The objective of this study was to investigate iron status of school children aged 7-12 years in some rural communities in Nigeria as well as identify factors associated with anemia in the children. A total of 249 school children, 120 males and 129 females aged between 7-12 years were used in the study. Haemomoglobin (Hb), haematocrit (PCV) and serum ferritin were used to determine anaemia and iron status in 208 children. The subjects were also screened for malaria parasites and worm infection to determine their impact on anaemia. C-reactive protein (CRP) was used as an indicator of inflammation or infection. Socioeconomic, anthropometric and body composition information were collected from the children, while dietary iron intake was determined using a combination of 24 hour dietary recall, food frequency questionnaire and weighed inventory technique. The values obtained for energy and nutrient intakes were compared with RDA recommendations. Anaemia was defined as Hb < 11.0mg/dl and iron deficiency was defined as serum ferritin levels below 12ug/dl. Correlation coefficient was used to evaluate association between anaemia and nutritional as well as health factors. The results showed that the prevalence of anaemia was 82.6%, while iron deficiency was 77.8%. The average daily iron intake was 30% below the recommended allowance. There was a high prevalence of inflammatory disorders as indicated by CRP. Malaria parasite and worm infestations were high in the children (93.2% and 41.8%, respectively). Anaemia was significantly associated with helminth infestation, malaria parasite and CRP. The children had a mean weight and height below the recommended standards. Of all the children in the study (n=249), 77% were both stunted and underweight while 56% were wasted. The body composition values of normal children (body fat, triceps, subscapula skinfold thicknesses and abdominal circumference) were significantly higher than those of the malnourished children (p<0.05). The percentage of children having low BMI (<14.59) was 23.69%.The need for malaria and helminth control in these communities is recommended.
The baobab milk and fermented baobab/acha flour mixtures were analyzed chemically for their proximate, ascorbate, mineral and antinutrient composition. The dry pulp scraped from baobab fruits was kneaded, made into solution, extracted through cheese-cloth and stored frozen until analyzed. The acha and baobab grains were cleaned, fermented for 24 to 120 hours, dried and hammermilled into fine flours. The unfermented flours served as controls. The standard assay methods of AOAC were selected for use for the analysis of the nutrients and the antinutrients. The mixtures were composed of 70% acha and 30% baobab flours (70:30 protein basis). The baobab milk contained more protein (1.5%) and minerals (Fe, 17.8 mg; Ca 134.2 mg) than those of human milk (protein, 1.3%, Fe, 0.2 mg, Ca 30 mg) and cow milk (Fe, 0.1 mg; Ca 1.20 mg) and most leading national commercial infant formulas e.g. cerelac (Fe, 10.0 mg). The composite flours contained more nutrients than the baobab or the acha flour alone. The BF96 had greater advantage over other BF flours as a supplement to acha. The mixtures are within the reach of lower income group and can be incorporated into their diets.
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