Risk factors of infant anemia in the perinatal period

Hirata, Michio; Kusakawa, Isao; Ohde, Sachiko; Yamanaka, Michiko; Yoda, Hitoshi

doi:10.1111/ped.13174

Cited by 11 publications

(9 citation statements)

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“…The longer the infant is breastfed, the worse the severity of childhood anemia [ 18 ]. In 2017, Hirata et al in Japan showed that the infant feeding method was the most significant risk factor for IDA, followed by exclusive breastfeeding, and partial breastfeeding, with formula feeding having the lowest risk [ 19 ]. A cross-sectional study in Thailand reported that if mothers received adequate nutritional supplements, including iron, during pregnancy and lactation, exclusive breastfeeding up to 6 months should be advocated due to its substantial health benefits, particularly for anemia [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010–2015

Wang

Liu²,

Zhao

et al. 2020

Med Sci Monit

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Background Iron deficiency anemia (IDA) is a global public health problem. This study aimed to analyze the social determinants of IDA in infants living in Shanghai, China, between 2010–2015. Material/Methods Data were analyzed retrospectively from the Shanghai Children’s Health Check Record system in the Tangqiao Community Health Service Center for infants aged <24 months between January 1, 2010, and December 31, 2015. A study group was identified with IDA, and an age-matched and gender-matched healthy control group was identified. Results The five-year prevalence rate of IDA was 11.49% (150/1305). Infants with IDA had significantly lower birth weights (3228.720±456.200 gm vs. 3376.870±393.719 gm; P<0.01), a higher percentage of premature births (10.67% vs. 1.33%; P<0.001), a longer exclusive breastfeeding period (10.63±4.844 months vs. 7.08±5.039 months; P<0.001), a higher rate of exclusive breastfeeding within four months after birth (P<0.001), a later start for complementary feeding (7.32±1.633 months vs. 6.93±1.794 months; P<0.05), and a higher rate of starting complementary feeding after 6 months of age (P<0.05). There were no significant differences between the two groups for maternal child-bearing age, mode of delivery, infant birth height, and birth rank. Conclusions The introduction of an iron-fortified formula for exclusively breastfed infants at 4 months of age, starting complementary feeding promptly before 6 months of age, and improving perinatal care for pregnant women to avoid premature birth and reduce low birth weight may be effective measures to prevent IDA.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010–2015

Wang

Liu²,

Zhao

et al. 2020

Med Sci Monit

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“…6 The US Department of Health and Human Services has set a target of reducing ID by 10% in children aged 1-2 years by 2020. 7 There are only a few reports from small cohorts on the ID and IDA prevalence in Japan, [8][9][10][11] and ID and IDA have not received adequate attention from Japanese academic societies and government agencies.…”

mentioning

confidence: 99%

Prevalence of infant and maternal anemia during the lactation period in Japan

Amano

Murakami

2019

Pediatrics International

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Background The perinatal period is associated with a high risk of infant anemia. The aim of the present study was to determine the prevalence of infant and maternal anemia during the late lactation period and the risk factors for anemia in Japan. Methods This retrospective cohort study was based on data from health checkups of healthy infants at 6–7 and 9–10 months of age and their mothers who visited Akitsu Children's Clinic between September 2013 and August 2015. Complete blood count data from infant blood samples obtained at 6–7 months and 9–10 months and from maternal blood samples obtained at 6–7 months, information on feeding methods, and other related parameters were analyzed. Results Data from 388 mother–infant pairs were analyzed. The prevalence of infant anemia was 21.1% at 6–7 months and 29.1% at 9–10 months. The prevalence of anemia in exclusively breast‐fed infants was 28.4% at 6–7 months and 40.0% at 9–10 months. The risk factors for infant anemia at 9–10 months were exclusive breast‐feeding, lower gestational age at birth, male sex, and high weight gain. The prevalence of maternal anemia was 10.5%. There was no correlation between infant and maternal hemoglobin in exclusively breast‐fed infants. Conclusions Japanese infants who were breast‐fed exclusively had a high prevalence of anemia. A nationwide strategy to prevent anemia is required to prevent infant anemia, even in a nutrition‐rich country such as Japan.

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“…Aunque las guías actuales de suplementación con hierro del MINSA indican que la suplementación preventiva debe realizarse por el lapso de 12 meses continuos en los niños de 6 a 36 meses de edad(26), consideramos que, para el caso de comunidades como las estudiadas, la suplementación debería mantenerse de manera continua durante los primeros 24 meses, como lo recomendaba antes la OMS(27), inclusive hasta los 36 meses de vida y debería comenzar aún antes de la ablactancia, a partir del mes de edad, tal como el MINSA lo recomienda para grupos de riesgo especiales como los niños de bajo peso al nacer y los prematuros(26). Por otra parte, el adecuado control del embarazo y la suplementación con hierro de las gestantes debería ser una prioridad en estos ámbitos, así como la implementación de otras medidas tales como el pinzamiento tardío del cordón umbilical durante el parto, la desparasitación de los niños, la consejería en temas nutricionales y el seguimiento y vigilancia comunitaria (4, 22, 28, 29).…”

Section: Discussionunclassified

Modelo para mejorar la anemia y el cuidado infantil en un ámbito rural del Perú

Mansilla

Whittembury

Chuquimbalqui

et al. 2017

Revista Panamericana De Salud Pública

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Objetivo. Determinar la efectividad de la Estrategia para el Crecimiento y Desarrollo Integral (ECDI) de World Vision Perú sobre la anemia, desnutrición, desarrollo psicomotor y cuidado y protección infantil en niños menores de tres años de edad que residían en tres comunidades rurales de la Región Ayacucho del Perú. Métodos. Se realizó un estudio cuasiexperimental en tres distritos rurales de la región Ayacucho, Perú. La medición de anemia se realizó con sangre capilar y el analizador HemoCue®, con ajuste de los valores de hemoglobina según a la altitud. La desnutrición se midió a través de los indicadores antropométricos de talla y peso; para ello se utilizó la herramienta Anthro de la Organización Mundial de la Salud. El desarrollo psicomotor se midió mediante el Test Abreviado del Ministerio de Salud del Perú. El cuidado y protección de los niños se midió a través de una ficha especialmente elaborada para este fin. Se realizaron tres mediciones, la línea basal en mayo del 2013, la medición intermedia en noviembre del mismo año y la final en mayo del 2014. En total, 283 niños tuvieron dos o más mediciones incluida la medición final y 205 tuvieron las tres mediciones. Resultados. El análisis multivariado para medidas repetidas mostró una efectividad estimada de la ECDI para reducir la anemia de 33,1% (intervalo de confianza del 95%: 1,0%-54,7%) ajustada para la edad, sexo, consumo de alimentos ricos en hierro, consumo de alimentos potenciadores de la absorción de hierro, consumo de alimento inhibidores de la absorción de hierro, haber recibido suplementación de hierro en los últimos seis meses y haber participado del Programa Cuna Más. Conclusiones. La ECDI fue efectiva para mejorar la nutrición de los menores de 36 meses de edad a través de la reducción de la anemia y el incremento del consumo de potenciadores de la absorción de hierro. Las intervenciones que incluyen componentes educativos y de seguimiento comunitarios podrían ser de gran ayuda para combatir la anemia en los niños menores de 36 meses de edad en comunidades rurales.

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Risk factors of infant anemia in the perinatal period

Abstract: Infant nutrition method was the most significant factor related to anemia in late infancy. Infants with low umbilical cord blood hemoglobin are more likely to develop anemia in late infancy.

Cited by 11 publications

References 20 publications

A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010–2015

A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010–2015

Prevalence of infant and maternal anemia during the lactation period in Japan

Modelo para mejorar la anemia y el cuidado infantil en un ámbito rural del Perú

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