减少症(10对3.7%)和血小板增多症(n = 15%、36%)与血小板减少症(n = 5%、12%)。发育迟缓儿童贫血的患病率很高。有贫血和没有贫血的发育迟缓儿童的特征相似。这些发育迟缓的儿童几乎没有发育迟缓的风险因素,这一事实强调了需要重点改善产后护理,以防止发育迟缓。根据血液学特征,缺铁性贫血被怀疑是这些病例的主要病因,需要进一步的随访和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anemia Prevalence, Characteristics, and Hematological Profile among Stunted Children Under 2 Years Old in Bandung Regency, Indonesia
Abstract Anemia and stunted growth are major health problems with adverse consequences for children. This study aimed to determine the prevalence, characteristics, and hematological profile of anemia among stunted children under 2 years old. A nested cross-sectional study from a child cohort was conducted in Bandung Regency, West Java, Indonesia. Two hundred twenty-two children aged 6 to 24 months were randomly selected. These children were reexamined from November 2019 to March 2020 for anthropometric measurements and hematological assessment and interviewed for relevant risk factors of stunted growth and anemia. Ninety-eight stunted children were identified and distributed into stunted and severely stunted groups (47.96 vs. 52.04%). Around 85.4% of the children came from low-income families and 31.7% were severely underweight for age. Surprisingly most of these stunted children had normal birth weight and length and were born at term (68.3, 53.7, and 85.4%). The prevalence rate of anemia among stunted children was 41.8%, they had decreased mean corpuscular volume (56%), decreased mean corpuscular hemoglobin (73%), and normochromic mean corpuscular hemoglobin concentrations (51.2%). Leucocytosis was higher than leucopenia (10 vs. 3.7%) and thrombocytosis ( n  = 15, 36%) as compared to thrombocytopenia ( n  = 5, 12%). The prevalence of anemia was high among stunted children. The characteristics of stunted children with and without anemia were similar. The fact that these stunted children had few risk factors for stunting emphasizes the need to focus on improved postnatal care to prevent faltering. Based on the hematology profile, iron deficiency anemia was suspected to be the most etiology in these cases warranting further follow-up and management.
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