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Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques

Received: 20 January 2024    Accepted: 4 February 2024    Published: 21 February 2024
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Abstract

Anemia and iron deficiency increased quickly until 8 to 9 months of age, while the prevalence of subclinical infections remained stable. Apart from age and male sex, iron deficiency and subclinical infections were the main risk factors for anemia. Similarly, age, male sex, and subclinical illnesses were important risk factors for iron deficiency. In early rural Bangladeshi newborns, the burden of anemia and iron deficiency is particularly severe during the key transition period of increased physiological Fe requirements corresponding to the early phase of supplementary feeding, which lasts from 6 to 11 months of age. Nutritional and infection control strategies alone are insufficient. as soon as they begin providing them with complimentary foods. The increasing prevalence of anaemia and Iron Deficiency during the first 3 months of the complementary feeding period highlights the need to support mothers to introduce Fe supplements or Fe-rich foods or products in their infants’ diet as soon as they start giving them complementary foods. In order to reduce anemia and Iron Deficiency in this population, it is imperative to incorporate methods related to water, sanitation, and hygiene, as well as parasitic disease control, given the high prevalence of subclinical infections and their role in these conditions. In order to avoid anemia during infancy in Bangladesh, a multipronged approach involving both infection control techniques and dietary Fe consumption improvements is required. A person's capacity to work is restricted by anemia and iron deficiency, which can potentially have serious negative economic repercussions and impede the advancement of the country. Because of all of this, it is generally accepted that lowering the global burden of iron deficiency and iron deficiency anemia is a top priority in public health nutrition.

Published in Journal of Food and Nutrition Sciences (Volume 12, Issue 1)
DOI 10.11648/j.jfns.20241201.17
Page(s) 72-78
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anemia, Iron Deficiency, Early Childhood Anemia, Rural Bangladesh, Inadequate Complementary Feeding Techniques

References
[1] WHO (2007) Assessing the Iron Status of Populations: Including Literature Reviews, 2nd ed. Geneva: World Health Organization/Centers for Disease Control and Prevention.
[2] WHO (2008) Worldwide Prevalence of Anaemia 1993–2005: WHO Global Database on Anaemia. Geneva: World Health Organization.
[3] Stoltzfus RJ, Chwaya HM, Montresor A, et al. (2000) Malaria, hookworms and recent fever are related to anemia and iron status indicators in 0- to 5-y old Zanzibari children and these relationships change with age. J Nutr 130, 1724–1733.
[4] Domello¨f M (2011) Iron requirements in infancy. Ann Nutr Metab 59, 59–63.
[5] Institute of Public Health Nutrition (2007) National Strategy for Anaemia Prevention and Control in Bangladesh. Dhaka: Ministry of Health and Family Welfare, Government of the People’s Republic of Bangladesh.
[6] Lozoff B (2007) Iron deficiency and child development. Food Nutr Bull 28, S560–S571.
[7] Lozoff B, Brittenham GM, Wolf AW, et al. (1988) Iron deficiency anemia and iron therapy effects on infant developmental test performance. Pediatrics 79, 981–995.
[8] Beard JL (2001) Iron-deficiency anemia: reexamining the nature and magnitude of the public health problem: iron biology in immune function, muscle metabolism and neuronal functioning. J Nutr 131, 568S–580S.
[9] Horton S & Ross J (2003) The economics of iron deficiency. Food Policy 28, 51–75.
[10] van Rheenen P. Less iron deficiency anaemia after delayed cord-clamping. Paediatr Int Child Health 2013; 33: 57-8. [CrossRef].
[11] Siimes MA, Vuouri E, Kuitunen P. Breast milk iron: a declining concentration during the course of lactation. Acta Paediatr Scand 1979; 68: 29-31. [CrossRef].
[12] Celada A, Busset R, Gutierrez J, et al. No correlation between iron concentration in breast milk and maternal iron stores. Helv Paediatr Acta 1982; 37: 11-6.
[13] Food and Agriculture organization (FAO), World Health Organization (WHO). Requirements of vitamin A, iron, folate, and vitamin B12. Rome, Food and Agriculture Organization, 1988.
[14] Dewey KG. Nutrition, growth and complementary feeding of the breastfed infant. Pediatr Clin North Am 2001; 48: 87-104. [CrossRef].
[15] Ballin A, Berar M, Rubistein U, et al. Iron state in female adolescents. Am J Dis Child 1992; 146: 803-5. [CrossRef].
[16] WHO. Haemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva: World Health Organization; 2011.
[17] Black RE, Victora CG, Walker SP, et al. Maternal and child under-nutrition and overweight in low-income and middle-income countries. Lancet. 2013; 382(9890): 427–51.
[18] Yang W, Li X, Li Y, et al. Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study. BMC Public Health. 2012; 12(1): 1.
[19] Allen LH, De Benoist B, Dary O, Hurrell R, World Health Organization. Guidelines on food fortification with micronutrients. Geneva: World Health Organization; 2006.
[20] Benoist B, McLean E, Egli I, Cogswell. Worldwide prevalence of anemia 1993-2005. eds. Geneva, Switzerland: World Health Organization; 2008. Available at http://www.whqlibdoc.who.int/publications/2008/97 892415966 57eng.pdf Accessed 11th November 2018
[21] Tunçalp Ӧ, Were W, Maclennan C, Oladapo O, Gülmezoglu A, Bahl R et al (2015) Quality of care for pregnant women and newborn—the WHO vision. BJOG: an international journal of obstetrics & gynaecology 122(8), 1045-1049.
[22] Araujo, J. A., M. Zhang, and F. Yin. 2012. Heme oxygenase-1, oxidation, inflammation, and atherosclerosis. Frontiers in Pharmacology 3: 119-7.
[23] Anjum, F. M., and Walker, C. E. 2000. Grain, flour, and bread-making properties of eight Pakistani hard white spring wheat cultivars grown at three different locations for two years. Int. J. Food Sc. Tech., 35: 407-416.
[24] Kc A, Rana N, Målqvist M, Jarawka Ranneberg L, Subedi K, Andersson O. Effects of Delayed Umbilical Cord Clamping vs Early Clamping on Anemia in Infants at 8 and 12 Months: A Randomized Clinical Trial. JAMA Pediatr. 2017 Mar 1; 171(3): 264-270. https://doi.org/10.1001/jamapediatrics.2016.3971. PMID: 28114607.
[25] Liberal Â, Pinela J, Vívar-Quintana AM, Ferreira ICFR, Barros L. Fighting Iron-Deficiency Anemia: Innovations in Food Fortificants and Biofortification Strategies. Foods. 2020 Dec 15; 9(12): 1871. https://doi.org/10.3390/foods9121871. PMID: 33333874; PMCID: PMC7765292.
[26] Angdembe, M. R., Choudhury, N., Haque, M. R. et al. Adherence to multiple micronutrient powder among young children in rural Bangladesh: a cross-sectional study. BMC Public Health 15, 440 (2015). https://doi.org/10.1186/s12889-015-1752-z
[27] Jimenez K, Kulnigg-Dabsch S, Gasche C. Management of Iron Deficiency Anemia. Gastroenterol Hepatol (N Y). 2015 Apr; 11(4): 241-50. PMID: 27099596; PMCID: PMC4836595.
[28] Hipgrave, D., Fu, X., Zhou, H. et al. Poor complementary feeding practices and high anaemia prevalence among infants and young children in rural central and western China. Eur J Clin Nutr 68, 916–924 (2014). https://doi.org/10.1038/ejcn.2014.98
[29] Irene Murgia, Paolo Arosio, Delia Tarantino, Carlo Suave: Biofortification for combating ‘Hidden Hunger: https://doi.org/10.1016/j.tplants.2011.10.003
[30] Chouraqui JP. Dietary Approaches to Iron Deficiency Prevention in Childhood-A Critical Public Health Issue. Nutrients. 2022 Apr 12; 14(8): 1604. https://doi.org/10.3390/nu14081604. PMID: 35458166; PMCID: PMC9026685.
Cite This Article
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    Mujib, T., Rahman, M., Hossain, B., Moslem, M. H., Syfulla, K. A. (2024). Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques. Journal of Food and Nutrition Sciences, 12(1), 72-78. https://doi.org/10.11648/j.jfns.20241201.17

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    ACS Style

    Mujib, T.; Rahman, M.; Hossain, B.; Moslem, M. H.; Syfulla, K. A. Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques. J. Food Nutr. Sci. 2024, 12(1), 72-78. doi: 10.11648/j.jfns.20241201.17

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    AMA Style

    Mujib T, Rahman M, Hossain B, Moslem MH, Syfulla KA. Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques. J Food Nutr Sci. 2024;12(1):72-78. doi: 10.11648/j.jfns.20241201.17

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  • @article{10.11648/j.jfns.20241201.17,
      author = {Talukder Mujib and Mujibur Rahman and Belfar Hossain and Mir Hasan Moslem and Khalid Ahmed Syfulla},
      title = {Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {12},
      number = {1},
      pages = {72-78},
      doi = {10.11648/j.jfns.20241201.17},
      url = {https://doi.org/10.11648/j.jfns.20241201.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20241201.17},
      abstract = {Anemia and iron deficiency increased quickly until 8 to 9 months of age, while the prevalence of subclinical infections remained stable. Apart from age and male sex, iron deficiency and subclinical infections were the main risk factors for anemia. Similarly, age, male sex, and subclinical illnesses were important risk factors for iron deficiency. In early rural Bangladeshi newborns, the burden of anemia and iron deficiency is particularly severe during the key transition period of increased physiological Fe requirements corresponding to the early phase of supplementary feeding, which lasts from 6 to 11 months of age. Nutritional and infection control strategies alone are insufficient. as soon as they begin providing them with complimentary foods. The increasing prevalence of anaemia and Iron Deficiency during the first 3 months of the complementary feeding period highlights the need to support mothers to introduce Fe supplements or Fe-rich foods or products in their infants’ diet as soon as they start giving them complementary foods. In order to reduce anemia and Iron Deficiency in this population, it is imperative to incorporate methods related to water, sanitation, and hygiene, as well as parasitic disease control, given the high prevalence of subclinical infections and their role in these conditions. In order to avoid anemia during infancy in Bangladesh, a multipronged approach involving both infection control techniques and dietary Fe consumption improvements is required. A person's capacity to work is restricted by anemia and iron deficiency, which can potentially have serious negative economic repercussions and impede the advancement of the country. Because of all of this, it is generally accepted that lowering the global burden of iron deficiency and iron deficiency anemia is a top priority in public health nutrition.
    },
     year = {2024}
    }
    

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    T1  - Early Childhood Anemia in Rural Bangladesh: The Role of Iron Deficiency, Infections, and Inadequate Complementary Feeding Techniques
    AU  - Talukder Mujib
    AU  - Mujibur Rahman
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    JO  - Journal of Food and Nutrition Sciences
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    PB  - Science Publishing Group
    SN  - 2330-7293
    UR  - https://doi.org/10.11648/j.jfns.20241201.17
    AB  - Anemia and iron deficiency increased quickly until 8 to 9 months of age, while the prevalence of subclinical infections remained stable. Apart from age and male sex, iron deficiency and subclinical infections were the main risk factors for anemia. Similarly, age, male sex, and subclinical illnesses were important risk factors for iron deficiency. In early rural Bangladeshi newborns, the burden of anemia and iron deficiency is particularly severe during the key transition period of increased physiological Fe requirements corresponding to the early phase of supplementary feeding, which lasts from 6 to 11 months of age. Nutritional and infection control strategies alone are insufficient. as soon as they begin providing them with complimentary foods. The increasing prevalence of anaemia and Iron Deficiency during the first 3 months of the complementary feeding period highlights the need to support mothers to introduce Fe supplements or Fe-rich foods or products in their infants’ diet as soon as they start giving them complementary foods. In order to reduce anemia and Iron Deficiency in this population, it is imperative to incorporate methods related to water, sanitation, and hygiene, as well as parasitic disease control, given the high prevalence of subclinical infections and their role in these conditions. In order to avoid anemia during infancy in Bangladesh, a multipronged approach involving both infection control techniques and dietary Fe consumption improvements is required. A person's capacity to work is restricted by anemia and iron deficiency, which can potentially have serious negative economic repercussions and impede the advancement of the country. Because of all of this, it is generally accepted that lowering the global burden of iron deficiency and iron deficiency anemia is a top priority in public health nutrition.
    
    VL  - 12
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Author Information
  • Department of Pediatrics, LAB AID Diagnostic Center, Barishal, Bangladesh

  • Department of Pediatrics, Sher E Bangla Medical College Hospital, Barishal, Bangladesh

  • Department of Pediatrics, Sher E Bangla Medical College Hospital, Barishal, Bangladesh

  • Department of Pediatrics, Combined Military Hospital, Sheikh Hasina Cantonment, Patuakhali, Bangladesh

  • Department of Pediatrics, Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, Bangladesh

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