Double Burden: Obesity Among Iron Deficiency Anemic Nursing Students

2017 ◽  
Author(s):  
Utoomporn Sittisingh
Keyword(s):  
Nursing Students ◽  
Iron Deficiency ◽  
Double Burden

scholarly journals A Double Burden of Overall or Central Adiposity and Anemia or Iron Deficiency Is Prevalent but with Little Socioeconomic Patterning among Moroccan and Tunisian Urban Women

2013 ◽  
Vol 144 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Agnès Gartner ◽  
Jalila El Ati ◽  
Pierre Traissac ◽  
Abdellatif Bour ◽  
Jacques Berger ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Urban Women ◽  
Central Adiposity ◽  
Double Burden

scholarly journals Impact of iron fortification on anaemia and iron deficiency among pre-school children living in Rural Ghana

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246362
Author(s):  
Samuel Kofi Tchum ◽  
Fareed Kow Arthur ◽  
Bright Adu ◽  
Samuel Asamoah Sakyi ◽  
Latifatu Alhassan Abubakar ◽  
...  
Keyword(s):  
Placebo Group ◽  
Iron Deficiency ◽  
School Children ◽  
Iron Status ◽  
Intervention Group ◽  
Iron Group ◽  
Double Burden ◽  
Micronutrient Powder ◽  
The Impact

Anaemia in young sub-Saharan African children may be due to the double burden of malaria and iron deficiency. Primary analysis of a double-blind, cluster randomized trial of iron containing micronutrient powder supplementation in Ghanaian children aged 6 to 35 months found no difference in malaria risk between intervention and placebo groups. Here, we performed a secondary analysis of the trial data to assess the impact of long-term prophylactic iron fortificant on the risk of iron deficiency and anaemia in trial subjects. This population-based randomized-cluster trial involved 1958 children aged between 6 to 35 months, identified at home and able to eat semi-solid foods. The intervention group (n = 967) received a daily dose containing 12.5 mg elemental iron (as ferrous fumarate), vitamin A (400 μg), ascorbic acid (30 mg) and zinc (5 mg). The placebo group (n = 991) received a similar micronutrient powder but without iron. Micronutrient powder was provided daily to both groups for 5 months. At baseline and endline, health assessment questionnaires were administered and blood samples collected for analysis. The two groups had similar baseline anthropometry, anaemia, iron status, demographic characteristics, and dietary intakes (p > 0.05). Of the 1904 (97.2%) children who remained at the end of the intervention, the intervention group had significantly higher haemoglobin (p = 0.0001) and serum ferritin (p = 0.0002) levels than the placebo group. Soluble transferrin receptor levels were more saturated among children from the iron group compared to non-iron group (p = 0.012). Anaemia status in the iron group improved compared to the placebo group (p = 0.03). Continued long-term routine use of micronutrient powder containing prophylactic iron reduced anaemia, iron deficiency and iron deficiency anaemia among pre-school children living in rural Ghana’s malaria endemic area.

The double burden of obesity and iron deficiency on children and adolescents in Greece: the Healthy Growth Study

2012 ◽  
Vol 26 (5) ◽  
pp. 470-478 ◽  
Author(s):  
Y. Manios ◽  
G. Moschonis ◽  
G. P. Chrousos ◽  
C. Lionis ◽  
V. Mougios ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Children And Adolescents ◽  
Growth Study ◽  
Double Burden ◽  
Healthy Growth

scholarly journals The Prevalence and Risk Factors of Overweight and Obesity Among Women of Reproductive Age with Iron Deficiency Anaemia in Urban Bangladesh (P10-064-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nazia Ali ◽  
Tanvir Huda ◽  
Sajia Islam ◽  
Michael Dibley ◽  
Masudur Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Iron Deficiency Anaemia ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Deficiency Anemia ◽  
Baseline Assessment ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Abstract Objectives This study aims to identify the prevalence and risk factors of overweight and obesity among women of reproductive age (15–49 years) with iron deficiency anaemia in urban Bangladesh. Methods We obtained data for this study from the baseline assessment of a randomized control trial conducted among women of reproductive age with iron deficiency anemia (Hb <12 g/dl & serum ferritin <30 μg/L). The trial was carried out in Mirpur, Dhaka, Bangladesh between December 2017 and January 2019. As part of the baseline assessment, we collected data on women's sociodemographic characteristics and reproductive history from 525 participants. We also measured the height, weight, and MUAC at the baseline. We estimated BMI using formula; weight in kilograms divided by the square of height in meters. As per the WHO classification, we considered women with BMI ≥25 kg/m2 to be overweight and ≥30 kg/m2 to be obese. A multivariable logistic regression model was used to ascertain the risk factors of overweight and obesity. Results Of the 525 study participants, 157 (30%; 95% CI 26.0 - 34.0) were overweight and 69 (13%; 95% CI 10.3 - 16.3) were obese. Bivariate analysis indicated that the age of women, parity, women's education, women's employment, marital status, husband's education and household wealth were associated with overweight and obesity. The multivariable analysis showed married women (OR 2.9; CI 1.0–8.3), women aged 40 to 49 years (OR 7.4; CI 2.4–22.9) and women from the higher social economic household (OR 5.8; CI 2.7‐12.4) has the highest risk of overweight and obesity. Both age and household socioeconomic status showed dose response relationship. Conclusions The prevalence of overweight and obesity among women of reproductive age with iron deficiency anemia in urban Bangladesh is three times higher than the WHO critical threshold of 15%. This highlights that Bangladesh is undergoing an epidemiologic transition characterized by the double burden of malnutrition. It is crucial that the policy makers understand what new interventions and policy initiatives are needed to address the double burden of malnutrition in the country. Funding Sources Saving Lives at Birth and Medical Research Council, UK. Supporting Tables, Images and/or Graphs

scholarly journals In a Nutrition Transition Context in North Africa, Is the Co-Occurrence of Excess Adiposity and Iron Deficiency or Anemia Independent, Aggravating or Protective?

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 287-287
Author(s):  
Pierre Traissac ◽  
Roger Montenegro ◽  
Jalila El Ati ◽  
Agnès Gartner ◽  
Houda Ben Gharbia ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Fat Mass ◽  
North Africa ◽  
Iron Content ◽  
Nutrition Transition ◽  
High Energy ◽  
Childbearing Age ◽  
Double Burden ◽  
Cross Sectional ◽  
Excess Adiposity

Abstract Objectives In North Africa, due to the rapid nutrition transition, the within-subject double burden of excess adiposity and anemia or iron deficiency (ID) is prevalent, especially among women. Contrasted hypotheses on iron content of the nutrition transition high energy diets could result in either aggravating or protective co-ocurrence. We studied its nature, strength and variation with sociodemographic characteristics among women of childbearing age. Methods Two cross-sectional studies used stratified clustered random samples of 20–49 y. urban women in 2009/2010 in Rabat-Salé, Morocco (n = 811) and Tunis, Tunisia (n = 1689). Excess adiposity (EA) was assessed by Body Mass Index ≥30 kg/m2, or Waist Circumference ≥88 cm or Fat Mass (derived by impedancemetry) ≥39, 40 or 41% (depending on age and country). ID was ferritin &lt;15 µg/L (corrected for inflammation), anemia was Hb &lt; 12 g/dL. A purposely developed symmetrical measure of co-occurrence was used: IPR (Independence Probability Ratio) e.g., for ID IPR = P(EA&ID)/[P(EA)xP(ID)] = 1, &lt;1 or &gt;1 respectively in case of independent, protective or aggravating within-subject co-occurrence. IPR crude or adjusted were estimated using multinomial logistic models. Results are presented with P = 0.95 confidence intervals. Results The nature of EA co-occurrence with anemia or ID varied according to EA indicator and country but with most of them being independent. Nevertheless, protective co-occurrences were found between Fat Mass and anemia (IPR = 0.84[0.68–1.00] in Morocco and also in Tunisia 0.75[0.63–0.89]), and especially for non-ID anemia (IPR = 0.67[0.53–0.82] in Tunisia). On the other hand, none was found with ID (IPR = 0.97[0.89–1.05] in Morocco, IPR = 1.04[0.86–1.23] in Tunisia). Variation with socio-demographic characteristics was mild. Conclusions The results somewhat refute hypotheses on the within-subject non-independent co-occurrence of EA rather with ID or ID anemia, in relation with iron content of nutrition transition diets in the context. Beyond genetic causes of non-ID anemia, hypotheses linked to other nutrients and/or physiological pathways must be considered. Funding Sources French Ministry of Foreign Affairs (CORUS Program), INNTA (Tunisian National Institute of Nutrition), IRD (French National Research Institute for Sustainable Development).

scholarly journals Nursing Students’ Knowledge and Attitude on Consumption of Iron Supplement to Prevent Iron Deficiency Anaemia

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Mira Trisyani ◽  
Ermiati E ◽  
Yanti Hermayanti ◽  
Restuning Widiasih ◽  
Tetti Solehati ◽  
...  
Keyword(s):  
Nursing Students ◽  
Iron Deficiency ◽  
World Health ◽  
Deficiency Anemia ◽  
Iron Supplement ◽  
Caffeine Consumption ◽  
Knowledge And Attitude ◽  
Level Of Understanding ◽  
Health Organization ◽  
High Level

The World Health Organization (WHO) reported that the incidence of anemia in adolescent, especially in developing countries, remained high, including in young women in the West Java provinces. An alternative way to deal with anemia in adolescents is by fulfilling their daily nutrition, especially during menstruation. This study aimed to determine the knowledge and attitudes of nursing students related to the sources of iron supplement in Faculty of Nursing Universitas Padjdjaran.  This study applied the descriptive quantitative approach. Samples were chosen using the purposive sampling method, and 197 students from three different years involved in this study. The respondents filled in the Gutman instrument to assess their knowledge and attitude. Results showed that 23.85% of respondent had a low understanding of iron supplement sources, 41,62% in the moderate level of understanding, and 34.51% of respondents had a high level of knowledge. In regard to respondents’ attitude, the majority of respondent had a good attitude (52,79%) and (47,20%) of them had the low attitude. This study informed that there was a group of student who risks of Iron deficiency anemia. It was because of unregular consumption of Iron tablet and their habit related to caffeine consumption that may be affected by iron’s absorption in their body. There is a need for a monitoring and implementation program to evaluate adolescents' intake including folic acid, iron supplement, and vitamin to improve hemoglobin levels.Keywords: Anemia, Attitude, Iron Deficiency, Knowledge

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