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Diabetes, Iron-Deficiency Anemia, and Endocrine, Nutritional, and Metabolic Disorders in Children: A
Svetlana Rogova1, Olga Plotnikova2, Marat Kalishev1
1School of Public Health, Karaganda Medical University, Karaganda 100008, Kazakhstan.
Insights
Iron-deficiency anemia (IDA) and endocrine disorders decreased in Kazakhstan
Area of Science:
- Pediatric Health Trends
- Nutritional Epidemiology
- Socioeconomic Determinants of Health
Background:
- Examining ten-year trends (2013-2023) in pediatric iron-deficiency anemia (IDA), diabetes mellitus (DM), and endocrine, nutritional, and metabolic disorders (ENMDs) in Kazakhstan.
- Assessing the impact of socioeconomic factors on these childhood and adolescent health conditions.
- Understanding demographic and nutritional transitions affecting child health.
Purpose of the Study:
- To analyze temporal trends in IDA, DM, and ENMD incidence among children and adolescents (0-17 years) in urban Kazakhstan.
- To investigate associations between these health trends and socioeconomic indicators.
- To inform public health strategies for pediatric populations.
Main Methods:
- Retrospective analysis of national health data from 2013 to 2023.
- Linear regression models used to assess temporal trends and correlations with health and economic indicators.
- Inclusion of socio-economic variables such as household food expenditures and healthcare access metrics.
Main Results:
- Significant declines observed in IDA incidence across age groups (0-14 and 15-17 years).
- Decreased incidence of ENMDs, particularly notable in adolescents.
- Rising incidence of DM in adolescents (1.7 cases/100,000 annually), linked to lifestyle changes and obesity.
- Increased household food expenditure correlated with reduced IDA rates.
- DM and ENMD rates associated with consumption expenditures, pediatric bed availability, and endocrinologist density.
Conclusions:
- Public health interventions need to address the declining IDA and ENMD rates while tackling the rise in adolescent DM.
- Socioeconomic factors, particularly food security and healthcare access, play a crucial role in pediatric health outcomes.
- Integrated, equity-focused strategies are essential for improving child and adolescent health in Kazakhstan.
Abstract:
This study analyzes ten-year trends in the incidence of iron-deficiency anemia (IDA), diabetes mellitus (DM), and endocrine, nutritional, and metabolic disorders (ENMDs) among children and adolescents (0-17 years) in urban areas of Kazakhstan, considering socio-economic influences. A retrospective analysis of national data from 2013 to 2023 was conducted using linear regression to assess temporal trends and associations with health and economic indicators. Nationally, IDA incidence declined significantly: -278.4 cases per 100,000 among children aged 0-14 and -305.4 among adolescents aged 15-17 (both p < 0.001). ENMD incidence also decreased, particularly among adolescents (-154.0 per 100,000; p < 0.001). A 1000 KZT increase in household food expenditures was associated with a reduction in IDA incidence by 203-216 cases per 100,000 (p < 0.001), emphasizing the importance of accessible, nutritious diets. In contrast, DM incidence among adolescents rose by 1.7 cases annually per 100,000 (p < 0.05), possibly reflecting urbanization, lifestyle changes, and increasing obesity. DM and ENMD rates were significantly linked to consumption expenditures, pediatric bed availability, and endocrinologist density. These findings underscore the need for integrated, equity-focused prevention and improved healthcare access for children and adolescents amid ongoing demographic and nutritional transitions.
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