Prevalence and risk factors of iron-deficiency anaemia among pregnant women in rural districts of Menoufia governorate, Egypt

Rezk, Mohamed; Marawan, Hala; Dawood, Ragab; Masood, Alaa; Abo-Elnasr, Mohamed

doi:10.3109/01443615.2014.991289

Cited by 35 publications

(28 citation statements)

References 9 publications

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“…Demonstrates that the decisional balance pros and cons were significantly different (P<.001) between before and after the intervention based TTM. Table (7): Clarifies that, there were highly statistically significant differences (P<.001) before and after intervention based TTM in relation to experiential and behavioural processes of change (environmental reevaluation, dramatic relief, self-re-evaluation, self-liberation, counter-conditioning, stimulus control, reinforcement management and helping relationships). Also statistically significant differences (P<.05) were found in relation to consciousness raising and social liberation.…”

Section: Table (6)mentioning

confidence: 95%

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Diet Behavior Modification of Pregnant Woman with Iron Deficiency Anemia Using Construct of the Trans-Theoretical Model: A Theory-Based Study

Ibrahim¹,

Sayed²,

Elaal³

2017

IOSR JNHS

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Background: Iron deficiency anaemia is a major cause of morbidity and mortality of pregnant women and increases the risks of foetal, neonatal and infant mortality. Nutritional education, with special emphasis on strategies based on locally available food stuffs to improve the dietary intake of proteins and iron is important during pregnancy. This study aimed to evaluate diet behaviour of pregnant woman with iron deficiency anaemia before and after the implementation of educational intervention based trans-theoretical model of change. Methods: A quasi-experimental design was utilized. Setting: The study was conducted at obstetrics and gynecology outpatient clinic affiliated to Benha teaching hospital. A purposive sample of 73 pregnant women were included in the current study. Two tools were used for data collection; first tool interviewing questionnaire to collect data about the subjects' socio-demographic data, medical and obstetric history and knowledge regarding iron deficiency anemia. Second tool; the trans-theoretical model of behavior change questionnaire, it composed of the four main constructs that are stage of change, self-efficacy, decisional balance (pros and cons), experiential and behavioral process of change. Results: There were highly statistically significant differences (P<.001) regarding to pregnant women' knowledge, and trans-theoretical model constructs include self-efficacy, decisional balance (pros, cons), experiential and behavioral processes of change after the intervention based trans-theoretical model as compared to before. Also, 24.7% of the pregnant women were free from anemia after intervention based transtheoretical model. Conclusion and recommendation:The application of trans-theoretical model of behavior change was effective in improving pregnant women's knowledge and diet behavior regarding iron deficiency anemia. The nurse should implement educational intervention based on trans-theoretical for anaemic pregnant women regarding diet behaviour modification.

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Section: Table (6)mentioning

confidence: 95%

“…[5,6] Women who are older than 30 years, had more than three children, with body mass index less than 20, shorter birth spacing less than 2 years, lack of antenatal care visits, low intake of foods of animal source, vegetables and fruits and having intestinal parasites were positively associated with anaemia. [7]…”

Section: Introductionmentioning

confidence: 99%

Diet Behavior Modification of Pregnant Woman with Iron Deficiency Anemia Using Construct of the Trans-Theoretical Model: A Theory-Based Study

Ibrahim¹,

Sayed²,

Elaal³

2017

IOSR JNHS

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“…In a cross-sectional, community-based study in Egypt, Rezk et al reported a prevalence of IDA at 51.3% in pregnant women (microcytic anemia with Hb < 10.5 g/dL at the second trimester with serum ferritin < 25 ng/dL) [75]. Using self-reported data from 270 pregnant Egyptian women, Ibrahim et al reported that 75% were mildly anemic (Hb 9–11 g/dL) and 23.2% were moderately anemic (Hb 7–9 g/dL) [76].…”

Section: Prevalence Of Micronutrient Deficiencies In the Middle Eastmentioning

confidence: 99%

The Prevalence of Micronutrient Deficiencies and Inadequacies in the Middle East and Approaches to Interventions

et al. 2017

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Micronutrient deficiencies and inadequacies constitute a global health issue, particularly among countries in the Middle East. The objective of this review is to identify micronutrient deficits in the Middle East and to consider current and new approaches to address this problem. Based on the availability of more recent data, this review is primarily focused on countries that are in advanced nutrition transition. Prominent deficits in folate, iron, and vitamin D are noted among children/adolescents, women of childbearing age, pregnant women, and the elderly. Reports indicate that food fortification in the region is sporadic and ineffective, and the use of dietary supplements is low. Nutrition monitoring in the region is limited, and gaps in relevant information present challenges for implementing new policies and approaches to address the problem. Government-sponsored initiatives are necessary to assess current dietary intakes/patterns, support nutrition education, and to reduce food insecurity, especially among vulnerable population groups. Public–private partnerships should be considered in targeting micronutrient fortification programs and supplementation recommendations as approaches to help alleviate the burden of micronutrient deficiencies and inadequacies in the Middle East.

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“…Approximately one third of women aged 15-49 years and 30% of pregnant women are affected by iron-deficiency anaemia (IDA) [63]. This is related to a high consumption of carbohydrates and nonanimal source proteins that has been observed over the last 2 decades, with cereals being the main source of energy in the Egyptian diet, and a low intake of foods providing sufficient amounts of iron with high bioavailability [64,65]. Moreover, the intake of vitamin A, vitamin D, calcium, iodine, selenium and zinc is insufficient across the Egyptian population [61,66].…”

Section: Egyptmentioning

confidence: 99%

“…In particular, pregnant women living in rural areas frequently do not adhere to micronutrient supplementation recommendations due to lack of knowledge of its importance, and due to cost constraints [64].…”

Section: Egyptmentioning

confidence: 99%

Impact of Micronutrient Status during Pregnancy on Early Nutrition Programming

et al. 2019

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Background: Nutrition status prior to conception and during pregnancy and infancy seems to have an influence on the disease risk in adulthood (early nutrition/developmental programming). We aimed to review the current knowledge on the role of micronutrients in early nutrition programming and its implications for healthcare. Summary of Findings: Globally and even in high-income countries where a balanced diet is generally accessible, an inadequate maternal micronutrient status is common. This may induce health problems in the mother and foetus/newborn both immediately and in later life. Pregnant women and those who may become pregnant should aim to achieve a satisfactory micronutrient status from a well-balanced diet, and where necessary from additional supplements. Key Messages: We emphasise the need for a call to action for healthcare providers and policymakers to better educate women of child-bearing age regarding the short- and long-term benefits of an appropriate micronutrient status. The role of micronutrient status in early nutrition programming needs to be emphasized more to address the still limited awareness of the potential long-term health repercussions of suboptimal micronutrient supply during pregnancy.

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Prevalence and risk factors of iron-deficiency anaemia among pregnant women in rural districts of Menoufia governorate, Egypt

Cited by 35 publications

References 9 publications

Diet Behavior Modification of Pregnant Woman with Iron Deficiency Anemia Using Construct of the Trans-Theoretical Model: A Theory-Based Study

Diet Behavior Modification of Pregnant Woman with Iron Deficiency Anemia Using Construct of the Trans-Theoretical Model: A Theory-Based Study

The Prevalence of Micronutrient Deficiencies and Inadequacies in the Middle East and Approaches to Interventions

Impact of Micronutrient Status during Pregnancy on Early Nutrition Programming

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