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BMC Pediatrics
Published in: BMC Pediatrics 1/2007

Open Access 01-12-2007 | Research article

Passive smoking as a risk factor of anemia in young children aged 0–35 months in Jordan

Authors: Rathavuth Hong, Jose A Betancourt, Martin Ruiz-Beltran

Published in: BMC Pediatrics | Issue 1/2007

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Abstract

Background

Passive smoking unfavorably affects pregnancy, child birth and child health. Passive smoking associates with still-birth, premature birth as well as acute respiratory infection, asthma, disorder in red blood cell metabolism in children. This study examined the effects of passive smoking on anemia in young children in Jordan.

Methods

The analysis based on the information from 740 children aged 0–35 months that were tested for hemoglobin levels included in the 2002 Jordan Population and Family Health Survey. This study used multivariate logistic regression method to analyze the effect of passive smoking on anemia in young children in Jordan, controlling for a number of risk factors and confounding factors for anemia.

Results

Results indicated that independent of other risk factors and confounding factors, anemia in young children was strongly positively associated with exposure to passive smoking from both parents (OR= 2.99, p < 0.01). Severely undernourished children were at higher risk of anemia independent of passive smoking and other risk factors (OR= 5.29, p < 0.05). Children age 24–35 months, children born to mothers age 35–49, and children lived in households with a hygienic toilet facility were less likely to suffer from anemia.

Conclusion

Passive smoking from both parents was strongly positively associated with anemia in young children in Jordan independent of other risk factors and confounding factors. The results support the importance of smoking prevention during and after pregnancy that prevent childhood anemia and others morbidities in young children.
Literature
1.
DiFranza JR, Lew RA: Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome. J Fam Pract. 1995, 40 (4): 385-94.PubMed
2.
Gavalov SM, Soboleva MK, Deriagina LP, Demchenko AE: Effect of active and passive smoking on the course of pregnancy in women and on the establishment of the erythrocytic system in their children. Ter Arkh. 1999, 63 (3): 126-30.
3.
Jendryczko A, Szpyrka G, Gruszczynski J, Kozowicz M: Cigarette smoke exposure of school children: effect of passive smoking and vitamin E supplementation on blood antioxidant status. Neoplasma. 1993, 40 (3): 199-203.PubMed
4.
Puente-Maestu L, Bahonza N, Perez MC, Ruiz de Ona JM, Rodriguez Hermosa JL, Tatay E: Relationship between tobacco smoke exposure and the concentrations of carboxyhemoglobin and hemoglobin. Arch Bronconeumol. 1998, 34 (7): 339-43.CrossRefPubMed
5.
Scherer G, Richter E: Biomonitoring exposure to environmental tobacco smoke (ETS): a critical reappraisal. Hum Exp Toxicol. 1997, 16 (8): 449-59.CrossRefPubMed
6.
Richter E, Schaffler G, Malone A, Schulze J: Tobacco-specific nitrosamines metabolism and biological monitoring of exposure to tobacco products. Clin Investig. 1992, 70 (3–4): 290-4.PubMed
7.
Atawodi SE, Lea S, Nyberg F, Mukeria A, Constantinescu V, Ahrens W, Brueske-Hohlfeld I, Fortes C, Boffetta P, Friesen MD: 4-Hydroxy-1-(3-pyridyl)-1-butanone-hemoglobin adducts as biomarkers of exposure to tobacco smoke: validation of a method to be used in multicenter studies. Cancer Epidemiol Biomarkers Prev. 1998, 7 (9): 817-21.PubMed
8.
Wisborg K, Kesmodel U, Henriksen TB, Olsen SF, Secher NJ: Exposure to tobacco smoke in utero and the risk of stillbirth and death in the first year of life. Am J Epidemiol. 2001, 154 (4): 322-7. 10.1093/aje/154.4.322.CrossRefPubMed
9.
Alonso Ojembarrena A, Cano Fernandez J, Giron Velasco A, Yep Chullen G, Sanchez Bayle M: Birth weight and familial smoking. Annals de Pediatria. 2005, 63 (2): 116-9. 10.1157/13077452.CrossRef
10.
Koch A, Molbak K, Homoe P, Sorensen P, Hjuler T, Olesen ME, Pejl J, Pedersen FK, Olsen OR, Melbye M: Risk factors for acute respiratory tract infections in young Greenlandic children. Am J Epidemiol. 2003, 158 (4): 374-84. 10.1093/aje/kwg143.CrossRefPubMed
11.
Leem JH, Kim JH, Lee KH, Hong Y, Lee KH, Kang D, Kwon HJ: Asthma attack associated with oxidative stress by exposure to ETS and PAH. J Asthma. 2005, 42 (6): 463-7. 10.1080/02770900500200733.CrossRefPubMed
12.
13.
Chang JS, Selvin S, Metayer C, Crouse V, Golembesky A, Buffler PA: Parental smoking and the risk of childhood leukemia. Am J Epidemiol. 2006, 163 (12): 1091-100. 10.1093/aje/kwj143.CrossRefPubMed
14.
Friedman LS, Lukyanova OM, Kundiev YI, Shkiryak-Nizhnyk ZA, Chislovska NV, Mucha A, Zvinchuk AV, Oliynyk I, Hryhorczuk D: Predictors of elevated blood lead levels among 3-year-old Ukrainian children: a nested case-control study. Environ Res. 2005, 99 (2): 235-42. 10.1016/j.envres.2004.12.006.CrossRefPubMed
15.
Spencer N, Blackburn C, Bonas S, Coe C, Dolan A: Parent reported home smoking bans and toddler (18–30 month) smoke exposure: a cross-sectional survey. Arch Dis Child. 2005, 90 (7): 670-4. 10.1136/adc.2004.054684.CrossRefPubMedPubMedCentral
16.
Tympa-Psirropoulou E, Vagenas C, Psirropoulos D, Dafni O, Matala A, Skopouli F: Nutritional risk factors for iron-deficiency anaemia in children 12–24 months old in the area of Thessalia in Greece. Int J Food Sci Nutr. 2005, 56 (1): 1-12. 10.1080/09637480500081183.CrossRefPubMed
17.
Faber M, Kvalsvig JD, Lombard CJ, Benade AJ: Effect of a fortified maize-meal porridge on anemia, micronutrient status, and motor development of infants. Am J Clin Nutr. 2005, 82 (5): 1032-9.PubMed
18.
Juyal R, Osmamy M, Black RE, Dhingra U, Sarkar A, Dhingra P, Verma P, Marwah D, Saxsena R, Menon VP, Sazawal S: Efficacy of micronutrient fortification of milk on morbidity in pre-school children and growth – a double blind randomised controlled trial. Asia Pac J Clin Nutr. 2004, 13 (Suppl): S44-
19.
Siegel EH, Stoltzfus RJ, Khatry SK, Leclerq SC, Katz J, Tielsch JM: Epidemiology of anemia among 4- to 17-month-old children living in south central Nepal. Eur J Clin Nutr. 2006, 60 (2): 228-35. 10.1038/sj.ejcn.1602306.CrossRefPubMedPubMedCentral
20.
Faber M, Swanevelder S, Benade AJ: Is there an association between the nutritional status of the mother and that of her 2-year-old to 5-year-old child?. Int J Food Sci Nutr. 2005, 56 (4): 237-44. 10.1080/09637480500145913.CrossRefPubMed
21.
Moench-Pfanner R, de Pee S, Bloem MW, Foote D, Kosen S, Webb P: Food-for-work programs in Indonesia had a limited effect on anemia. J Nutr. 2005, 135 (6): 1423-9.PubMed
22.
Department of Statistics, ORC Macro. Jordan Population and Family Health Survey 2002. 2003, Amman, Jordan and Calverton, Maryland, USA: Department of Statistics and ORC Macro
23.
Knishkowy B, Amitai Y: Water-pipe (narghile) smoking: an emerging health risk behavior. Pediatrics. 2005, 116 (1): 113-9. 10.1542/peds.2004-2173.CrossRef
24.
25.
Stata Corporation, Inc: STATA Release 8. 2003, College Station (TX): Stata Press
26.
De Farias Aragao VM, Barbieri MA, Moura Da Silva AA, Bettiol H, Ribeiro VS: Risk factors for intrauterine growth restriction: a comparison between two Brazilian cities. Pediatr Res. 2005, 57 (5): 674-9. 10.1203/01.PDR.0000156504.29809.26.CrossRefPubMed
27.
Chiolero A, Bovet P, Paccaud F: Association between maternal smoking and low birth weight in Switzerland: the EDEN study. Swiss Med Wkly. 2005, 135 (35–36): 525-30.PubMed
28.
Bodnar LM, Siega-Riz AM, Arab L, Chantala K, McDonald T: Predictors of pregnancy and postpartum haemoglobin concentrations in low-income women. Public Health Nutr. 2004, 7 (6): 701-11. 10.1079/PHN2004597.CrossRefPubMed
29.
Sansores RH, Pare PD, Abboud RT: Acute effect of cigarette smoking on the carbon monoxide diffusing capacity of the lung. Am Rev Respir Dis. 1992, 146 (4): 951-8.CrossRefPubMed
30.
Xu L, Deng X: Tobacco-specific nitrosamine 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone induces phosphorylation of mu- and m-calpain in association with increased secretion, cell migration, and invasion. J Biol Chem. 2004, 279 (51): 53683-90. 10.1074/jbc.M409889200.CrossRefPubMed
31.
Futrakul S, Deerojanawong J, Prapphal N: Risk factors of bronchial hyper-responsiveness in children with wheezing-associated respiratory infection. Pediatr Pulmonol. 2005, 40 (1): 81-7. 10.1002/ppul.20228.CrossRefPubMed
32.
Centers for Disease Control and Prevention: Prevalence of anemia among displaced and nondisplaced mothers and children–Azerbaijan, 2001. MMWR Morb Mortal Wkly Rev. 2004, 53 (27): 610-4.
33.
Allen LH: Multiple micronutrients in pregnancy and lactation: an overview. Am J Clin Nutr. 2005, 81 (5): 1206S-1212S.PubMed
34.
Villalpando S, Shamah-Levy T, Ramirez-Silva CI, Mejia-Rodriguez F, Rivera JA: Prevalence of anemia in children 1 to 12 years of age. Results from a nationwide probabilistic survey in Mexico. Salud Publica Mex. 2003, 45 (Suppl4): S490-8.CrossRefPubMed
35.
Adish AA, Esrey SA, Gyorkos TW, Johns T: Risk factors for iron deficiency anaemia in preschool children in northern Ethiopia. Public Health Nutr. 1999, 2 (3): 243-52.CrossRefPubMed
36.
Center for Diseases Control and Prevention: Current trends CDC criteria for anemia in children and childbearing-age women. MMWR Weekly. 1989, 38 (22): 400-404.
37.
Ishizaka N, Ishizaka Y, Toda E, Nagai R, Yamakado M: Association between smoking, hematological parameters, and metabolic syndrome in Japanese men. Diabetes Care. 2006, 29 (3): 741-10.2337/diacare.29.03.06.dc05-2245.CrossRefPubMed
Metadata
Title
Passive smoking as a risk factor of anemia in young children aged 0–35 months in Jordan
Authors
Rathavuth Hong
Jose A Betancourt
Martin Ruiz-Beltran
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2007
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-7-16

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