scholarly journals Iron deficiency anaemia among apparently healthy pre-school children in Lagos, Nigeria

2016 ◽  
Vol 16 (1) ◽  
pp. 61 ◽  
Author(s):  
Olufemi S. Akodu ◽  
Elizabeth A. Disu ◽  
Olisamedua F. Njokanma ◽  
Omolara A. Kehinde
Keyword(s):  
Iron Deficiency ◽  
School Children ◽  
Iron Deficiency Anaemia ◽  
Deficiency Anaemia ◽  
Apparently Healthy

scholarly journals Effectiveness of a Nutritional Education Intervention Focussed on Iron among School Children in National Capital Region and Mumbai

2021 ◽  
Author(s):  
Richa Bharti ◽  
Ankita Marwaha ◽  
Teena Badshah ◽  
Rupali Sengupta ◽  
Bhavna Barmi ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
School Children ◽  
Iron Deficiency Anaemia ◽  
Iron Absorption ◽  
Age Group ◽  
Nutritional Education ◽  
Post Intervention ◽  
Deficiency Anaemia ◽  
Alternate Hypothesis

Introduction: Anaemia is a major health problem in India. Various studies mention poor nutrition knowledge and education as main factors of malnutrition. Aim: This study aims at assessing the effect of nutritional education on iron among school children. Materials and Methods: A cross-sectional interventional study to improve nutrition literacy in schools was undertaken from April 2018 to February 2019. The outreach platform used was Eat Right School program by Food Safety and Standards Authority of India (FSSAI). A study tool employed was data collection using self-developed questionnaire for pre and post-intervention knowledge assessment. School children from Delhi NCR and Mumbai participated in this study. Knowledge intervention was done on 5 key elements related to iron including role, sources, iron deficiency anaemia, iron absorption and knowledge of fortification. Chi-squared test (α=0.05) was applied for comparison. Results: It was found that 54% (n=18,626) of school children studied were in the age group 11-14 years. From 27355 participants who reported the gender, 58.1% (n=15899) were boys and 41.9% (n=11456) girls. Comparison of pre and post-intervention assessment revealed that percentage of students knowing importance/role of iron increased from 27.30% to 59.50%, iron deficiency anaemia from 34.03% to 59.85%, sources of iron from 25.20% to 51.70%, iron absorption from 36.00% to 61.2% and knowledge of fortification from 55.4% to 76.9%. Thus, significant shift (p≤0.001) in all the parameters was observed; improvement in scores ranged from 21.5% to 32.20% with highest increase seen in understanding the role of iron. Conclusion: Results of the study reject the null hypothesis leading to acceptance of alternate hypothesis. The alternate hypothesis highlights the role of nutrition education in improving the nutritional literacy of school children in the area of iron and iron deficiency anaemia. Results of the current study increased the knowledge of children on all parameters related to iron education module. Thus, nutritional literacy is imperative in improving nutritional status and adolescent age-group is the window of opportunity to correct it.

Prevalence of Iron Deficiency Anaemia Among School Children in Kenitra, Northwest of Morocco

2015 ◽  
Vol 18 (4) ◽  
pp. 191-195 ◽  
Author(s):  
I. Achouri ◽  
Y. Aboussaleh ◽  
R. Sbaibi ◽  
A. Ahami ◽  
M. El Hioui
Keyword(s):  
Iron Deficiency ◽  
School Children ◽  
Iron Deficiency Anaemia ◽  
Deficiency Anaemia

scholarly journals Relationships between vitamin A, iron status and helminthiasis in Bangladeshi school children

2000 ◽  
Vol 3 (1) ◽  
pp. 83-89 ◽  
Author(s):  
V Persson ◽  
F Ahmed ◽  
M Gebre-Medhin ◽  
T Greiner
Keyword(s):  
Iron Deficiency ◽  
Vitamin A ◽  
School Children ◽  
Iron Deficiency Anaemia ◽  
Iron Status ◽  
Primary School Children ◽  
Serum Retinol ◽  
Deficiency Anaemia ◽  
Vitamin A Status ◽  
Β Carotene

AbstractObjectiveTo explore the relationships between biochemical indicators of vitamin A and iron status and the intestinal helminthsAscaris lumbricoidesand hookworm in primary school children.SettingTwo rural governmental schools in northwestern Bangladesh.DesignCross-sectional study.SubjectsThe sample consisted of 164 children in grades 3–5.MethodsSerum retinol and β-carotene (by high-performance liquid chromatography, HPLC), haemoglobin (HemoCue), ferritin (enzyme-linked immunoadsorbent assay, ELIZA) and height and weight were measured. Dietary intake of vitamin A was assessed using a food frequency questionnaire and faecal analyses were done using Stoll's egg-count technique.ResultsThe mean serum retinol was 26.8 μg dl−1and 20% had a level of <20 μg dl−1, the cut-off value for low vitamin A status. There was a strong positive association between serum β-carotene and serum retinol (r= 0.44,P<0.001), suggesting those with higher retinol levels had a higher carotene intake. Thirty-one per cent were anaemic (Hb <11.5 g dl−1), 30% had iron deficiency (serum ferritin <12.0 μg l−1) and 14% were suffering from iron deficiency anaemia. Children with a serum retinol level of 20 μg dl−1had significantly lower ferritin (14.0 compared to 26.0 μg l−1,P= 0.005) and Hb levels (11.7 compared to 12.4 g dl−1,P= 0.005) than those with higher levels. The proportion of iron deficiency anaemia was significantly greater among children with hookworm. Our data suggest that hookworm exerts its impact on iron status independently of the vitamin A status of the host.ConclusionsProgrammes to improve iron status should consider including both vitamin A prevention programmes and deworming.

scholarly journals Determination of Red Cell Indices Cut-off for Identifying Iron Deficiency Anaemia among Pre-school Children with Sickle Cell Anaemia

2020 ◽  
pp. 357-364
Author(s):  
OS Akodu ◽  
FA Adekanmbi ◽  
TA Ogunlesi
Keyword(s):  
Iron Deficiency ◽  
Sickle Cell ◽  
School Children ◽  
Iron Deficiency Anaemia ◽  
Sickle Cell Anaemia ◽  
Red Cell ◽  
Predictive Values ◽  
Deficiency Anaemia ◽  
Red Cell Indices ◽  
Discriminatory Performance

Nigerian pre-school children have a high risk of developing iron deficiency and there is no consistent evidence that patients with sickle cell anaemia are protected from iron deficiency anaemia. The objective is to explore red cell indices cut-off values useful as surrogate for detecting iron deficiency in children with sickle cell anaemia. Ninety-seven children with sickle cell anaemia were recruited from Children Outpatient. Reference intervals were developed using the 2.5th – 97.5th, 3.0rd – 97.0th, 5 – 95th, and 10th – 90th percentile intervals for MCV and MCH. The discriminatory performance of the proposed red cell indices criterion was assessed by use of sensitivity, specificity, accuracy, likelihood ratio and predictive values. The 2.5th, 3rd, 5th, 10th, 90th, 95th, 97th, and 97.5th percentile values were: MCV (62.7, 63.6, 66.5, 69.6, 86.3, 87.7, 89.5, and 90.1fl), and MCH (19.0, 19.5, 20.8, 21.4, 28.2, 29.1, 29.5 and 29.7pg). The various calculated cut-off points for the MCV and MCH had lower sensitivity but a higher specificity for detecting iron deficiency than the standard reference values for the general population. The calculated cut-off point for the study subjects below the 10th percentiles had the best discriminatory performance. The cut-off for iron deficiency was 69.6fl for MCV and 21.4pg for MCH either use singly or in combination. In conclusion, standard reference cut-offs of MCV and MCH based on results from western individuals without sickle cell anaemia of the same age are not in agreement with the estimated values for children with sickle cell anaemia in Nigeria.

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