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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
One-Year Daily Micronutrient Supplementation and Anemia Prevalence Among Mildly Stunted Infants in Bhaktapur, Nepal
Ram Krishna Chandyo1, Suman Ranjitkar2,3, Manjeswori Ulak3
1Department of Community Medicine, Kathmandu Medical College, Kathmandu, Bagmati, Nepal.
Insights
Multi-micronutrient supplementation significantly reduced anemia prevalence in young children from 65% to 25% within one year. However, anemia persisted in one-fourth of toddlers, indicating a need for further research and interventions.
Area of Science:
- Pediatric Nutrition
- Public Health
- Hematology
Background:
- Anemia is a significant global health issue, particularly affecting infants and young children.
- Understanding the burden of anemia in early childhood is crucial for developing effective interventions.
Purpose of the Study:
- To determine the prevalence of anemia in infants aged 6-11 months.
- To evaluate the impact of one-year multi-micronutrient supplementation on anemia prevalence.
Main Methods:
- Hemoglobin levels were measured in 569 children at baseline (6-11 months) and after one year (18-23 months).
- All participants received daily lipid-based micronutrient formulation for the study duration.
Main Results:
- Anemia prevalence decreased from 65% at 6-11 months to 25% at 18-23 months.
- Among infants anemic at baseline, 29% remained anemic; 18% of initially non-anemic infants developed anemia.
Conclusions:
- Multi-micronutrient supplementation substantially reduced anemia prevalence in toddlers.
- Despite supplementation, a significant proportion of children remained anemic, highlighting the need for comprehensive interventions and further research.
Objectives:
To describe the burden of anemia at 6 to 11 months and the change in anemia prevalence after 1 year of multi-micronutrient supplementation.
Methods:
We analyzed hemoglobin concentration twice in 569 children. First when they were 6 to 11 months old and second after 1 year (at ages 18-23 months). All children were given a lipid-based micronutrient formulation daily for a year.
Results:
The prevalence (95% CI) of anemia at 6 to 11 months was 65% (61%-68%) and decreased to 25% (21%-28%) after 1 year. Among the 367 infants with anemia at baseline, 29% continued to be anemic during follow-up. There were also 18% infants who developed anemia during follow-up out of 202 infants with normal hemoglobin concentration at baseline.
Conclusions:
The anemia prevalence was substantially reduced after 1 year with micronutrient supplementation. However, even after 1 year of multimicronutrient supplementation, one-fourth of toddlers had anemia which merits further integrated research and comprehensive intervention.
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