Iron-deficiency anemia in an Iranian population associated with high intakes of iron

Haghshenass, M; Mahloudji, Mohsen; Reinhold, John G.; Mohammadi, Narges

doi:10.1093/ajcn/25.11.1143

Cited by 57 publications

(19 citation statements)

References 6 publications

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“…With wheat being a staple food, iron absorption may be potentially inhibited by phytates, as reported by Garcia-Casal et al (1998). A similar situation was also reported in the rural population in Iran, where high iron-deficiency anaemia was found despite the diet including high iron intake with wheat as a staple food (Haghshenass et al 1972). Other reasons for a high prevalence of under-nutrition and micronutrient deficiency in both of our study areas were mostly due to diets with few animal products, fruits and vegetables.…”

Section: Agriculture Nutrition and Their Disconnectsupporting

confidence: 69%

Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India

et al. 2017

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Agriculture is the predominant livelihood for 70 % of the population living in rural India, and food expenses occupy a major proportion of their household budget. Rural household diets suggest that agricultural growth has contributed to increasing calorie intake with very minimal effect on the intake of protein and micronutrients. This in turn causes weak positive impact of agriculture on household dietary diversity and nutrient adequacy. Given the prevalence of high levels of under-nutrition and a large population dependent on agriculture, recent thinking globally on leveraging agriculture for nutrition security has encouraged the agricultural sector to realign its focus not only to increase food production, but also to address under-nutrition. Against this background, an exploratory study was conducted in resource poor villages of Wardha and Koraput districts in the states of Maharashtra and Odisha in India, to investigate how location-specific Farming System for Nutrition (FSN) interventions can potentially improve the diversity of household diets and nutrition outcomes. A detailed baseline study was undertaken to identify the existing disconnect between agriculturenutrition linkages. In the study locations, the proportion of all forms of under-nutrition, vitamin A deficiency and iron-deficiency anaemia among children <5-years of age appeared unacceptably high. A high prevalence rate of chronic energy deficient (CED) women and anaemic pregnant women was also observed. A higher risk of under-nutrition and micronutrient deficiency among household members was associated with substandard living conditions of the surveyed households. Cropping systems in Wardha were primarily dominated by rain-fed commercial cash crops while rain-fed subsistence farming predominated in Koraput. Households in both study locations were found to have cereal-dominated diets with average daily consumption of pulses, fruits and vegetables, and milk and milk products well below the recommended daily intake level, indicating low dietary diversity. In both Wardha and Koraput, CED in adults (>18 years) significantly increased as the dietary diversity score (DDS) decreased from high to low. In Koraput, the prevalence rate of anaemia in adolescent girls and women significantly increased, as the DDS decreased. We conclude that food and diets lacking diversity and without nutrition-sensitive farming systems (either commercial-or subsistence-based) may not be appropriate to improve household nutrition and health status. Our findings provide a basis for structuring integrated agriculture-nutrition programmes or a FSN approach to diversifying household food and diets, for improving nutrition and health in India.

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Section: Agriculture Nutrition and Their Disconnectsupporting

confidence: 69%

Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India

et al. 2017

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“…Diets characterized by low iron bioavailability [7], are one of the main causes of iron deficiency anemia. The following compounds have been recognized as inhibitors of non-heme iron absorption: phytate, some proteins (soy, milk and egg yolk), calcium [8], zinc [9], manganese [10], and tannic acid [11].…”

Section: Introductionmentioning

confidence: 99%

Effect of phytic acid, tannic acid and pectin on fasting iron bioavailability both in the presence and absence of calcium

Jaramillo

Briones

Andrews

et al. 2015

Journal of Trace Elements in Medicine and Biology

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“…Although it is generally agreed that an increase in dietary fibre intake is beneficial for constipation [64][65][66], there have been concerns about the adverse effects of a high fibre diet in children, including a resultant lowering of calorie intake [67][68][69], increased fecal energy loss [66,69], and decreased bioavailability of minerals [70]. Dietary fibre intake can also lead to excessive gas formation resulting in abdominal bloating and cramping, though it has been reported that if fibre content in diet is increased gradually rather than acutely, excessive gas formation can be reduced [71].…”

Section: Influence Of Diet and Intraluminal Contentsmentioning

confidence: 99%

The Physiology of Human Defecation

2012

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Iron-deficiency anemia in an Iranian population associated with high intakes of iron

Cited by 57 publications

References 6 publications

Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India

Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India

Effect of phytic acid, tannic acid and pectin on fasting iron bioavailability both in the presence and absence of calcium

The Physiology of Human Defecation

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