A cross-sectional assessment of anemia and associated risk variables among different age groups in Gilgit-Baltistan
DOI:
https://doi.org/10.59736/IJP.22.01.871Keywords:
Anemia, Body Mass Index, Demographic Factors, Hemoglobins, Reproductive PeriodAbstract
Background: Anemia poses a significant global health challenge and has a significant influence regarding both morbidity and mortality across diverse demographics. This cross-sectional study aim to assess the prevalence and risk variables associated with anemia in different age groups within the culturally diverse population of Gilgit-Baltistan (GB).
Methods: The prevalence of anemia within each age group was determined through hemoglobin (Hb) level assessment using Hemocue Hb 201+ (HemoCue AB, Ängelholm, Sweden). This analysis encompassed various gender categories and examined the risk variables which contributing to anemia in GB. Samples were collected from different regions in order to obtain a representative sample of the population. A total of 720 individuals (386 males and 334 females) participated in this study.
Results: About 32.40% males (65.2% mild, 31.7% moderate and 3.1% severe) and 56.07% females (36.5% mild, 46.3% moderate and 17.2% severe) were found anemic. Prevalence of anemia in male were highest in the age group 20-40 years (31.2%), followed by age group 10-19 years (26.4%) as compared to age group 41-60 (19.2%) and above 61 years (23.2%) and there mean hemoglobin level (Hb) was 11.98 ± 0.90 g/dL. Among females the highest prevalence were found in reproductive age 20-40 years (37.3%) and age between 10-19 (29.4%), followed by the age group 41-60 (13.4%) and above 61 years (19.7%) and mean hemoglobin level (Hb) was 9.93 ± 0.83 g/dL. Risk variables include socio economic status of respondents, the higher prevalence was found in lower class of the population (37.7% males and 43.6% Females).
Conclusion: The findings highlight the vulnerability of both genders to anemia in GB. Addressing this public health concern requires research extending beyond the prevalence and socio-demographic factors. Future efforts should focus on developing iron-enriched formulas from locally accessible staple foods in GB to effectively combat this alarming condition.
References
Righetti AA. Aetiology of anaemia and public health implications in the Taabo health demographic surveillance system, south-central Côte d'Ivoire (Doctoral dissertation, University_of_Basel).
Berdanier CD, Berdanier LA, Zempleni J. Advanced nutrition: macronutrients, micronutrients, and metabolism. CRC press; 2008 Aug 6.
Caetano-Silva ME, Alves RC, Lucena GN, Frem RC, Bertoldo-Pacheco MT, Lima-Pallone JA, Netto FM. Synthesis of whey peptide-iron complexes: Influence of using different iron precursor compounds. Food research international. 2017 Nov 1; 101:73-81.
Gandhi K, Devi S, Gautam PB, Sharma R, Mann B, Ranvir S, Sao K, Pandey V. Enhanced bioavailability of iron from spray dried whey protein concentrate-iron (WPC-Fe) complex in anaemic and weaning conditions. Journal of Functional Foods. 2019 Jul 1; 58:275-81.
Onsekizoglu Bagci P, Gunasekaran S. Iron encapsulated cold-set whey protein isolate gel powder–Part 1: Optimisation of preparation conditions and in vitro evaluation. International Journal of Dairy Technology. 2017 Feb; 70(1):127-36.
Kazemi-Taskooh Z, Varidi M. Designation and characterization of cold-set whey protein-gellan gum hydrogel for iron entrapment. Food Hydrocolloids. 2021 Feb 1; 111:106205.
Trivedi R, Barve K. Delivery systems for improving iron uptake in anemia. International Journal of Pharmaceutics. 2021 May 15; 601:120590.
Kordas K, Centeno ZY, Pachón H, Soto AZ. Being overweight or obese is associated with lower prevalence of anemia among Colombian women of reproductive age. The Journal of nutrition. 2013 Feb 1; 143(2):175-81.
Salami A, Bahmad HF, Ghssein G, Salloum L, Fakih H. Prevalence of anemia among Lebanese hospitalized children: Risk and protective factors. PLoS One. 2018 Aug 7; 13(8):e0201806.
Jamali NH, Jamali AA, Ahmer A, Jamali AA, Shah K, Shaikh SU, Kazi HA. Iron deficiency anemia among the female students of Dolatpur town Sindh, Pakistan. Isra Medical Journal. 2019 Jul 1; 11(4):242-46.
Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, Regan M, Weatherall D, Chou DP, Eisele TP, Flaxman SR. A systematic analysis of global anemia burden from 1990 to 2010. Blood, the Journal of the American Society of Hematology. 2014 Jan 30; 123(5):615-24.
Baxter JA, Wasan Y, Hussain A, Soofi SB, Ahmed I, Bhutta ZA. Characterizing Micronutrient status and risk factors among late adolescent and young women in rural Pakistan: A cross-sectional assessment of the Mapps trial. Nutrients. 2021 Apr 9; 13(4):1237.
Awaluddin SM, Shahein NA, Che Abdul Rahim N, Mohd Zaki NA, Nasaruddin NH, Saminathan TA,et al. Anemia among men in Malaysia: A population-based survey in 2019. International journal of environmental research and public health. 2021 Oct 17; 18(20):10922.
Bhutta ZA, Soofi SB, Zaidi SS, Habib A, Hussain I. Pakistan national nutrition survey, 2011.
Dhivakar M, Iswariya M, Jobin PC. The knowledge and attitude towards anaemia amongst adolescent girls. Indian Journal of Continuing Nursing Education. 2020 Jan 1; 21(1):100-3.
Bin Zarah A, Enriquez-Marulanda J, Andrade JM. Relationship between dietary habits, food attitudes and food security status among adults living within the United States three months post-mandated quarantine: a cross-sectional study. Nutrients. 2020 Nov 12; 12(11):3468.
Hassan TH, Badr MA, Karam NA, Zkaria M, El Saadany HF, Rahman DM, et al. Impact of iron deficiency anemia on the function of the immune system in children. Medicine. 2016 Nov; 95(47).
Zoawe BG, Mpiana PT, Appolinaire NB, Jean-Marie PA, Colette MA, Virima M. Evaluation of the Clinical Efficiency of an Antisickling Polyherbal Formula Drepanoalpha in a Sickle cell disease Patient in Gbado-Lite City (Democratic Republic of the Congo) by Quantum Magnetic Resonance Analyzer. Britain International of Exact Sciences (BIoEx) Journal. 2019 Aug 20; 1(1):36-48.
Didzun O, De Neve JW, Awasthi A, Dubey M, Theilmann M, Bärnighausen T,et al.. Anaemia among men in India: a nationally representative cross-sectional study. The Lancet Global Health. 2019 Dec 1; 7(12):e1685-94.
Wu Y, Ye H, Liu J, Ma Q, Yuan Y, Pang Q, et al. Prevalence of anemia and sociodemographic characteristics among pregnant and non-pregnant women in southwest China: a longitudinal observational study. BMC pregnancy and childbirth. 2020 Dec; 20:1-0.
Melwani V, Dubey M, Khan A, Toppo M, Choudhary Y, Priya A. A study to assess the prevalence of anaemia amongst adolescent girls residing in selected slum of Bhopal city. Int J Community Med Public Health. 2018 Feb 24; 5(3):1096-9.
Chalise B, Aryal KK, Mehta RK, Dhimal M, Sapkota F, Mehata S,et al. Prevalence and correlates of anemia among adolescents in Nepal: Findings from a nationally representative cross-sectional survey. PloS one. 2018 Dec 14; 13(12):e0208878.
Iglesias Vázquez L, Valera E, Villalobos M, Tous M, Arija V. Prevalence of anemia in children from latin america and the caribbean and effectiveness of nutritional interventions: Systematic review and meta–analysis. Nutrients. 2019 Jan 16; 11(1):183. doi: 10.3390/nu11010183.
De las Nieves Lopez MA, Matas Cobos AM, Sarria Gonzalez F, Dominguez Lomeña MJ, Palomo Hernandez AM, et al. Red blood cell transfusion after a global strategy for early detection and treatment of iron deficiency anemia: three‐year results of a prospective observational study. Transfusion. 2018 Jun; 58(6):1399-407.
Harding KL, Aguayo VM, Namirembe G, Webb P. Determinants of anemia among women and children in Nepal and Pakistan: An analysis of recent national survey data. Maternal & child nutrition. 2018 Nov; 14:e12478.
Habib A, Kureishy S, Soofi S, Hussain I, Rizvi A, Ahmed I, et al. Prevalence and Risk Factors for Iron Deficiency Anemia among Children under Five and Women of Reproductive Age in Pakistan: Findings from the National Nutrition Survey 2018. Nutrients. 2023 Jul 28; 15(15):3361.
WHO U. Global nutrition targets 2025: breastfeeding policy brief (WHO/NMH/NHD14. 7). Geneva: World Health Organization. 2014.
Hess SY, Owais A, Jefferds ME, Young MF, Cahill A, Rogers LM. Accelerating action to reduce anemia: Review of causes and risk factors and related data needs. Annals of the New York Academy of Sciences. 2023 May; 1523(1):11-23.
Plante C, Blanchet C, Rochette L, O’Brien HT. Prevalence of anemia among Inuit women in Nunavik, Canada. International Journal of Circumpolar Health. 2011 Feb 18; 70(2):154-65.
Yadav K, Mishra OP, Khandhadiya K, Mishra SP, Mishra A, Singh A,et al. Markers of oxidative stress in children with iron deficiency anemia. Pediatric Hematology Oncology Journal. 2024 Jan 1.
Belgnaoui S, Belahsen R. VEF Research Journal of Biological Sciences 2 (2): 118-126, 2007.
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