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INTESTINAL PARASITIC INFECTION IN EGYPTIAN CHILDREN: COULD IT BE A RISK FACTOR FOR IRON DEFICIENCY ANEMIA?
Insights
Iron deficiency anemia (IDA) in children is linked to parasitic infections like Ancylostoma duodenale and Giardia lamblia, alongside socioeconomic factors such as low family income. These factors increase the risk of developing IDA.
Area of Science:
- Pediatric Nutrition
- Infectious Diseases
- Public Health
Background:
- Iron deficiency anemia (IDA) is a prevalent nutritional disorder in children globally.
- Parasitic infections and socioeconomic determinants are suspected contributors to IDA.
- Understanding these associations is crucial for effective prevention and treatment strategies.
Purpose of the Study:
- To investigate the association between specific parasitic infections and socioeconomic factors with IDA in children.
- To identify independent risk factors for IDA in the studied pediatric population.
Main Methods:
- A case-control study involving 194 children diagnosed with IDA and 180 age-matched controls.
- Data collection included complete blood count (CBC), iron indices, medical history, anthropometric measurements, and stool analysis.
- Multivariate regression analysis was employed to identify independent risk factors.
Main Results:
- Ancylostoma duodenale, Ascaris lumbercoides, and Giardia lamblia infections were identified as independent risk factors for IDA.
- Lower family income, larger family size, and infrequent meat consumption were also significant risk factors.
- A. duodenale and G. lamblia infections correlated with lower ferritin levels in anemic children.
Conclusions:
- Parasitic infections and certain socioeconomic factors are significant independent risk factors for IDA in children.
- Targeting these factors, particularly parasitic infections and poverty, may help reduce the burden of childhood IDA.
- Further research can explore the interplay between nutrition, infection, and socioeconomic status in IDA etiology.
Abstract:
A case control study that associates IDA with different parasitic infections and socioeconomic factors. The study enrolled 194 children with IDA and 180 age matched control. Patients diagnosed as IDA by complete blood count (CBC), and iron indices. All cases were subjected to complete history, anthropometric measures, and CBC and stool analysis. Ancylostoma duodenal, Ascaris lumbercoides and Giardia lamblia infections, lower family income, increased number of family members and eating meat in low frequency could be independent risk factors for IDA as detected by multivariate regression analysis. A. duodenale and G. lamblia were associated with lower ferritin levels in anemic patients. No significant associations as regards residence, body mass index, mother employment or education levels (p>0.05).
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