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Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a
Abdul Jaleel A Latif Zainel1, Sherif R Omar Osman2,3, Sadriya Mohammed S Al-Kohji4
1Clinical Affairs, Primary Health Care Corporation, Doha, Qatar.
Insights
Iron deficiency (ID) and iron deficiency anaemia (IDA) affect 9.2% and 7.8% of infants in Qatar, respectively. Targeted infant feeding practices and counselling can reduce ID prevalence.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Iron deficiency (ID) and iron deficiency anaemia (IDA) are significant global health concerns in infants.
- Understanding the prevalence and epidemiological features of ID and IDA is crucial for developing effective interventions.
Purpose of the Study:
- To estimate the prevalence of anaemia, ID, and IDA in 12-month-old infants in Qatar.
- To explore the epidemiological characteristics and feeding practices associated with ID in this population.
Main Methods:
- A cross-sectional study was conducted in 14 primary healthcare centers in Qatar.
- 306 infants were enrolled, and mothers completed questionnaires on feeding practices. Infants underwent blood tests for anaemia, ID, and IDA using defined cut-off points.
Main Results:
- The prevalence of anaemia was 23.5%, ID was 9.2%, and IDA was 7.8%.
- ID was more common in non-Qatari infants, those from low-income families, and those breastfed exclusively until one year.
- Infants whose mothers received feeding counselling showed lower rates of ID.
Conclusions:
- While ID and IDA prevalence in Qatar is lower than in many developing nations, further improvements are needed.
- Interventions should focus on infant feeding practices and maternal counselling to reduce ID.
Objectives:
To estimate the magnitude of anaemia, iron deficiency (ID), iron deficiency anaemia (IDA) and to explore epidemiological features of ID and feeding practices among infants aged 12 months in Qatar.
Setting:
Well baby clinics in 14 randomly selected primary healthcare centres covering all geographical areas on the national level.
Participants:
Three hundred and six (163 male and 143 female) infants of all nationalities were enrolled. Mothers were asked to complete a predesigned interview questionnaire and infants were blood tested for anaemia, ID and IDA.
Outcome Measures:
Cut-off point used to diagnose anaemia was haemoglobin <11.1 g/dL, and to diagnose ID, serum ferritin <6 ug/L with normal C reactive protein.
Results:
Prevalence of anaemia was 23.5%, ID was 9.2% and IDA was 7.8%. ID was more prevalent among non-Qatari infants compared with Qatari (10.9% vs1.7%, p=0.029), more prevalent among infants born to housewives and to families of low income (p≤0.05). With regard to feeding practice, ID was higher in infants who continued breastfeeding until the age of 1 year and among those who never took infant formula milk (p≤0.05). Mothers who received infant feeding counselling had less ID occurrence among their infants compared with their counterparts who did not receive such counselling (4.2%vs13.4%, p=0.005).
Conclusion:
Although ID and IDA among infants in Qatar are less prevalent compared with many developing countries, still further efforts are needed for improvement towards more developed countries. Efforts should be contextualised and should target the key epidemiological features with special emphasis on infant feeding and infant feeding counselling to mothers.
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