Anemia in early life (up to the age of 6 months) – Is it really a disease burden?A cross sectional study from Sub Himalayan region Anemia in early life

Main Article Content

Seema Sharma
Charu Maggo

Abstract

Background: The study aims to settle the question of giving prophylactic iron to all breastfed infants (up to age of 6 months). It will determine the disease burden & clinicopathologial profile of anemia in infants up to 6 months and its correlation with maternal Hb levels.


Materials and Methods : A hospital based cross-sectional study was undertaken for four months in all infants up to 6 months of age and their mothers getting admitted in pediatrics ward of tertiary health care centre in Sub-Himalayan region.


Results: 42 % of infants and 64 % of mothers were found to be anemic. It was found that mothers of 74% of total anemic infants were also anemic. Also in 79% cases mothers with good ferritin stores (≥12ng/ml) also have infants with good ferritin stores (≥10 ng/ml). It was found that mothers who have not consumed adequate amount of iron in their pregnancy, 44% of them have anemic infants. Though the relationship between infant and maternal parameters is not statistically significant but the figures are large  enough ,indicating the need for a further comprehensive study to determine the relationship between the two.


Conclusion: High rates of anemia in early life points to the need of multicentric as well as population based study so that we can collect evidence to start iron prophylaxis in this highly vulnerable developing age group of 0 to 6 months. Further higher rates of anemia in mothers warrants the strengthening in the implementation plan of IFAS to all females of reproductive age group.

Article Details

How to Cite
Sharma, S. and Maggo, C. (2023) “Anemia in early life (up to the age of 6 months) – Is it really a disease burden?A cross sectional study from Sub Himalayan region: Anemia in early life”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia, 10(1). Available at: https://jamsa.amsa-international.org/index.php/main/article/view/358 (Accessed: 20April2024).
Section
Original Papers
Author Biography

Charu Maggo, Student

I am Dr CharU Maggo. I have just completed my internship . I want to pursue carrier in health research. The present paper is the synopsis of my work which I have carried under Short Term Studentship funded by ICMR,New Delhi, India

References

WHO, UNICEF. (2006).Planning guide for national implementation of the global strategy for infant and young child feeding. World Health Organization, Geneva.

Fall C. (2004). Iron requirements and iron status during infancy, International Nutritional Anemia Consultative Group. Report of the 2004 symposium.In: Iron deficiency in early life challenges and progress. Lima: 13-6.

McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. (2009). Worldwide prevalence of anemia, In: WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutr; 12: 444–54.

World Health Organization: The Optimal Duration of Exclusive Breastfeeding. 2001, [http://www.who.int/inf-pr-2001/en/note2001-07.html]

Glader B: Anemias of inadequate production. In Behrman, Kliegman, Jenson, editors. Nelson Textbook of Pediatrics. Philadelphia: Saunders 2004, 1606-1617.

Calvo EB, Galindo AC, Aspres NB: Iron status in exclusively breast-fed infants. Pediatrics. 1992, 90: 375-379.

Dewey KG, Cohen RJ, Rivera LL, Brown KH: Effects of age of introduction of complementary foods on iron status of breast-fed infants in Honduras. Am J Clin Nutr. 1998, 67: 878-884.

McMillan JA, Landaw SA, Oski FA: Iron sufficiency in breastfed infants and availability of iron from human milk. Pediatrics. 1976, 58: 686-691.

Owen GM, Garry PJ, Hooper EM, Gilbert BA, Pathak D: Iron nutriture of infants exclusively breastfed the first five months. J Pediatr. 1981, 99: 237-240. 10.1016/S0022-3476(81)80461-1

Zavaleta N, Nombera J, Rojas R, Hambraeus L, Gislason J, Lonnerdal B: Iron and lactoferrin in milk of anemic mothers given iron supplements. Nutr Res. 1995, 15: 681-690. 10.1016/0271-5317(95)00035-H.

Sudaryati E , Nasution E , Yustina I . Stunting and Anemia in Infants among breastfeeding mothers in Binjaicity. First Public Health International Conference (PHICo 2016 ) DOI: 10.2991/phico- 16.2017.14.

Kemunto NC. Prevalence of anemia in infants 3 to 6 months in relation to breastfeeding practices: a case of mama lucy kibaki hospital, Nairobi- Kenya.Dissertation submitted to the university of Nairobi for the degree of masters of science in Applied Human Nutrition,2015.

Chandyo RK, Henjum S, Ulak Ml. The prevalence of anemia and iron deficiency is more common in breastfed infants than their mothers in Bhaktapur, Nepal. Eur J Clin Nutr. 2016;70(4):456–462. doi:10.1038/ejcn.2015.199

Panyang R , Teli AB, Saika SP.Prevalence of anemia among the women of child bearing age belonging to the tea garden community of Assam , India: A community based study. J Family Med Prim Care. 2018 Jul- Aug;7 (4) : 734-738.doi:10.4103