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Published on: February 2, 2017
Anaemia, its correlation with overweight and growth patterns in children aged 5-10 years living in American Samoa
Teresa M Kemmer1, Rachel Novotny, A Sam Gerber
1Department of Nutrition, Food Science and Hospitality, South Dakota State University, Brookings, SD 57007-0497, USA. teresa.kemmer@sdstate.edu
Insights
Anaemia is prevalent in 17.3% of American Samoan children aged 5-10. Risk factors include lower maternal education and lack of household amenities, with higher rates in females with elevated BMI Z-scores.
Area of Science:
- Pediatric Health
- Nutritional Epidemiology
- Public Health
Background:
- Anaemia prevalence and growth patterns in American Samoan children are not well-documented.
- Understanding these health indicators is crucial for targeted interventions.
Purpose of the Study:
- Determine anaemia prevalence and identify its predictors in American Samoan children (5-10 years).
- Compare anaemia rates and growth patterns to US national data (CDC) and previous American Samoan data.
Main Methods:
- Cross-sectional study involving 208 children aged 5-10 years in American Samoa.
- Data collection included haemoglobin levels, Body Mass Index (BMI) Z-scores, and weight-for-age Z-scores (WAZ).
- Statistical analyses compared findings to National Health and Nutrition Examination Survey III and CDC reference data.
Main Results:
- 17.3% prevalence of anaemia (Hb < 11.5 g/dl) was observed.
- Females with higher BMI Z-scores and WAZ showed a greater prevalence of anaemia.
- Risk factors identified include lower maternal education, and lack of a car or phone.
Conclusions:
- Anaemia is a significant public health concern in American Samoan children.
- Children in American Samoa exhibit taller, heavier, and more overweight growth patterns compared to reference data.
- Further research is needed to investigate the causes of both anaemia and overweight conditions.
Objectives:
To determine the prevalence of anaemia, identify the predictors of anaemia, compare the prevalence of anaemia among children living in American Samoa to those found in children living in the USA, and compare the growth patterns obtained from this study to Centers for Disease Control and Prevention (CDC) data and data obtained earlier in American Samoan children.
Design:
Cross-sectional.
Setting:
American Samoa, a Pacific Island.
Subjects:
In all, 208 children aged 5-10 years.
Results:
Anaemia (Hb < 11.5 g/dl) prevalence was 17.3 %. There was a significant difference in mean Hb levels in children within American Samoa as compared to National Health and Nutrition Examination Survey III data (P < 0.05). In children with BMI Z-score (BMIZ) (P < 0.05) and weight-for-age Z-score (WAZ) (P < 0.05) >2.0, females had a significantly higher prevalence of anaemia than males. Females with a WAZ > 2.0 had a significantly higher prevalence of anaemia than females with a WAZ < or = 2.0 (P < 0.03). Risk factors for anaemia were mother having less than a high school education (P = 0.02), no car (P < 0.01) and no phone (P = 0.02). The BMIZ (P < 0.000), height-for-age Z-score (P < 0.000) and WAZ (P < 0.000) were significantly different from the distribution of CDC reference data and that found in children previously assessed in American Samoa.
Conclusions:
Anaemia is high among children aged 5-10 years living in American Samoa. Growth pattern Z-scores reveal that American Samoan children are, on average, taller, heavier and more overweight. Further examination into the causes of anaemia and overweight is warranted.
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