Prevalence & etiology of nutritional anaemia among school children of urban slums. 2003

Sunil Gomber, and Bhawna, and Nishi Madan, and Avtar Lal, and Kusum Kela
Department of Paediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India. sunilgomber@hotmail.com

OBJECTIVE The prevalence of anaemia has been well studied particularly on etiology of nutritional anaemia in children of age group 5-10.9 yr in India. The present study was carried out to find out the prevalence and etiology of nutritional anaemia among 5 to 10.9 yr old corporation school children from urban slums. METHODS Urban Delhi slums were divided into four areas and one corporation school from each area was randomly selected. A total of 406 children from 4 each school were randomly selected over a period of one yr and prevalence of anaemia was estimated. Another subset of 95 anaemic children admitted to the hospital during the same period were evaluated for the etiology of nutritional anaemia. RESULTS Prevalence of anaemia as judged by WHO recommended cut-off values of haemoglobin among these children was 41.8 per cent. Pure or mixed iron deficiency anaemia was the commonest type of anaemia noted in 68.42 per cent (65 of 95) children followed by pure or mixed B12 deficiency noticed in 28.42 per cent (27 of 95) anaemic children. Of the pure variety, iron deficiency was the commonest cause occurring in 41.05 per cent (39 of 95) children. CONCLUSIONS Childhood anaemia continues to be a significant public health problem in school children aged 5 to 10.9 yr and iron deficiency either alone or in combination is the commonest nutritional cause of anaemia. Pure or mixed vitamin B12 deficiency is an important but yet not commonly recognized cause of anaemia among these children.

UI MeSH Term Description Entries
D007194 India A country in southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan. The capitol is New Delhi. Republic of India
D008297 Male Males
D011204 Poverty Areas City, urban, rural, or suburban areas which are characterized by severe economic deprivation and by accompanying physical and social decay. Ghettos,Slums,Area, Poverty,Areas, Poverty,Ghetto,Poverty Area,Slum
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006454 Hemoglobins The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements. Eryhem,Ferrous Hemoglobin,Hemoglobin,Hemoglobin, Ferrous
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000740 Anemia A reduction in the number of circulating ERYTHROCYTES or in the quantity of HEMOGLOBIN. Anemias
D014806 Vitamin B 12 Deficiency A nutritional condition produced by a deficiency of VITAMIN B 12 in the diet, characterized by megaloblastic anemia. Since vitamin B 12 is not present in plants, humans have obtained their supply from animal products, from multivitamin supplements in the form of pills, and as additives to food preparations. A wide variety of neuropsychiatric abnormalities is also seen in vitamin B 12 deficiency and appears to be due to an undefined defect involving myelin synthesis. (From Cecil Textbook of Medicine, 19th ed, p848) Deficiency, Vitamin B 12,Deficiency, Vitamin B12,Vitamin B12 Deficiency,Deficiencies, Vitamin B12,Vitamin B12 Deficiencies

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