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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study

Authors: Wenfang Yang, Xu Li, Ying Li, Shuiping Zhang, Liming Liu, Xiang Wang, Weimin Li

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

The first 18 months of life are the most important for long-term childhood well-being. Anemia and malnutrition occurring in this key period have serious implications for individuals and societies, especially in rural areas in developing country. We conducted a cross-sectional study as the baseline survey to provide data for developing a policy-based approach to controlling infant anemia and malnutrition in rural areas of Shaanxi province in northwestern China.

Methods

We randomly sampled 336 infants aged 0–18 months in 28 rural villages from 2 counties of Shaanxi province. Anthropometric measurements and household interviews were carried out by well-trained researchers. The hemoglobin concentration was measured for 336 infants and serum concentrations of iron, zinc, and retinol (vitamin A) were measured for a stratified subsample of 55 infants. Anemia was defined using World Health Organization (WHO) standards combined with the Chinese standard for infants <6 months old. Logistic regression modeling was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for anemia with non-anemic group as a reference.

Results

We found that 35.12% of infants in rural Shaanxi suffered from anemia, and the malnutrition prevalence rates were 32.14% for underweight, 39.58% for stunting, and 11.31% for wasting. Anemia was significantly associated with malnutrition (underweight, OR: 2.42, 95%CI: 1.50-3.88; stunting, OR: 1.65, 95%CI: 1.05-2.61; wasting, OR: 2.89, 95%CI: 1.45-5.76). Low birth weight, more siblings, less maternal education, low family income, crowded living conditions, and inappropriate complementary food introduction significantly increased the risk for infant anemia. Serum concentrations of iron, zinc, and retinol (vitamin A) were significantly lower in anemic infants compared with non-anemic infants.

Conclusions

Specific socio-demographic characteristics and feeding patterns were highly associated with infant anemia in rural areas of Shaanxi province. Health education focusing on feeding practices and nutrition education could be a practical strategy for preventing anemia and malnutrition in young children.
Appendix
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Literature
1.
Pelletier DL: The relationship between child anthropometry and mortality in developing countries: implications for policy, programs and future research. J Nutr. 1994, 124 (10 Suppl): 2047S-2081S.PubMed
2.
Pelletier DL, Frongillo EA, Habicht JP: Epidemiologic evidence for a potentiating effect of malnutrition on child mortality. Am J Public Health. 1993, 83 (8): 1130-1133. 10.2105/AJPH.83.8.1130.CrossRefPubMedPubMedCentral
3.
Truswell AS: ABC of Nutrition: Malnutrition in the Third World-1. Brit Medical J (Clin Res Ed). 1985, 191: 525-528.CrossRef
4.
WHO: The World Health Report 2005: Make every mother and child count. 2005, Geneva: WHO Press
5.
UNICEF: The state of the World’s children. 1999, New York: Oxford University Press
6.
Chen Y, Tang S, Le H, Yu X, Wang D, Hao M: Compare Health development of rural areas in different districts of China: About social economy and inhabitant’s health condition. Chinese Health Economic. 2006, 25 (2): 37-38.
7.
Wang YP, Miao L, Dai L, Zhou GX, He CH, Li XH, Li Q, Li MR, Zhu J, Liang J: Mortality rate for children under 5 years of age in China from 1996 to 2006. Public Health. 2011, 125: 301-307. 10.1016/j.puhe.2011.01.003.CrossRefPubMed
8.
Wang YP, Miao L, Qian YQ, Liang J, Wu YQ, Zhu J, et al: Analysis of under 5 years old children mortality and the leading death cause in China from 1996 to 2000. Zhonghua Yu Fang Yi Xue Za Zhi. 2005, 39 (4): 260-264.PubMed
9.
Chen CM, He W, Fu ZY, Wang Y, Fu G, Chang SY, et al: Analysis on the changes of nutritional situation in past 15 years (1990–2005) in China the 15 - year establishment of Chinese food and nutrition surveillance system( CFNSS). Wei Sheng Yan Jiu. 2006, 35 (6): 762-764,774.PubMed
10.
Wang X, Wang Y, Kang C: Feeding practices in 105 counties of rural China. Child Care Health Dev. 2005, 31 (4): 417-423. 10.1111/j.1365-2214.2005.00523.x.CrossRefPubMed
11.
WHO: Physical status: the use and interpretation of anthropometry: report of a WHO expert committee. Technical report series, No 854. 1995, Geneva: WHO Press, 854
12.
13.
14.
Zheng J, Wu H: Diagnosis and treatment of child nutritional anemia. Chinese Community Doctors. 2010, 12 (2): 3-5.
15.
Society CN: Chinese dietary reference intakes. 2000, Beijing, China: China Light Industry Publishing House
16.
Chang Y, Xian ZD, He W, Chang SY, Ma HJ, Chen CM: Child malnutrition in China–present status and changing trend. Biomed Environ Sci. 1996, 9 (2–3): 164-180.PubMed
17.
Popkin BM, Keyou G, Zhai F, Guo X, Ma H, Zohoori N: The nutrition transition in China: a cross-sectional analysis. Eur J Clin Nutr. 1993, 47 (5): 333-346.PubMed
18.
Zeng L, Yan H, Guo X, Dang S, Xie H: Analysis on malnutrition of children under 3 years old in 40 poor counties in the western areas of China. Chinese Journal of Public Health. 2003, 19 (1): 55-58.
19.
Zeng L, Yan H, Chen Z, Dang S, Xie H: Analysis on the prevalence of anemia among children under 3-year-old in 5 provinces in Western China. Chinese Journal of Epidemiology. 2004, 25 (3): 225-228.PubMed
20.
Grant CC, Wall CR, Brunt D, Crengle S, Scragg R: Population prevalence and risk factors for iron deficiency in Auckland, New Zealand. J Paediatr Child Health. 2007, 43 (7–8): 532-538.CrossRefPubMed
21.
Lynch S, Stoltzfus R, Rawat R: Critical review of strategies to prevent and control iron deficiency in children. Food Nutr Bull. 2007, 28 (4 Suppl): S610-S620.CrossRefPubMed
22.
23.
Saito K, Korzenik JR, Jekel JF, Bhattacharji S: A case–control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. Yale J Biol Med. 1997, 70 (2): 149-160.PubMedPubMedCentral
24.
de Waal HA D-v: Environmental factors influencing growth and pubertal development. Environ. Health Perspect. 1993, 101 Suppl 2: 39-44.CrossRef
25.
Miller JE, Korenman S: Poverty and children’s nutritional status in the United States. Am J Epidemiol. 1994, 140 (3): 233-243.PubMed
26.
Lehmann F, Gray-Donald K, Mongeon M, Di Tommaso S: Iron deficiency anemia in 1-year-old children of disadvantaged families in Montreal. Can Med Assoc J. 1992, 146 (9): 1571-1577.
27.
Hadler MC, Juliano Y, Sigulem DM: [Anemia in infancy: etiology and prevalence]. J Pediatr (Rio J). 2002, 78 (4): 321-326.
28.
Ma Y, Bi Y, Yan H, Deng L, Liang W, Wang B, Zhang X: The application of decision tree in the research of anemia among rural children under 3-year-old. Zhonghua Yu Fang Yi Xue Za Zhi. 2009, 43 (5): 434-437.PubMed
29.
Meinzen-Derr JK, Guerrero ML, Altaye M, Ortega-Gallegos H, Ruiz-Palacios GM, Morrow AL: Risk of infant anemia is associated with exclusive breast-feeding and maternal anemia in a Mexican cohort. J Nutr. 2006, 136 (2): 452-458.PubMed
30.
Chandra RK: Nutrition and the immune system from birth to old age. Eu.r J. Clin. Nutr. 2002, 56 Suppl 3: S73-S76.CrossRef
31.
Cunningham-Rundles S, McNeeley DF, Moon A: Mechanisms of nutrient modulation of the immune response. J Allergy Clin Immunol. 2005, 115 (6): 1119-1128. 10.1016/j.jaci.2005.04.036. quiz 1129CrossRefPubMed
Metadata
Title
Anemia, malnutrition and their correlations with socio-demographic characteristics and feeding practices among infants aged 0–18 months in rural areas of Shaanxi province in northwestern China: a cross-sectional study
Authors
Wenfang Yang
Xu Li
Ying Li
Shuiping Zhang
Liming Liu
Xiang Wang
Weimin Li
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-1127

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