Nutrition and the sustainable development goals—No room for complacency

We examined the determinants of anemia using data obtained at baseline from 4986 women of reproductive age participating in a micronutrient supplementation trial in rural, North Vietnam. Hemoglobin (Hb) was measured from capillary blood samples using Hemocue. Plasma ferritin and retinol binding prot...

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Main Author: Anderson, Michael
Format: Book Chapter
Language:Inglés
Published: International Food Policy Research Institute 2014
Subjects:
Online Access:https://hdl.handle.net/10568/149919
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author Anderson, Michael
author_browse Anderson, Michael
author_facet Anderson, Michael
author_sort Anderson, Michael
collection Repository of Agricultural Research Outputs (CGSpace)
description We examined the determinants of anemia using data obtained at baseline from 4986 women of reproductive age participating in a micronutrient supplementation trial in rural, North Vietnam. Hemoglobin (Hb) was measured from capillary blood samples using Hemocue. Plasma ferritin and retinol binding protein (RBP) were measured using the ELISA method. The prevalence of anemia (Hb<12 g/l), iron deficiency (Fe<12 µg/L), insufficient iron stores (Fe<30 µg/L) and iron deficiency anemia were 19.7%, 3.5%, 14.4% and 1.9%, respectively. The results using Structural Equation Modeling (SEM) techniques showed that ferritin concentration (0.29 per log‐mg/dl), number of children (‐0.19), and socioeconomic status (0.09) were directly associated with Hb concentration (p<0.05 for all). RBP was associated with Hb both directly (0.28 mg/dl) and indirectly (0.09 mg/dl) through ferritin (p<0.001), and hookworm infection was indirectly associated with Hb (‐0.11) through RBP and ferritin (p=0.025). Meat consumption, occupation, education, owning a hygienic toilet, and food insecurity however were not associated with Hb. Contrary to expectations, iron deficiency accounted for a very small proportion of anemia. These findings demonstrate the complex etiology of anemia and provide a useful framework that could be used to target and evaluate appropriate strategies for the prevention of anemia in similar settings and other populations.Supported by the Micronutrient Initiative and the Mathile Institute for the Advancement of Human Nutrition
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spelling CGSpace1499192025-11-06T04:09:20Z Nutrition and the sustainable development goals—No room for complacency Anderson, Michael nutrition security anaemia indicators stunting malnutrition nutrition food security sustainable development goals We examined the determinants of anemia using data obtained at baseline from 4986 women of reproductive age participating in a micronutrient supplementation trial in rural, North Vietnam. Hemoglobin (Hb) was measured from capillary blood samples using Hemocue. Plasma ferritin and retinol binding protein (RBP) were measured using the ELISA method. The prevalence of anemia (Hb<12 g/l), iron deficiency (Fe<12 µg/L), insufficient iron stores (Fe<30 µg/L) and iron deficiency anemia were 19.7%, 3.5%, 14.4% and 1.9%, respectively. The results using Structural Equation Modeling (SEM) techniques showed that ferritin concentration (0.29 per log‐mg/dl), number of children (‐0.19), and socioeconomic status (0.09) were directly associated with Hb concentration (p<0.05 for all). RBP was associated with Hb both directly (0.28 mg/dl) and indirectly (0.09 mg/dl) through ferritin (p<0.001), and hookworm infection was indirectly associated with Hb (‐0.11) through RBP and ferritin (p=0.025). Meat consumption, occupation, education, owning a hygienic toilet, and food insecurity however were not associated with Hb. Contrary to expectations, iron deficiency accounted for a very small proportion of anemia. These findings demonstrate the complex etiology of anemia and provide a useful framework that could be used to target and evaluate appropriate strategies for the prevention of anemia in similar settings and other populations.Supported by the Micronutrient Initiative and the Mathile Institute for the Advancement of Human Nutrition 2014 2024-08-01T02:50:14Z 2024-08-01T02:50:14Z Book Chapter https://hdl.handle.net/10568/149919 en https://doi.org/10.2499/9780896295643 Open Access application/pdf International Food Policy Research Institute Anderson, Michael. 2014. Nutrition and the sustainable development goals—No room for complacency. In Global nutrition report 2014: Actions and accountability to accelerate the world's progress on nutrition. Supplementary Online Material. https://hdl.handle.net/10568/149919
spellingShingle nutrition security
anaemia
indicators
stunting
malnutrition
nutrition
food security
sustainable development goals
Anderson, Michael
Nutrition and the sustainable development goals—No room for complacency
title Nutrition and the sustainable development goals—No room for complacency
title_full Nutrition and the sustainable development goals—No room for complacency
title_fullStr Nutrition and the sustainable development goals—No room for complacency
title_full_unstemmed Nutrition and the sustainable development goals—No room for complacency
title_short Nutrition and the sustainable development goals—No room for complacency
title_sort nutrition and the sustainable development goals no room for complacency
topic nutrition security
anaemia
indicators
stunting
malnutrition
nutrition
food security
sustainable development goals
url https://hdl.handle.net/10568/149919
work_keys_str_mv AT andersonmichael nutritionandthesustainabledevelopmentgoalsnoroomforcomplacency