Maternal pre-pregnancy anemia and childhood anemia in Indonesia: a risk assessment using a population-based prospective longitudinal study

Wirawan, Fadila; Nurrika, Dietta

doi:10.4178/epih.e2022100

Cited by 7 publications

(7 citation statements)

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“…We then evaluated additional child-related, maternal-related, and demographic characteristics [ 15 , 16 ] as potential confounders of the relationship between child clinical characteristics and child anemia. Child-related characteristics included child sex and child age.…”

Section: Resultsmentioning

confidence: 99%

“…A limitation was the relatively small sample size of this cross-sectional study, which may have reduced our sensitivity to identify additional statistical relationships. A second limitation was that data specifying rural or urban residence, as potential demographic confounders of child anemia [ 16 ], were not collected. A third limitation was our inability, due to limited funding, to include serum nutritional biomarkers (e.g., ferritin, inflammatory biomarkers) to better understand the mechanisms of anemia in children and mothers.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and risk factors of anemia in the mother–child population from a region of the Colombian Caribbean

Del Castillo,

Cardona-Castro,

Whelan

et al. 2023

BMC Public Health

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Background Despite Colombia's robust well-child visits program, Colombian children and mothers still suffer from anemia, especially in populations of lower socioeconomic status. In this study, we aimed to quantify the prevalence and risk factors among mothers and their children attending their well-child visits in Apartadó, a municipality in the Urabá region of the Colombian Caribbean. Methods There were 100 mother–child pairs enrolled in this secondary data-analysis study from a health facility in the municipality of Apartadó, Urabá, Colombia, during well-child visits. Self-reported data included child illnesses in the past two weeks (diarrheal, fever, or respiratory symptoms), child feeding practices (breastfeeding, complementary feeding), child vaccinations, and demographic characteristics (mother’s and child’s age, mother’s education, marital status, race, and child sex) and socioeconomic status. Mother and child anthropometry data were collected via standardized weight and height measurements. Mother or child anemia status was collected via a blood test. Chi-squared tests and multivariable logistic regression were used to assess associations between risk factors and anemia. Result The anemia prevalence in children (74%) and mothers (47%) was higher than the Colombian national prevalence. Reported child comorbidities in the preceding two weeks were not significantly associated with child anemia and included respiratory illnesses (60%), fever (46%), and diarrhea (30%). Stunting (8%) was not significantly associated with anemia. Wasting (0%) was not observed in this study. Reported child breastfeeding and complementary feeding were also not significantly associated with child anemia. In adjusted models, the child's significant risk factors for anemia included the mother's "Mestiza" race (OR: 4.681; 95% CI: 1.258, 17.421) versus the Afro-Colombian race. Older children (25–60 months) were less likely to develop anemia than younger (6–24 months) children (OR: 0.073; 95% CI: 0.015, 0.360). Conclusions The finding of high anemia prevalence in this study advances our understanding of child and maternal anemia in populations of low socioeconomic status where health care is regularly accessed through well-child programs.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of anemia in the mother–child population from a region of the Colombian Caribbean

Del Castillo,

Cardona-Castro,

Whelan

et al. 2023

BMC Public Health

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“…Iron, folic acid, vitamin B12, and vitamin A deficiency, as well as protein energy malnutrition are among the contributing factors of nutritional anemia [ 53 ]. A population study in Indonesia shows that pre-pregnancy anemia increased the risk of child anemia in under-5 years old [ 55 ]. However, we did not identify any study of pre-pregnancy diet and anemia.…”

Section: Discussionmentioning

confidence: 99%

Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence

Wirawan

Yudhantari²,

Gayatri

2023

J Prev Med Public Health

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Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map ‘what has been researched’ on pre-pregnancy diet and maternal and child health.Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide.Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%.Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

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“…Reproductive‐aged non‐pregnant females have high rates of ID, with rates described from 8.8% to 36% 48 . Preconception anemia has been associated with an increased risk of adverse pregnancy outcomes, reduced infant growth, 49 and increased rates of childhood anemia 50 . Preconception iron supplementation (vs delaying supplementation until after pregnancy has been established) resulted in improved maternal iron stores in pregnancy and postpartum, and improved neonatal iron stores 51 .…”

Section: Discussionmentioning

confidence: 99%

“…48 Preconception anemia has been associated with an increased risk of adverse pregnancy outcomes, reduced infant growth, 49 and increased rates of childhood anemia. 50 Preconception iron supplementation (vs delaying supplementation until after pregnancy has been established) resulted in improved maternal iron stores in pregnancy and postpartum, and improved neonatal iron stores. 51 Targeting interventions to the preconception period may assist in reducing the rates of IDA and subsequent complications in pregnancy and postpartum.…”

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confidence: 99%

Identification and treatment of iron‐deficiency anemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II

Mintsopoulos

Tannenbaum

Malinowski

et al. 2023

Intl J Gynecology & Obste

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BackgroundSeveral international guidelines provide recommendations for the optimal management of iron‐deficiency anemia (IDA) in the pregnant and postpartum populations.ObjectivesTo review the quality of guidelines containing recommendations for the identification and treatment of IDA in pregnancy and postpartum using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument and to summarize their recommendations.Search StrategyPubMed, Medline, and Embase databases were searched from inception to August 2, 2021. A web engine search was also performed.Selection CriteriaClinical practice guidelines that focused on the management of IDA in pregnancy and/or postpartum populations were included.Data Collection and AnalysisIncluded guidelines were appraised using AGREE II independently by two reviewers. Domain scores greater than 70% were considered high‐quality. Overall scores of six or seven (out of a possible seven) were considered high‐quality guidelines. Recommendations on IDA management were extracted and summarized.Main ResultsOf 2887 citations, 16 guidelines were included. Only six (37.5%) guidelines were deemed high‐quality and were recommended by the reviewers. All 16 (100%) guidelines discussed the management of IDA in pregnancy, and 10 (62.5%) also included information on the management of IDA in the postpartum period.ConclusionsThe complex interplay of racial, ethnic, and socioeconomic disparities was rarely addressed, which limits the generalizability of the recommendations. In addition, many guidelines failed to identify barriers to implementation, strategies to improve uptake or iron treatment, and resource and cost implications of clinical recommendations. These findings highlight important areas to target future work.

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Maternal pre-pregnancy anemia and childhood anemia in Indonesia: a risk assessment using a population-based prospective longitudinal study

Cited by 7 publications

References 28 publications

Prevalence and risk factors of anemia in the mother–child population from a region of the Colombian Caribbean

Prevalence and risk factors of anemia in the mother–child population from a region of the Colombian Caribbean

Pre-pregnancy Diet to Maternal and Child Health Outcome: A Scoping Review of Current Evidence

Identification and treatment of iron‐deficiency anemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II

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