Prevalence and predictors of anemia in a population of North Indian children

Kumar, Tivendra; Taneja, Sunita; Yajnik, Chittaranjan S; Bhandari, Nita; Strand, Tor A.

doi:10.1016/j.nut.2013.09.015

Cited by 23 publications

(23 citation statements)

References 28 publications

(31 reference statements)

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“…4 In another study from North India, the prevalence of anemia was 69.6% with 31% cases being iron deficiency anemia. 5 In the present study, 32.5% of the patients were iron deficiency anemia while 6.2% were due to combined nutritional deficiency. Malnutrition is a major cause of nutritional anemia in our country.…”

Section: Discussionsupporting

confidence: 42%

Spectrum of Hematological Diseases in West Bengal, India: Experience from a Tertiary Care Center

Jitani¹,

Mandal²,

Chakrabarti³

et al. 2019

IJMEDPH

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Background: The epidemiology of hematological diseases in India is largely unknown due to paucity of data. Our centre caters to a major chunk of hematological patients in Eastern India and is one of the largest centers in terms of patient attendance. Objective: The objective of this study was to analyze the OPD data to decipher the hematological disease spectrum in Eastern India. Methods: Hospital data of hematology OPD from July 2015 to June, 2018 was retrived from the hospital information management system. The number of new and follow-up (old) patients attending the OPD were analyzed to know the disease pattern in terms of various benign and malignant hematological disease was assessed. Results: The total number of OPD consultations for the three years was 78809, of which 21851 (27.7%) were new cases and 56958(72.3%) were follow-up (old) visits. Disease characterization could be done for 15517 (71.01%) patients; out of these, 73.3% (11377/15517) were benign and 26.7% (4140/15517) were malignant hematological diseases. Common reasons for consultation in hematology OPD were anemia 9170 cases (59.1%), leukemia 2544 (16.4%), bleeding disorder 1908 (12.3%), lymphoma 946 (6.1%) and myeloma 450(2.9%). Among the benign diseases, most common diagnosis was nutritional deficiency anemia 4403 (38.7%) followed by hemoglobinopathy 3868 (34%), immune thrombocytopenia 944 (8.3%), aplastic anemia 694 (6.1%), hemophilia 637 (5.6%), eosinophilia 148 (1.3%) and thrombosis 80 (0.7%). Among the malignant cases, common causes were leukemia 2351 (56.8%), lymphoma 940 (22.7%) and myeloma 451 (10.9%). Conclusion: Anemia remains the most common reason for OPD consultation even in a tertiary care hematology centre. The major burden of malignant hematological disease is leukemia.

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Section: Discussionsupporting

confidence: 42%

Spectrum of Hematological Diseases in West Bengal, India: Experience from a Tertiary Care Center

Jitani¹,

Mandal²,

Chakrabarti³

et al. 2019

IJMEDPH

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“…Consistent with this suggestion, delayed recall at 1 year was marginally correlated with newborn ferritin concentrations (Riggins et al., ). Iron deficiency is an important risk factor for anemia in our population (Kumar, Taneja, Yajnik, Bhandari, & Strand, ) and may contribute to the relation observed with memory.…”

Section: Discussionmentioning

confidence: 99%

A Path Analysis of Nutrition, Stimulation, and Child Development Among Young Children in Bihar, India

2018

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Nutrition plays an important role in the development of a child, particularly in low‐ and middle‐income countries where malnutrition is often widespread. The relation between diet, hemoglobin, nutritional status, motor development, stimulation and mental development was examined in a cross‐sectional sample of 1,079 children 12–18 months of age living in rural Bihar, India. Path analysis revealed associations between (a) length‐for‐age z‐scores and motor development, standardized β (β) = .285, p < .001, and (b) motor and all mental development outcomes (language: β = .422; personal‐social: β = .490; memory: β = .139; and executive function: β = .072, all p < .001). Additionally, stimulation was significantly associated with language scores and hemoglobin concentration with memory. These findings inform interventions aimed at improving child development in Northern India.

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“…Assessed drivers for hemoglobin levels were primarily infant's iron status, maternal hemoglobin levels, family wealth index, food insecurity score, child's age and C-reactive protein (CRP) levels or male gender (inversely related) [66]. Equally, low family income was significantly associated with undernutrition in a study on Adivasi in Bangladesh [52], or with anemia in children of North India [67]. In the present study a higher HH available cash income (≥5000 INR/month) was significantly related to lower rates of moderate or severe anemia, but both cash income and gender were not identified as main predictors for Hb levels in the regression analysis and were not significantly related to undernutrition.…”

Section: Predictors Of Anemiamentioning

confidence: 99%

Prevalence of Undernutrition and Anemia among Santal Adivasi Children, Birbhum District, West Bengal, India

Stiller

Golembiewski

Golembiewski³

et al. 2020

IJERPH

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India’s Adivasi scheduled tribe population is disproportionately affected by undernutrition and anemia, thereby prevailing in the poorest wealth deciles denominated as socially and economically vulnerable. This study was designed to assess the extent of child undernutrition (conventional and composite index of anthropometric failure (CIAF) classification), as well as the burden of anemia in children and its independent nutrition specific and sensitive drivers, moreover to reflect the living conditions of Santal Adivasis. The research survey was conducted in 21 Santal villages, Birbhum District, West Bengal, in 2015. An overall 307 children (aged 6–39 months) and their mothers (n = 288) were assessed for their hemoglobin (Hb) levels (HemoCue Hb201+) and anthropometric indices such as height/length, weight and mid-upper arm circumference (MUAC). Moreover, socio-demographic household characteristics were surveyed. The study confirmed Adivasi children lagging behind national average with a high prevalence of undernutrition (height-for-age z-score (HAZ) 51.9%, weight-for-age z-score (WAZ) 49.2%, weight-for-height z-score WHZ 19.0% and CIAF 61.6%) and of moderate and severe anemia (Hb < 10 g/dL, 73.3% altogether). Child’s age <24 months, low WAZ scores, morbidity (any fever, diarrhea or respiratory infection) on the checkup day or during previous week, low maternal Hb level, and lack of dietary diversification were identified as predictors for anemia, thereby warrant targeted interventions to decrease the high anemia rates assessed in the study site.

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Prevalence and predictors of anemia in a population of North Indian children

Cited by 23 publications

References 28 publications

Spectrum of Hematological Diseases in West Bengal, India: Experience from a Tertiary Care Center

Spectrum of Hematological Diseases in West Bengal, India: Experience from a Tertiary Care Center

A Path Analysis of Nutrition, Stimulation, and Child Development Among Young Children in Bihar, India

Prevalence of Undernutrition and Anemia among Santal Adivasi Children, Birbhum District, West Bengal, India

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