Volume: 12 Issue: 2
Year: 2024, Page: 31-35, Doi: https://doi.org/10.47799/pimr.1202.06
Received: April 12, 2024 Accepted: June 5, 2024 Published: Aug. 1, 2024
Background: Globally, around 600 million preschool and school aged children are affected by anemia. According to World Health Organization, 65.5% of preschool children in southeast asia are anemic. Nutritional anemia is the commonest cause of anemia resulting from deficiencies of nutrients essential for red blood cell formation. Iron deficiency anemia is the most common nutritional deficiency amounting to 50%, followed by vitamin B12 and folate deficiency. This study is conducted to study the incidence of nutritional anemia among hospitalised children in a territory care teaching hospital in rural Telangana, in the age group of 6 months to 18 years and to bring awareness regarding the diet requirements in children in order to prevent deficiencies thereby the consequences of nutritional deficiencies.
Method: This was a prospective hospital-based study conducted to study the incidence of Nutritional anemia along with clinical and hematological profile of nutritional anemia amongst children admitted to the Department of pediatrics in the age group of 6 months to 18 years at Mediciti Institute of Medical Sciences, Ghanpur, Telangana, from January 1st 2020 to June 30th 2021. All the children who had satisfied the inclusion criteria after taking consent from their parents were included in the study.
Result: The incidence of nutritional anemia in the present study was found to be 52.08%, with both males and females equally affected. The age group of 6–12 years was particularly impacted, accounting for 49.3% of the cases. A significant 94% of the cases were associated with inadequate protein intake as per ICMR guidelines. Children from socio-economic classes 2 and 3, as per the Kuppuswamy scale, were more frequently affected. Severe anemia was observed in 8.7% of the cases. Peripheral smear analysis revealed microcytic, hypochromic red blood cells in 64.4% of the cases, with 94% of the children showing decreased serum iron levels.
Conclusion: Nutritional anemia is the major cause of anemia in hospitalised children affecting majorly children in the age group of 6-12 years. Inadequate protein intake is the major contributor accounting to 94%, which can be prevented with proper dietary measures
Keywords: Nutritional anemia, IDA, Dietary risk factors, Prevalence, NFHS
Kokubo, Y, Kisara, K, Yokoyama, Y, Ohira-Akiyama, Y, Tada, Y & Hida, A . 2016. Habitual dietary protein intake affects body iron status in Japanese female college rhythmic gymnasts: A follow-up study. Springer Plus 5(1):862.
Abhishek, Agarwal,, Tanveer, Bano,, Harivansh, Chopra,, Sunil, Garg,, Seema, Jain, & Ganesh, Singh, . 2020. Dietary Predictors of Anemia among Children Aged 12-35 Months. Journal of Clinical and Diagnostic Research 14(1):5–8.
Desalegn, W, Mossie, A & Gedefaw, L . 2016. Nutritional iron deficiency anaemia: Magnitude and its predictors among school age children, southwest Ethiopia: A community based cross-sectional study. PloSone 9(12):114059.
2021. National Family Health Survey (NFHS-5). Anemia Prevalence in Children, India Report. (Vol. 1, pp. 10-3) Mumbai: International Institute for Population Sciences
2006. National Family Health Survey (NFHS-3): Anemia Prevalence in Children. (Vol. 1) Mumbai: International Institute for Population Sciences
Gillespie, Stuart R. . 1998. Major Issues in the Control of Iron Deficiency. (pp. 5-7) USA: UNICEF
Kliegman, Robert M, Joseph, W & III StGeme . 2019. Iron Deficiency Anaemia. In: Nelson Textbook of Pediatrics (21). (pp. 2519-2521) Elsevier Health Sciences
Wei, Y H, He, Y Z, Guo, X Y, Lin, X Y, Zhu, H B & Guo, X J . 2021. Investigation and Analysis of Iron-Deficiency Anemia Complicated by Splenomegaly. Int J Gen Med 14:8352643.
Kulkarni, B, Peter, R, Ghosh, S, Pullakhandam, R, Thomas, T & Reddy, G B . 2021. Prevalence of Iron Deficiency and its Sociodemographic Patterning in Indian Children and Adolescents: Findings from the Comprehensive National Nutrition Survey 2016-18. J Nutr 151(8):34049401.
Sachdev, Y & Dasgupta, J . 2001. Integrated child development services (ICDS) scheme. Medical Journal Armed Forces India 57:139–143.
Mutthayya, S, Thankachan, M B, Zimmermann, & Andersson, . 2007. Possible effect of School Health initiaives. J Clin Nutr 61:865–869.
National Institute of Nutrition-Indian Council of Medical Research 2011. Recommended Dietary Allowances. In: Dietary Guidelines for Indians-A Manual (2). (pp. 89-90)
Madoori, S, Ramya, C, Valugula, Shashidhar, Sandeep, G & Kotla, Sreenivas . 2015. Clinico hematological profile and outcome of anemia in children at tertiary care hospital. Int J Res Med Sci 3(12):3567–3571.
Venkatesh, G, Talawar, Soubhagya, Bela, H & Shah, . 2013. Clinical Profile of Anemia in Children. IOSR Journal of Dental and Medical Sciences 10(5):65–69.
Vaidya, S, Nakate, D, Gaikwad, S, Patil, R & Ghogare, M . 2019. Nutritional anemia:clinical and hematological presentation in children. International Journal of Contemporary Pediatrics 6(2):302–305.
Sastry, Ramana & C P V . 2017. Study on clinical and hematological profile of Anemia in children aged 5 to 12 years in rural Telangana. J PediatrRes 4(07):488–493.
Jain, N & Jain, V M . 2012. Prevalence of anemia in school children. Indian Medical Practice and Review 3(1):1–4.
Desalegn, W, Mossie, A & Gedefaw, L . 2016. Nutritional iron deficiency anaemia: Magnitude and its predictors among school age children, southwest Ethiopia: A community based cross-sectional study. PloSone 9(12):e114059.
Naik, R R & Venkatesha, K R . 2019. Prevalence of nutritional anemia in pediatric age group a cross sectional study. Int J Pediatr Res 6(01):17–21.
©2024 (Sumathi Kotapuri) et al. This is an open-access journal, and arƟcles are distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Kotapuri S, Kommineni SK, Chitgupikar S. Study of Nutritional Anemia in Children Admitted to Pediatric Department in Rural Teaching Hospital of Telangana. PerspecƟves in Medical Research. 2024;12(02):31-35 DOI: 10.47799/pimr.1202.06