[Analysis on the changes of nutritional status in China anemia status of children under 5 in China]

Suying Chang1, Wu He, Fengmei Jia

  • 1Chinese Center for Disease Control and Prevention, Beijing 100050, China.

Insights

Childhood anemia remains a persistent issue in China, with prevalence peaking between 6-12 months. Addressing maternal anemia and stunting is crucial for improving child nutrition and reducing anemia rates.

Area of Science:

  • Public Health
  • Pediatrics
  • Nutrition Science

Context:

  • Child nutrition status in China remains a significant public health concern.
  • The Chinese Food and Nutrition Surveillance System provides valuable data for policy-making.
  • Anemia prevalence in children under five has shown little change between 1992 and 2005.

Purpose:

  • To provide evidence-based recommendations for improving child nutrition status in China.
  • To analyze the prevalence and risk factors of childhood anemia.
  • To investigate the relationship between maternal and child anemia.

Summary:

  • Hemoglobin levels were measured using Cyanmethemoglobin and HemoCue, with a diagnostic criterion of 110 g/L for children aged 6 months to under 6 years, adjusted for high-altitude populations.
  • Anemia prevalence varied by age, with a peak in children aged 6-12 months. Maternal anemia was a significant risk factor (OR=2.31), alongside factors like breastfeeding, stunting, low birth weight (LBW), and complementary food quality in younger children (4-23 months).
  • For older children (24-59 months), maternal anemia and stunting remained key related factors.

Impact:

  • Highlights the need for simultaneous interventions targeting both child and maternal anemia.
  • Informs policy-makers on critical factors influencing childhood anemia in China.
  • Emphasizes the importance of addressing stunting and maternal health for comprehensive child nutrition improvement.
Abstract