在三级保健中心的高社会经济地位的儿童营养性贫血的患病率

Pradeep Kalaiselvam, S. Chelliah, Meganathan Pachamuthu
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摘要

背景:贫血是发生在所有社会经济地位的儿童中的一种非常普遍的疾病,主要是由营养缺铁引起的。目的:了解高社会经济地位儿童营养性贫血的患病率。方法:选取特里希三级中心Kauvery医院儿科病房住院的6个月~ 14岁的高社会经济地位儿童为研究对象。患有溶血性贫血、慢性疾病和接受输血的儿童被排除在研究之外。根据年龄的血红蛋白水平,世界卫生组织将贫血的严重程度分为轻度、中度和重度。采用2016年修正Kuppuswamy量表评估儿童社会经济地位。属于中上层社会经济地位的儿童被纳入研究。结果:研究人群中贫血的总体患病率为44.5%。在400名受试者中,178名参与者患有贫血症。178例贫血儿童中,78.1%为6个月- 5岁年龄组,20.2%为5-11岁年龄组,1.7%为12-14岁年龄组。在6至23个月的儿童中,有75人贫血。几乎所有患者均表现为小细胞性低色素贫血。在所有年龄组的贫血儿童中,超重和肥胖儿童的数量明显增加。结论:本研究的结论是,即使在高社会经济地位的家庭中,也有其他儿童贫血,特别是<2岁的儿童。迫切需要对所有儿童进行筛查和治疗,无论其社会经济地位或体重指数如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of nutritional anemia in children of high socioeconomic status in a tertiary care center
Background: Anemia is a highly prevalent condition developed in children belonging to all socioeconomic status and is mainly caused due to iron deficiency in nutrition. Aim: To identify the Prevalence of nutritional anemia in children of high socioeconomic status. Methods: Children between 6 months and 14 years of age belonging to high socioeconomic status, admitted in pediatric ward of Kauvery Hospital, a tertiary center at Trichy were included in the study. Children with hemolytic anemia, chronic illnesses, and those who received blood transfusion were excluded from the study. The World Health Organization classification was used for grading the severity of anemia as mild, moderate, and severe based on hemoglobin levels for the age. Modified Kuppuswamy scale 2016 was used to assess the socioeconomic status of the children. Children belonging to upper and upper middle socioeconomic status were included in the study. Results: The overall prevalence of anemia among the study population was 44.5%. Out of 400 subjects, 178 participants were anemic. Of the 178 anemic children, 78.1% were in the age group of 6 months–5 years, 20.2% in 5–11 years, and 1.7% in 12–14 years. Among children between 6 and 23 months, 75 were anemic. Almost all patients showed microcytic hypochromic anemia. There were a significantly higher number of overweight and obese children among those anemic in all age groups. Conclusion: This study concludes that every other child is anemic even in families of high socioeconomic status, especially <2 years of age. There is an urgent need to screen and treat all children regardless of their socioeconomic status or body mass index.
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