Body mass index and other anthropometric variables in children with sickle cell anaemia

Odutola Israel Odetunde1, Josephat Maduabuchi Chinawa2, Kingsley Ihedioha Achigbu3

  • 1Dr. Odutola Israel Odetunde, Pediatric Nephrology Unit, Department of Pediatrics, University of Nigeria Teaching Hospital, UNTH, Ituku Ozalla, Enugu, PMB 01129, Ituku - Ozalla, Enugu State, Nigeria.

Insights

Children with sickle cell anemia have significantly lower anthropometric measurements, including BMI, compared to those with normal hemoglobin genotypes. This highlights potential nutritional challenges in pediatric sickle cell disease management.

Area of Science:

  • Pediatric Hematology
  • Nutritional Science
  • Anthropometry

Background:

  • Sickle cell anemia (HbSS) is a genetic blood disorder affecting red blood cells.
  • Growth and nutritional status are critical concerns in children with chronic diseases like sickle cell anemia.
  • Understanding anthropometric differences can inform clinical management and support interventions.

Purpose of the Study:

  • To determine and compare anthropometric variables in children with sickle cell anemia versus those with normal hemoglobin genotypes.
  • To assess nutritional status using anthropometric indicators in pediatric sickle cell anemia patients.
  • To establish baseline anthropometric data for children with sickle cell anemia.

Main Methods:

  • A cross-sectional study involving anthropometric measurements over six months.
  • Recruitment of children aged 6-20 years with sickle cell anemia in steady state and age-matched controls.
  • Statistical analysis using SPSS v.20 to compare anthropometric data between groups.

Main Results:

  • Children with sickle cell anemia showed a significantly higher prevalence of being underweight (48%) compared to controls (13%).
  • Patients with sickle cell anemia had significantly lower weight and body surface area than the control group (P<0.05).
  • Statistical significance was confirmed for underweight prevalence (χ(2)=18.02, p=0.000 for HbSS; χ(2)=10.286, p=0.001 for controls).

Conclusions:

  • Children with sickle cell anemia exhibit lower BMI and other anthropometric variables compared to children with normal hemoglobin genotypes.
  • These findings underscore the importance of monitoring anthropometric status in pediatric sickle cell anemia.
  • Anthropometric assessment is crucial for identifying nutritional deficits in children with sickle cell anemia.
Abstract