scholarly journals Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age

Nutrients ◽  
2016 ◽  
Vol 8 (4) ◽  
pp. 197 ◽  
Author(s):  
Frank Wieringa ◽  
Prak Sophonneary ◽  
Sophie Whitney ◽  
Bunsoth Mao ◽  
Jacques Berger ◽  
...  
2020 ◽  
Vol 8 (2) ◽  
pp. 1-11
Author(s):  
Mane Hélène Faye ◽  
Nicole Idohou-Dossou ◽  
Abdou Badiane ◽  
Anta Agne-Djigo ◽  
Papa Mamadou DD Sylla ◽  
...  

Background: Like many developing countries, Senegal does not have data on the extent of vitamin A deficiency (VAD) that is representative of its population. The present survey was conducted to fill this gap and to identify factors associated with VAD, prior to the introduction of a large-scale vitamin A oil fortification program. Procedures: A nationwide representative cross-sectional survey involving 1887 children 12 to 59 months old and 1316 women of reproductive age (WRA) was conducted. Blood samples were collected and plasma concentrations of retinol (PR), C-reactive protein (CRP), and alpha-1-acidglycoprotein were measured. PR was adjusted for subclinical inflammation using the BRINDA regression methodology. Multivariate logistic regression was used to identify factors associated with VAD. Findings: The adjusted prevalence of VAD (PR ≤ 0.7 μmol/L) in children was 15.3% and differed by age group, area of residence, and socioeconomic status and half of them had subclinical inflammation. Among WRA, VAD was low (2.3%) and 18.1% had vitamin A insufficiency (VAI). Pregnant women were more affected by VAI (28.4%) and Dakar had lower figures compared with other cities and rural strata. Prevalence of VAI decreased with increasing wealth quintile. In logistic regression, abnormal CRP, poverty, scarce consumption of poultry, oysters, melon, red palm oil, palm kernel oil, Saba senegalensis fruit pulp (Maad) and cowpea, frequent consumption of leeks and consumption of Leptadenia hastata leaves (Mbuum tiakhat), were associated with VAD in children. For women, lower socioeconomic status, fair or poor health status and anemia were negatively associated with VAI. Conclusions: In Senegal, VAD is a moderate public health problem in children and slight among women. Particular attention should be paid to children older than 23 months, pregnant women, rural populations, and poorest households. Nutritional interventions should be implemented alongside morbidity prevention and control. Keywords: vitamin A deficiency, children 12-59 months, women of reproductive age, Senegal.


2019 ◽  
Author(s):  
Najma A. Moumin ◽  
Moira Donahue Angel ◽  
Crystal D. Karakochuk ◽  
Kristina D. Michaux ◽  
Mourad Moursi ◽  
...  

AbstractIron biofortified beans and carotenoid enriched cassava are proposed as a solution to combat iron and vitamin A deficiencies, respectively, in the Democratic Republic of Congo (DRC). To inform the need for biofortified foods we conducted a survey in 2014, in two provinces of the DRC, South Kivu and Kongo Central. Unexpectedly, women of reproductive age (WRA; 15-49 y) and their children (6-59 m) had a low prevalence of biochemical iron and vitamin A deficiency, based on ferritin and retinol binding protein, respectively. However, to better understand the lack of biochemical deficiency of these nutrients we examined the prevalence of inadequate intake for these and other select nutrients. Dietary intake was assessed using 24-hour recalls (with repeats) among 744 mother-child dyads. In WRA the prevalence of inadequate iron intakes was 32% (10% bioavailability). The prevalence of inadequate vitamin A intakes was low in South Kivu (18%) and negligible in Kongo Central (1%). The prevalence of inadequate iron intake was 74% in infants (6-11 m) and ~22% in the older children (12-59 months). There was a high prevalence of inadequate zinc intake in women and children (i.e. 83% WRA) consistent with our findings of a high prevalence of low serum zinc in the same sample. Dietary data here corroborate the low prevalence of biochemical vitamin A deficiency but not iron. However, any change to the supply of red palm oil would dramatically reduce population vitamin A intakes, thus a carotenoid enriched cassava program may be beneficial as a safety net measure. Additionally, iron biofortified beans may be warranted given the high rates of dietary inadequacy and uncertainty around the validity of iron biomarkers. Crops biofortified with zinc also appear warranted. We caution that our findings cannot be extrapolated to the entire Congo where diverse agro-ecological landscape exist or when political and environmental shocks occur which challenge food production.


2021 ◽  
Vol 42 (1) ◽  
pp. 133-154
Author(s):  
Joanne E. Arsenault ◽  
Deanna K. Olney

Background: Rwanda’s commitment to reducing malnutrition is evident in their multisectoral nutrition policy and wide array of nutrition partners. However, the prevalence of micronutrient deficiencies and the suitability of current strategies to address existing deficiencies is unclear. Objective: To review the available evidence related to the prevalence of micronutrient deficiencies across the life cycle and strategies in place to address them. Methods: We reviewed scientific and grey literature on nutritional problems in Rwanda, emphasizing micronutrient deficiencies and anemia, and current strategies to address micronutrient malnutrition. Results: Overall, there is scant evidence related to the types and prevalence of micronutrient deficiencies among populations across the life cycle in Rwanda. Existing evidence is primarily limited to outdated or small regional surveys focusing on iron or vitamin A among women and young children. Surveys have assessed the prevalence of anemia and indicate that anemia is very high among young children and moderately high among other age-groups. However, there are limited data on the context-specific causes of anemia in Rwanda across population groups. Current nutrition strategies mainly target women and young children and are primarily designed to reduce vitamin A deficiency and/or anemia caused by micronutrient deficiencies. Conclusions: Rwanda has many nutrition programs in place that address micronutrient deficiencies in young children and a few for women of reproductive age. However, gaps exist in knowledge of the extent of different types of micronutrient deficiencies among all populations across the life cycle and whether the delivery of nutrients through current programs is meeting actual needs.


1994 ◽  
Vol 15 (4) ◽  
pp. 1-9 ◽  
Author(s):  
George H. Beaton ◽  
Reynaldo Martorell ◽  
Kristan A. Aronson ◽  
Barry Edmonston ◽  
George McCabe. A. Catharine Ross ◽  
...  

A meta-analysis of eight mortality trials indicates that improving the vitamin A status of children aged six months to five years reduced mortality rates by about 23% in populations with at least low prevalence of clinical signs of vitamin A deficiency. The observed effect of supplementation, described in terms of relative risk (RR), was RR =0.77 (95% confidence interval 0.68–0.88; p < .001) and did not differ by sex or age. However, the number of lives saved was greater at younger ages because of higher mortality. A significant RR was shown for deaths attributed to diarrhoea and measles, but not for respiratory infection. Variability among the trials in effects was apparent, but attempts to explain it by descriptors of the population (baseline anthropometric status, prevalence of xerophthalmia, age profile, baseline mortality) were unsuccessful. Owing to the lack of data, firm conclusions could not be reached about effectiveness in children of less than six months and in settings where biochemical but not clinical evidence of vitamin A deficiency exists. Information about morbidity outcomes from about two dozen studies was reviewed. No consistent effects on frequency or prevalence of diarrhoeal and respiratory infections were found. Improvement in vitamin A status did appear to reduce severe morbidity, particularly in children with measles.


2021 ◽  
Vol 3 (2) ◽  
pp. 206
Author(s):  
Herinawati Herinawati ◽  
Lia Artika Sari ◽  
Atika Atika ◽  
Iksaruddin Iksaruddin

19 million pregnant women are thought to have vitamin A deficiency. Vitamin A deficiency during pregnancy and postpartum can seriously affect the health of the mother and baby. Vitamin A supplementation is sometimes recommended. Although the health consequences of Vitamin A deficiency (VAC) are not well defined, recent data suggest that VAD in women of reproductive age can increase the risk of morbidity and mortality during pregnancy and the early postpartum period. Severe VAC in the mother also poses a loss for newborns because it can result in an increase in mortality in the first month of life. The results showed that Vitamin A deficiency (VAC) is also associated with high morbidity and mortality rates, especially among toddlers. Every year it is estimated that more than 60,000 Indonesian children suffer from severe visual impairment and one third of them become blind which cannot be cured. This is because the consumption of vegetables is still low, including carrots. This community service activity aims to increase the knowledge, attitudes and behavior of the community about the importance of Vitamin A for postpartum and breastfeeding mothers as well as making carrot sausage in Suka Maju Village, RT.09 Mestong District, Muaro Jambi Regency. The target of this service is breastfeeding mothers and posyandu volunteers. This activity is carried out from February to May. Participants who took part in the activities of postpartum mothers and posyandu volunteers, located at the Village Midwife's House RT 09, Mestong District, Muaro Jambi Regency. It is recommended to the puskesmas, village heads to be able to socialize and apply in promoting the processing of foods containing vitamin A in their daily diet


The Lancet ◽  
2010 ◽  
Vol 375 (9726) ◽  
pp. 1640-1649 ◽  
Author(s):  
Betty R Kirkwood ◽  
Lisa Hurt ◽  
Seeba Amenga-Etego ◽  
Charlotte Tawiah ◽  
Charles Zandoh ◽  
...  

2018 ◽  
Vol 38 (7) ◽  
pp. 975-978
Author(s):  
Milena Bastos Brito ◽  
Juliana Socorro Casqueiro ◽  
Fernanda Scoppetta Sampaio Alves ◽  
Jade Braga Lopes ◽  
Renata Dantas Monteiro Santana Alves ◽  
...  

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