The Influence of Malnutrition and Micronutrient Status on Anemic Risk in Children under 3 Years Old in Poor Areas in
Jie Wang1, Hui Wang2, Suying Chang3
1Department of Maternal and Child Nutrition, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Insights
Anemia affects over a quarter of young children in poor Chinese regions, particularly infants. Interventions should focus on iron and vitamin B12 supplements, dietary diversity, and maternal anemia control.
Area of Science:
- Pediatric Nutrition
- Public Health
- Micronutrient Deficiencies
Background:
- Malnutrition and anemia are prevalent among young children in impoverished areas of China.
- Multi-micronutrient deficiencies may contribute to anemia, necessitating identification of risk factors.
Purpose of the Study:
- To investigate the prevalence of anemia and associated risk factors in children under three years old in poor Chinese counties.
- To inform effective intervention strategies for combating childhood anemia.
Main Methods:
- A cross-sectional study involving 1370 children under three years old from poor Chinese counties.
- Data collection included questionnaires, anthropometric measurements, hemoglobin levels, and micronutrient status analysis (for children 12-35 months).
- Logistic regression analysis was employed to identify risk factors for anemia.
Main Results:
- Anemia prevalence was 25.6% among children aged 0-35 months, with higher rates in younger children.
- Prevalence of stunting, low body weight, and wasting were 17.5%, 8.6%, and 5.1%, respectively.
- Significant risk factors for anemia included maternal anemia (0-11 months), iron and vitamin B12 deficiencies, and a monotonous diet (12-35 months).
Conclusions:
- Anemia is highly prevalent in children under two years old, demanding urgent intervention.
- Effective strategies include iron and vitamin B12 supplementation, enhancing dietary diversity, and addressing anemia in breastfeeding mothers.
Background:
Malnutrition and anemia affect large numbers of young children living in poor areas of China. Multi-micronutrient deficiencies may be related to the prevalence of anemia in different populations, and identifying the risk factors that render children susceptible to anemia is the first step in combating anemia effectively.
Methods:
In this cross-sectional study, a total of 1370 children under 3 years old were selected based on probability proportional to size sampling principles from poor counties of China. Basic characteristics data were collected by questionnaire; then anthropometrics and hemoglobin were measured in the field and anemia prevalence evaluated. Venous blood was drawn from children aged 12-35 months (N = 553) to evaluate micronutrient status. Logistic regression was used to identify the risk factors for children's anemia.
Results:
Among children aged 0-35 months, the prevalence of stunting, low body weight and wasting was 17.5%, 8.6% and 5.1%, respectively, and 25.6% of the children were affected by anemia, with more anemic infants and younger children than older children (P <0.01). There were 26.5%, 12.8%, 14.1% and 20.0% of the children aged 12-35 months affected by iron deficiency, vitamin D deficiency, folic acid deficiency and vitamin B12 deficiency, respectively. For children aged 0-11 months who were breastfed, the mothers' anemic status was the only factor associated with the child's anemia (OR = 2.6; 95% CI: 1.2-5.4, P < 0.05). For children aged 12-35 months, multivariate logistic regression indicated that anemia was significantly associated with iron and vitamin B12 deficiency (OR = 5.3; 95% CI: 1.9-14.5, P < 0.01) and monotonous diet (OR = 2.3; 95% CI: 1.1-4.7, P < 0.05) after adjusting for age and gender.
Conclusion:
The prevalence of anemia was higher in children under 2 years old and requires urgent intervention. An effective intervention strategy should include iron and vitamin B12 supplements, improving dietary diversity and controlling breastfeeding mothers' anemia.
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