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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Iron deficiency anemia in an urban slum
N M Hanumante1, S Kanvinde, N J Sanwalka
1Poona Medical Foundation Research Center, Ruby Hall Clinic, Pune, India.
Insights
This pilot study found that liquid oral iron significantly reduced anemia prevalence in Indian toddlers from 66% to 30%. The intervention improved iron status in young children from low socio-economic backgrounds.
Area of Science:
- Nutritional Science
- Pediatric Health
- Public Health
Background:
- Anemia is a significant health concern in toddlers, particularly in lower socio-economic populations.
- Iron deficiency anemia affects iron status and overall health in young children.
- Assessing iron status and dietary intake is crucial for early intervention.
Purpose of the Study:
- To evaluate the iron status and dietary intake of toddlers aged 1-3 years from a low socio-economic group.
- To determine the effectiveness of an 8-week liquid oral iron intervention on anemia and iron stores.
- To provide insights for combating childhood anemia in urban slum settings.
Main Methods:
- A pilot study involving 50 toddlers (mean age 2.4 years) in an urban slum.
- Measurements included anthropometry, Food Frequency Questionnaire, hemogram, and ferritin levels.
- Intervention group received 20 mg of elemental iron daily for 8 weeks, followed by repeat measurements.
Main Results:
- Prevalence of anemia (Hemoglobin <11 gm%) was 66% initially, with 90% having low ferritin levels (<12 microgm/L).
- After 8 weeks of iron therapy, anemia prevalence decreased to 30%.
- Significant improvements in hemoglobin and ferritin levels were observed post-intervention (p<0.001).
Conclusions:
- Liquid oral iron therapy effectively reduced anemia prevalence in toddlers.
- The study highlights the need for proactive iron supplementation to combat childhood anemia.
- Recommendations include widespread iron prescription for toddlers presenting with minor ailments.
Objective:
Of this pilot study was to assess the iron status and dietary intake of 1-3 year-old apparently healthy toddlers of the lower socio-economic class, and the effect of eight weeks intervention with liquid oral iron in an urban slum in Pune, India.
Methods:
50 toddlers (M= 25, F= 25) with mean age of 2.4 years (SD 0.82) were evaluated. Anthropometry, Food Frequency Questionnaire, a hemogram and ferritin were measured. Twenty mg of elemental iron was given to all toddlers. After 8 weeks clinical examination, anthropometry, hemoglobin (HGB) and Ferritin were measured.
Results:
Prevalence of anemia was 66% (HGB <11 gm %) and ferritin (iron stores) were low (< 12 microgm/L) in 45 (90%). After therapy prevalence of anemia was 30%. There was a significant difference in the HGB and ferritin levels of children after eight weeks of therapy (p<0.001).
Conclusion:
The prevalence of anemia decreased from 66 to 30% after treatment with liquid iron. We propose that all concerned in the care of toddlers should join the fight against anemia and prescribe iron to all toddlers when they are seen for minor ailments.
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