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.

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