Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children

Children living in Sub-Saharan Africa are vulnerable to developmental delay, particularly in the critical first five years due to various adverse exposures including disease and nutritional deficiencies. Anemia and iron deficiency (ID) are highly prevalent in pregnant mothers and young children and...

Full description

Bibliographic Details
Main Authors: Nampijja, M, Mutua, AM, Elliott, AM, Muriuki, JM, Abubakar, A, Webb, EL, Atkinson, SH
Format: Journal article
Language:English
Published: MDPI 2022
_version_ 1826307556970070016
author Nampijja, M
Mutua, AM
Elliott, AM
Muriuki, JM
Abubakar, A
Webb, EL
Atkinson, SH
author_facet Nampijja, M
Mutua, AM
Elliott, AM
Muriuki, JM
Abubakar, A
Webb, EL
Atkinson, SH
author_sort Nampijja, M
collection OXFORD
description Children living in Sub-Saharan Africa are vulnerable to developmental delay, particularly in the critical first five years due to various adverse exposures including disease and nutritional deficiencies. Anemia and iron deficiency (ID) are highly prevalent in pregnant mothers and young children and are implicated in abnormal brain development. However, available evidence on the association between anemia, ID and neurodevelopment in sub-Saharan Africa is limited. Using data from the Entebbe Mother and Baby Study prospective birth cohort, we examined the effect of maternal and child hemoglobin (Hb) levels and child iron status on developmental scores in 933 and 530 pre-school Ugandan children respectively. Associations between Hb levels, iron status and developmental scores were assessed using regression analyses adjusting for potential confounders. Lower maternal and child Hb levels were associated with reduced psychomotor scores at 15 months, while only lower Hb levels in infancy were associated with reduced language scores. We found no evidence that anemia or ID was associated with cognitive or motor scores at five years. This study emphasizes the importance of managing anemia in pregnancy and infancy and highlights the need for further studies on the effects of anemia and ID in children living in Sub-Saharan Africa.
first_indexed 2024-03-07T07:04:53Z
format Journal article
id oxford-uuid:8596a5bd-dda7-4248-ada5-35cbebbc4fb0
institution University of Oxford
language English
last_indexed 2024-03-07T07:04:53Z
publishDate 2022
publisher MDPI
record_format dspace
spelling oxford-uuid:8596a5bd-dda7-4248-ada5-35cbebbc4fb02022-04-20T12:07:13ZLow hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan childrenJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8596a5bd-dda7-4248-ada5-35cbebbc4fb0EnglishSymplectic ElementsMDPI2022Nampijja, MMutua, AMElliott, AMMuriuki, JMAbubakar, AWebb, ELAtkinson, SHChildren living in Sub-Saharan Africa are vulnerable to developmental delay, particularly in the critical first five years due to various adverse exposures including disease and nutritional deficiencies. Anemia and iron deficiency (ID) are highly prevalent in pregnant mothers and young children and are implicated in abnormal brain development. However, available evidence on the association between anemia, ID and neurodevelopment in sub-Saharan Africa is limited. Using data from the Entebbe Mother and Baby Study prospective birth cohort, we examined the effect of maternal and child hemoglobin (Hb) levels and child iron status on developmental scores in 933 and 530 pre-school Ugandan children respectively. Associations between Hb levels, iron status and developmental scores were assessed using regression analyses adjusting for potential confounders. Lower maternal and child Hb levels were associated with reduced psychomotor scores at 15 months, while only lower Hb levels in infancy were associated with reduced language scores. We found no evidence that anemia or ID was associated with cognitive or motor scores at five years. This study emphasizes the importance of managing anemia in pregnancy and infancy and highlights the need for further studies on the effects of anemia and ID in children living in Sub-Saharan Africa.
spellingShingle Nampijja, M
Mutua, AM
Elliott, AM
Muriuki, JM
Abubakar, A
Webb, EL
Atkinson, SH
Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title_full Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title_fullStr Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title_full_unstemmed Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title_short Low hemoglobin levels are associated with reduced psychomotor and language abilities in young Ugandan children
title_sort low hemoglobin levels are associated with reduced psychomotor and language abilities in young ugandan children
work_keys_str_mv AT nampijjam lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT mutuaam lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT elliottam lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT muriukijm lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT abubakara lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT webbel lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren
AT atkinsonsh lowhemoglobinlevelsareassociatedwithreducedpsychomotorandlanguageabilitiesinyoungugandanchildren