Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices
Few data exist on the aetiology of anaemia and Fe deficiency (ID) during early infancy in South Asia. The present study aimed to determine the contribution of ID, infections and feeding practices to anaemia in Bangladeshi infants aged 6–11 months. Baseline data from 1600 infants recruited into a clu...
| Autores principales: | , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Cambridge University Press
2014
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/151032 |
| _version_ | 1855526797790150656 |
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| author | Rawat, Rahul Saha, Kuntal K. Kennedy, Andrew Rohner, Fabian Ruel, Marie T. Menon, Purnima |
| author_browse | Kennedy, Andrew Menon, Purnima Rawat, Rahul Rohner, Fabian Ruel, Marie T. Saha, Kuntal K. |
| author_facet | Rawat, Rahul Saha, Kuntal K. Kennedy, Andrew Rohner, Fabian Ruel, Marie T. Menon, Purnima |
| author_sort | Rawat, Rahul |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Few data exist on the aetiology of anaemia and Fe deficiency (ID) during early infancy in South Asia. The present study aimed to determine the contribution of ID, infections and feeding practices to anaemia in Bangladeshi infants aged 6–11 months. Baseline data from 1600 infants recruited into a cluster-randomised trial testing the effectiveness of micronutrient powder sales by frontline health workers on the prevalence of anaemia were used. Multivariate logistic regression was used to identify risk factors for anaemia and ID, and population attributable fractions (PAF) were computed to estimate the proportion of anaemia that might be prevented by the elimination of individual risk factors. It was found that 68 % of the infants were anaemic, 56 % were Fe deficient, and one-third had evidence of subclinical infections. The prevalence of anaemia and ID increased rapidly, until 8–9 months of age, while that of subclinical infections was constant. ID (adjusted OR (AOR) 2·6–5·0;P< 0·001) and subclinical infections (AOR 1·4–1·5;P< 0·01) were major risk factors for anaemia, in addition to age and male sex. Similarly, subclinical infections, age and male sex were significant risk factors for ID. Previous-day consumption of Fe-rich foods was very low and not associated with anaemia or ID. The PAF of anaemia attributable to ID was 67 % (95 % CI 62, 71) and that of subclinical infections was 16 % (95 % CI 11, 20). These results suggest that a multipronged strategy that combines improvements in dietary Fe intake alongside infection control strategies is needed to prevent anaemia during infancy in Bangladesh. |
| format | Journal Article |
| id | CGSpace151032 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Cambridge University Press |
| publisherStr | Cambridge University Press |
| record_format | dspace |
| spelling | CGSpace1510322024-10-25T07:58:12Z Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices Rawat, Rahul Saha, Kuntal K. Kennedy, Andrew Rohner, Fabian Ruel, Marie T. Menon, Purnima infection anaemia infants deficiency diseases best practices iron feeding habits Few data exist on the aetiology of anaemia and Fe deficiency (ID) during early infancy in South Asia. The present study aimed to determine the contribution of ID, infections and feeding practices to anaemia in Bangladeshi infants aged 6–11 months. Baseline data from 1600 infants recruited into a cluster-randomised trial testing the effectiveness of micronutrient powder sales by frontline health workers on the prevalence of anaemia were used. Multivariate logistic regression was used to identify risk factors for anaemia and ID, and population attributable fractions (PAF) were computed to estimate the proportion of anaemia that might be prevented by the elimination of individual risk factors. It was found that 68 % of the infants were anaemic, 56 % were Fe deficient, and one-third had evidence of subclinical infections. The prevalence of anaemia and ID increased rapidly, until 8–9 months of age, while that of subclinical infections was constant. ID (adjusted OR (AOR) 2·6–5·0;P< 0·001) and subclinical infections (AOR 1·4–1·5;P< 0·01) were major risk factors for anaemia, in addition to age and male sex. Similarly, subclinical infections, age and male sex were significant risk factors for ID. Previous-day consumption of Fe-rich foods was very low and not associated with anaemia or ID. The PAF of anaemia attributable to ID was 67 % (95 % CI 62, 71) and that of subclinical infections was 16 % (95 % CI 11, 20). These results suggest that a multipronged strategy that combines improvements in dietary Fe intake alongside infection control strategies is needed to prevent anaemia during infancy in Bangladesh. 2014 2024-08-01T02:54:55Z 2024-08-01T02:54:55Z Journal Article https://hdl.handle.net/10568/151032 en Limited Access Cambridge University Press Rawat, Rahul; Saha, Kuntal K.; Kennedy, Andrew; Rohner, Fabian; Ruel, Marie T.; and Menon, Purnima. Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices. British Journal of Nutrition 111(1): 172-181. https://doi.org/10.1017/s0007114513001852 |
| spellingShingle | infection anaemia infants deficiency diseases best practices iron feeding habits Rawat, Rahul Saha, Kuntal K. Kennedy, Andrew Rohner, Fabian Ruel, Marie T. Menon, Purnima Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title | Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title_full | Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title_fullStr | Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title_full_unstemmed | Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title_short | Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices |
| title_sort | anaemia in infancy in rural bangladesh contribution of iron deficiency infections and poor feeding practices |
| topic | infection anaemia infants deficiency diseases best practices iron feeding habits |
| url | https://hdl.handle.net/10568/151032 |
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