Dietary Predictors of Anaemia among Children Aged 12-35 Months

Introduction: Children especially during the early years of life should have increased dietary iron and protein that needs to accommodate growth, development and the accompanying expansion of blood volume. An average Indian child can take upto 2.5 to 3.5 mg iron per day leaving a deficiency of 4-...

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Main Authors: Abhishek Agarwal, Tanveer Bano, Sunil Kumar Garg, Harivansh Chopra, Seema Jain, Ganesh Singh
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2020-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/13814/43623_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PN(SL).pdf
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author Abhishek Agarwal
Tanveer Bano
Sunil Kumar Garg
Harivansh Chopra
Seema Jain
Ganesh Singh
author_facet Abhishek Agarwal
Tanveer Bano
Sunil Kumar Garg
Harivansh Chopra
Seema Jain
Ganesh Singh
author_sort Abhishek Agarwal
collection DOAJ
description Introduction: Children especially during the early years of life should have increased dietary iron and protein that needs to accommodate growth, development and the accompanying expansion of blood volume. An average Indian child can take upto 2.5 to 3.5 mg iron per day leaving a deficiency of 4-6.5 mg/day deficiency of iron while 33% of Indian children are still suffering from protein malnutrition. This deficiency of iron and protein leads to high burden of Nutritional Anaemia in Children. Aim: To find the average daily dietary consumption of iron and protein among the children aged 12-35 months and its association with anaemia. Materials and Methods: The present cross-sectional study was carried out among 200 children aged 12-35 months (prevalence 79%, relative precision 7.5%, 95% CI) residing in a sub-centre village of Meerut district, Uttar Pradesh, India. The study was carried out between May 2016 and November 2017. Dietary information was collected by 24 hour recall method done for two consecutive days on a pretested, predesigned and semistructured questionnaire. Iron and protein content in food was calculated as per ICMR guidelines, 2010, data was analysed using epi-info software 3.7.2. Results: The present study inferred that mean dietary intake of iron (2.10±1.08) mg/day and protein (18.23±0.38) mg/day among the selected population is way less than the body daily dietary requirements (5-9 mg/day) and (10-14 gm iron/day). This inadequacy in diet is reflected as high prevalence of anaemia 155 (77.5%) and malnutrition 67 (33.5%) in this age group. Conclusion: Dietary intake of iron, consumption of haem iron and non-heme iron and protein intake are not only but an important determinant of anaemia in children. Despite best of diet a child is unable to meet the dietary requirement of iron and lands up in anaemia. In this background, a daily iron supplementation regimen may play an important role to combat this disease burden.
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spelling doaj.art-5c3b3f35a17042aeb544bcf36cc465f72022-12-21T19:53:49ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-07-01147050810.7860/JCDR/2020/43623.13814Dietary Predictors of Anaemia among Children Aged 12-35 MonthsAbhishek Agarwal0Tanveer Bano1Sunil Kumar Garg2Harivansh Chopra3Seema Jain4Ganesh Singh5Program Officer, Department of Implementation Research, The INCLEN Trust International, New Delhi, India.Professor, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, India.Professor, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, India.Professor, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, India.Professor, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, IndiaAssociate Professor, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, IndiaIntroduction: Children especially during the early years of life should have increased dietary iron and protein that needs to accommodate growth, development and the accompanying expansion of blood volume. An average Indian child can take upto 2.5 to 3.5 mg iron per day leaving a deficiency of 4-6.5 mg/day deficiency of iron while 33% of Indian children are still suffering from protein malnutrition. This deficiency of iron and protein leads to high burden of Nutritional Anaemia in Children. Aim: To find the average daily dietary consumption of iron and protein among the children aged 12-35 months and its association with anaemia. Materials and Methods: The present cross-sectional study was carried out among 200 children aged 12-35 months (prevalence 79%, relative precision 7.5%, 95% CI) residing in a sub-centre village of Meerut district, Uttar Pradesh, India. The study was carried out between May 2016 and November 2017. Dietary information was collected by 24 hour recall method done for two consecutive days on a pretested, predesigned and semistructured questionnaire. Iron and protein content in food was calculated as per ICMR guidelines, 2010, data was analysed using epi-info software 3.7.2. Results: The present study inferred that mean dietary intake of iron (2.10±1.08) mg/day and protein (18.23±0.38) mg/day among the selected population is way less than the body daily dietary requirements (5-9 mg/day) and (10-14 gm iron/day). This inadequacy in diet is reflected as high prevalence of anaemia 155 (77.5%) and malnutrition 67 (33.5%) in this age group. Conclusion: Dietary intake of iron, consumption of haem iron and non-heme iron and protein intake are not only but an important determinant of anaemia in children. Despite best of diet a child is unable to meet the dietary requirement of iron and lands up in anaemia. In this background, a daily iron supplementation regimen may play an important role to combat this disease burden.https://jcdr.net/articles/PDF/13814/43623_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PN(SL).pdfchildiron deficiencypreschoolprotein deficiency
spellingShingle Abhishek Agarwal
Tanveer Bano
Sunil Kumar Garg
Harivansh Chopra
Seema Jain
Ganesh Singh
Dietary Predictors of Anaemia among Children Aged 12-35 Months
Journal of Clinical and Diagnostic Research
child
iron deficiency
preschool
protein deficiency
title Dietary Predictors of Anaemia among Children Aged 12-35 Months
title_full Dietary Predictors of Anaemia among Children Aged 12-35 Months
title_fullStr Dietary Predictors of Anaemia among Children Aged 12-35 Months
title_full_unstemmed Dietary Predictors of Anaemia among Children Aged 12-35 Months
title_short Dietary Predictors of Anaemia among Children Aged 12-35 Months
title_sort dietary predictors of anaemia among children aged 12 35 months
topic child
iron deficiency
preschool
protein deficiency
url https://jcdr.net/articles/PDF/13814/43623_CE[Ra1]_F(SHU)_PF1(AG_KM)_PFA(KM)_PN(SL).pdf
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