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Nutrients. 2018 Sep 8;10(9). pii: E1269. doi: 10.3390/nu10091269.

Association between Anaemia in Children 6 to 23 Months Old and Child, Mother, Household and Feeding Indicators.

Author information

1
Nestlé Research Center, Vers-Chez-les-Blanc, Route du Jorat 57, Case Postale 44, 1000 Lausanne-26, Switzerland. alberto.prietopatron@rdls.nestle.com.
2
Division of Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Murtenstrasse 10, CH-3008 Bern, Switzerland. klazine.vanderhorst@bfh.ch.
3
Nestlé Research Center, Vers-Chez-les-Blanc, Route du Jorat 57, Case Postale 44, 1000 Lausanne-26, Switzerland. zsuzsav.hutton@rdls.nestle.com.
4
Nestlé Research Center, Vers-Chez-les-Blanc, Route du Jorat 57, Case Postale 44, 1000 Lausanne-26, Switzerland. patrick.detzel@rdls.nestle.com.

Abstract

In Low and Lower-Middle-Income countries, the prevalence of anaemia in infancy remains high. In early childhood anaemia cause irreversible cognitive deficits and represents a higher risk of child mortality. The consequences of anaemia in infancy are a major barrier to overcome poverty traps. The aim of this study was to analyse, based on a multi-level approach, different factors associated with anaemia in children 6⁻23 months old based on recent available Standard Demographic Health Surveys (S-DHS). We identified 52 S-DHS that had complete information in all covariates of interest in our analysis between 2005 and 2015. We performed traditional logistic regressions and multilevel logistic regression analyses to study the association between haemoglobin concentrations and household, child, maternal, socio-demographic variables. In our sample, 70% of the 6⁻23 months-old children were anaemic. Child anaemia was strongly associated with maternal anaemia, household wealth, maternal education and low birth weight. Children fed with fortified foods, potatoes and other tubers had significantly lower rates of anaemia. Improving overall household living conditions, increasing maternal education, delaying childbearing and introducing iron rich foods at six months of age may reduce the likelihood of anaemia in toddlerhood.

KEYWORDS:

Anaemia; Demographic Health Surveys; infancy and toddlerhood; infant feeding; low and middle-income countries; multilevel regression

PMID:
30205553
PMCID:
PMC6163758
DOI:
10.3390/nu10091269
[Indexed for MEDLINE]
Free PMC Article

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