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      Prevalencia de anemia en niños de la población rural del estado norteño de la India Translated title: Prevalence of anemia in children of rural population of Northern State of India

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          Abstract

          Resumen Introducción: India soporta la mayor carga de anemia, especialmente en niños y mujeres. Hay menos datos disponibles sobre la prevalencia de anemia en niños en crecimiento de 10 a 14 años. Es importante intervenir temprano y rastrear a este grupo. El objetivo del presente estudio fue estimar la prevalencia de anemia y su correlación con la edad, sexo e índice de masa corporal en niños del área rural de Ghaziabad, Uttar Pradesh, India. Método: Se incluyó un total de 600 niños de entre 5 y 13 años. Se utilizó un cuestionario detallado para recopilar datos de salud de los niños y el estado socioeconómico de los padres. Se midió peso talla y se calculó el índice de masa corporal. Se midió la hemoglobina mediante analizador calibrado. Resultados: La prevalencia de anemia según los estándares de la OMS en estos niños fue de 57,67%. Los resultados revelan que la anemia en esta región es más prevalente en las niñas (68%) en comparación con los niños (47,3%). Sin embargo, la asociación entre el índice de masa corporal y la hemoglobina no fue estadísticamente significativa en el presente estudio. Conclusiones: Nuestros resultados sugieren que el aumento de la prevalencia de anemia en los niños del área rural está asociado con múltiples deficiencias de nutrientes. Las intervenciones nutricionales, la evaluación de los factores de riesgo predisponentes y una mayor cobertura del programa de suplementación son medidas recomendadas que se pueden adoptar para controlar la anemia en los niños.

          Translated abstract

          Abstract Introduction: India carries the highest burden of anemia, particularly in children and women. Children at the growing stage are at the risk of nutrition depletion, hence anemia. Fewer data are available on the prevalence of anemia in growing children of age 10-14 years. It is important to intervene early and track this group. The objective of the present study was to estimate the prevalence of anemia and its correlation to age, gender and body mass index in children of rural area of Ghaziabad, Uttar Pradesh, India. Method: Total 600 children of 5-13 years age group were included in this study. A detailed questionnaire was used to collect the health details of the children and socioeconomic status of the parents. Hemoglobin was determined by the calibrated Hemoglobin analyzer. Body mass index values were calculated based on the measurements of weight and height of the children. Results: Prevalence of anemia as per WHO standards in these children was 57.67%. Results of the study population reveal that anemia in this region is more prevalent in girls (68%) when compared to boys (47.3%). However, association between body mass index and hemoglobin was not statistically significant in the present study. Conclusions: Our results suggest that increased prevalence of anemia in the children of rural area is associated with multiple nutrient deficiencies. Nutritional interventions, evaluation of predisposing risk factors and increased coverage of supplementation programme are recommended measures that can be adopted to control anemia in children.

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          Long-Lasting Neural and Behavioral Effects of Iron Deficiency in Infancy

          Infants are at high risk for iron deficiency and iron-deficiency anemia. This review summarizes evidence of long-term effects of iron deficiency in infancy. Follow-up studies from preschool age to adolescence report poorer cognitive, motor, and social-emotional function, as well as persisting neurophysiologic differences. Research in animal models points to mechanisms for such long-lasting effects. Potential mechanisms relate to effects of iron deficiency during brain development on neurometabolism, myelination, and neurotransmitter function.
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            Trends and drivers of change in the prevalence of anaemia among 1 million women and children in India, 2006 to 2016

            Introduction India carries the largest burden of anaemia globally. Progress to reduce anaemia has been slow despite substantial economic growth and 50 years of programmatic efforts. Identification of the factors that contribute to anaemia reductions is needed to accelerate progress. We examined changes in haemoglobin (Hb) and anaemia among women and children in India from 2006 to 2016 and identified drivers of changes in these outcomes over time. Methods We used two rounds of National Family Health Survey data collected in 2005–2006 and 2015–2016 (n=245 346 children 6–59 months; 37 165 pregnant women (PW) 15–49 years; 760 460 non-pregnant women (NPW) 15–49 years). We first examined trends in Hb and anaemia, and changes in 30 selected variables (including immediate and underlying determinants, and nutrition and health interventions (NHIs)). We identified drivers of Hb and anaemia using multivariate regression and estimated their contribution to changes in these outcomes over time using regression-based decomposition. Results Hb and anaemia improved significantly between 2006 and 2016 in children (4.5  g/L and 11 percentage points (pp), respectively) and PW (3.2  g/L and 7.6 pp), but not in NPW. Despite these changes, anaemia is still very high (>50%) and progress varied considerably by state (−33 pp to +16 pp). Most immediate and underlying determinants, and NHIs improved significantly over time. Changes among a set of drivers common to children and PW accounted for the changes in Hb; these included maternal schooling (children, 10%; PW, 24%), coverage of NHIs (children, 18%; PW, 7%), socioeconomic status (children, 7%; PW, 17%), sanitation (children, 3%; PW, 9%), and meat and fish consumption (children, 3%; PW, 1%). The decomposition models moderately explained Hb changes over time (children, 49%; PW, 66%). Conclusions Multiple common drivers have contributed to the anaemia changes among children and pregnant women in India. Further improvements in these drivers can have population-level effects by simultaneously influencing both maternal and child anaemia.
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              Reducing anaemia in low income countries: control of infection is essential

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                Author and article information

                Journal
                ars
                Ars Pharmaceutica (Internet)
                Ars Pharm
                Universidad de Granada (Granada, Granada, Spain )
                2340-9894
                June 2021
                : 62
                : 2
                : 182-189
                Affiliations
                [1] Ghaziabad Uttar Pradesh orgnameRaj Kumar Goel Institute of Technology (Pharmacy) orgdiv1Department of Pharmacology India
                Article
                S2340-98942021000200182 S2340-9894(21)06200200182
                10.30827/ars.v62i2.17762
                fb888224-ab5e-4001-990a-72f78acbf81b

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 04 March 2021
                : 22 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 26, Pages: 8
                Product

                SciELO Spain

                Categories
                Artículos Originales

                Anemia,niños,índice de masa corporal,anemia, hemoglobina,child,body mass index,hemoglobin

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