Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province

SHU Li; LI Mengyao; LI Xiaolu; QIU Mengting; HAN Ziyan

doi:10.16835/j.cnki.1000-9817.2021.12.009

Volume 42 Issue 12

Dec. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(12): 1793-1797

SHU Li, LI Mengyao, LI Xiaolu, QIU Mengting, HAN Ziyan. Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1793-1797. doi: 10.16835/j.cnki.1000-9817.2021.12.009

Citation:

SHU Li, LI Mengyao, LI Xiaolu, QIU Mengting, HAN Ziyan. Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1793-1797. doi: 10.16835/j.cnki.1000-9817.2021.12.009

Citation:

SHU Li, LI Mengyao, LI Xiaolu, QIU Mengting, HAN Ziyan. Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1793-1797. doi: 10.16835/j.cnki.1000-9817.2021.12.009

PDF( 400 KB)

Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province

doi: 10.16835/j.cnki.1000-9817.2021.12.009

School of Public Health, Bengbu Medical College, Bengbu(233030), Anhui Province, China

Received Date: 2021-03-26
Rev Recd Date: 2021-05-26

Available Online: 2021-12-23

Publish Date: 2021-12-25

Abstract

Abstract

Objective To evaluate the dietary quality for preschool children by diet balance index(DBI_C), and to provide an empirical reference for scientific guidance for a reasonable diet and controlling and preventing iron deficiency anemia(IDA). Methods During September to December of 2018, 306 left-behind children and 598 non left-behind children aged 3-6 years old of Anhui Province were selected. Four scoring methods (TS-Total Score, LBS-Low Bound Score, HBS-High Bound Score, DQD-Diet Quality Distance) were used to evaluate the dietary quality by DBI_C, and multivariate Logistic regression was used to assess the relationship between DBI_C and IDA. Results The anemia prevalence (AP) was 13.3% among the 3-6-year-old children in Anhui rural area, whereas the left-behind children (LBC) was 16.7% and the non left-behind children was 10.9%, and there was statistical significance of the differences (χ²=8.8, P < 0.05). There were significant differences of TS[-18.3(25.2, -12.7), -15.2(-19.8, -8.6)], LBS[25.4(18.3, 32.5), 22.7(16.5, 30.6)] and DQD[36.8(23.9, 43.4), 34.1(27.5, 41.0)] in DBI_C scores between anemia group and non-anemia group (P < 0.05). There were significant differences of milk and beans [-5.9(-10.7, -0.4), -5.0(-8.7, 0.2)], animal food [-2.4(-5.6, 0.8), -0.6(3.5, 1.9)], food species [-7.5(-9.1, -4.8), -6.3(-8.0, -2.9)] in food intake scores between anemia group and non-anemia group (P < 0.05). Left behind children (OR=1.27, 95%CI=1.15-1.49) had higher proportions of getting anemia. Meat consumption >3 times per week (OR=0.81, 95%CI=0.68-0.94) and ≥two types of fresh vegetable consumption every day (OR=0.84, 95%CI=0.73-0.95) were associated with lower rate of anemia(P < 0.05). Conclusion The AP was relatively high in 3-6-year-old children in Anhui rural area, especially in those LBC. Anemia should be reduced by improving the caregivers' dietary literacy, increasing intakes of animal foods and fresh vegetables.
- Anemia, iron-deficiency,
- Diet,
- Nutritional status,
- Regression analysis,
- Child, preschool,
- Raral population,

FullText(HTML)

References(20)

References

[1]	高春海, 胡小琪, 张倩, 等. 2016年中国贫困地区农村地区留守儿童贫血及其相关因素分析[J]. 中华流行病学杂志, 2019, 40(12): 1548-1553. doi: 10.3760/cma.j.issn.0254-6450.2019.12.008 GAO C H, HU X Q, ZHANG Q, et al. Anemia status and related factors among left-behind children in poverty-stricken rural areas, in China, 2016[J]. Chin J Epidemiol, 2019, 40(12): 1548-1553. doi: 10.3760/cma.j.issn.0254-6450.2019.12.008
[2]	王巧灵, 张春燕, 唐裕, 等. 重庆市某贫困县农村学龄前留守儿童营养状况及影响因素分析[J]. 预防医学情报杂志, 2018, 34(2): 131-135. WANG Q L, ZHANG C Y, TANG Y, et al. Nutrition status and influencing factors of rural left-behind preschool children in poor areas of Chongqing[J]. J Prev Med Inf, 2018, 34(2): 131-135.
[3]	BARRAGÁN-IBAÑEZ G, SANTOYO-SÁNCHEZ A, RAMOS-PEÑA Fiel CO. Iron deficiency anaemia[J]. Revist Med Del Hospit General Mexico, 2016, 79(2): 88-97.
[4]	KASSEBAUM N J, JASRASARIA R, NAGHAVI M, et al. A systematic analysis of global anemia burden from 1990 to 2010[J]. Blood, 2014, 123(5): 615-624. doi: 10.1182/blood-2013-06-508325
[5]	国务院办公厅. 国民营养计划(2017—2030年)[A]. 2017-06-30. General Office of the State Council. National nutrition plan (2017-2030)[A]. 2017-06-30.
[6]	JEONG K S, PARK H, HA E, et al. Evidence that cognitive deficit in children is associated not only with iron deficiency, but also with blood lead concentration: a preliminary study[J]. J Trace Elem Med Biol, 2015, 29: 336-341. doi: 10.1016/j.jtemb.2014.08.014
[7]	孙畅, 孟莎, 叶睿雪, 等. 西部两省少数民族贫困农村婴幼儿贫血与妇幼卫生服务利用的关联研究[J]. 中华预防医学, 2019, 53(3): 330-333. doi: 10.3760/cma.j.issn.0253-9624.2019.03.019 SUN C, MENG S, YE R X, et al. A study on the association between the infant anemia and the utilization of maternal and child health services in ethnic minorities gathering in poverty-stricken rural areas of two provinces in Western China[J]. Chin J Prev Med, 2019, 53(3): 330-333. doi: 10.3760/cma.j.issn.0253-9624.2019.03.019
[8]	胡贻椿, 陈竞, 李敏, 等. 2010—2012年中国城市居民贫血状况研究[J]. 中华预防医学杂志, 2016, 50(3): 213-216. doi: 10.3760/cma.j.issn.0253-9624.2016.03.004 HU Y C, CHEN J, LI M, et al. Study on the anemia status of Chinese urban residents in 2010-2012[J]. Chin J Prev Med, 2016, 50(3): 213-216. doi: 10.3760/cma.j.issn.0253-9624.2016.03.004
[9]	束莉, 靳晓东, 魏筱礼, 等. 安徽部分农村地区3~6岁留守儿童膳食模式与缺铁性贫血、肥胖的关系[J]. 卫生研究, 2020, 49(3): 490-494. SHU L, JIN X D, WEI X L, et al. Study on dietary patterns and its effect with anemia and obesity among left-behind children aged 3-6 years old in rural Anhui[J]. J Hyg Res, 2020, 49(3): 490-494.
[10]	中国营养学会. 中国居民膳食营养素参考摄入量(2013版)[M]. 北京: 科学出版社, 2014. Chinese Nutrition Society. Chinese dietary reference intakes(2013)[M]. Beijing: Science Press, 2014.
[11]	WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity[EB/OL]. (2018-09-19)[2021-01-25]. http://apps.WHO.int/iris/bitstream/10665/8583913/WHO_NMH_NHD_MNM_11.1_eng.pdf?ua=1.
[12]	国家卫生和计划生育委员会. 人群贫血筛查方法: WS/T 441—2013[S]. 北京: 中国标准出版社, 2013. China Health and Family Planning Commission. Method for anemia screen: WS/T 441-2013[S]. Beijing: China Standards Press, 2013.
[13]	WHO Multicentre Growth Reference Study Group. WHO child growth standards based on length/height, weight, and age[J]. Acta Paediatr, 2006, 450(1): 76-85.
[14]	房玥晖, 何宇纳, 李春丽. 基于中国学龄前儿童平衡膳食指数的2010—2012年中国学龄前儿童膳食质量评价[J]. 中华预防医学杂志, 2020, 54(6): 662-667. doi: 10.3760/cma.j.cn112150-20190909-00719 FANG Y H, HE Y N, LI C L. Evaluation of dietary quality of Chinese preschool children based on Chinese diet balance index for preschool children[J]. Chin J Prev Med, 2020, 54(6): 662-667. doi: 10.3760/cma.j.cn112150-20190909-00719
[15]	王璇, 范振崴. 吉林市3~6岁农村留守儿童缺铁性贫血及影响因素分析[J]. 中国学校卫生, 2018, 39(1): 109-110. doi: 10.16835/j.cnki.1000-9817.2018.01.033 WANG X, FAN Z W. Anemia status and related factors among rural left-behind children aged 3-6 years old in Jilin city[J]. Chin J Sch Health, 2018, 39(1): 109-110. doi: 10.16835/j.cnki.1000-9817.2018.01.033
[16]	国家卫生和计划生育委员会. 中国居民营养与慢性病状况报告[R]. 北京, 2015. China Health and Family Planning Commission. The report of nutrition conditions and chronic diseases in China[R]. Beijing, 2015.
[17]	齐心月, 申思, 朱佳妮, 等. 成都市城郊农村居民贫血与膳食因素的关系初探[J]. 卫生研究, 2016, 45(5): 733-738. QI X Y, SHEN S, ZHU J N, et al. Study on the relationship between anemia and dietary factors of rural residents in the suburb of Chengdu[J]. J Hyg Res, 2016, 45(5): 733-738.
[18]	杨招庚, 王政和, 马军. 中国2014年7~14岁学生血红蛋白水平及贫血状况分析[J]. 中华流行病学杂志, 2017, 38(5): 588-591. doi: 10.3760/cma.j.issn.0254-6450.2017.05.006 YANG Z G, WANG Z H, MA J. Analysis of hemoglobin level and anemia prevalence in students aged 7-14 years in China, 2014[J]. Chin J Epidemiol, 2017, 38(5): 588-591. doi: 10.3760/cma.j.issn.0254-6450.2017.05.006
[19]	郭平, 姚欢迎. 小儿营养性缺铁性贫血的相关因素分析[J]. 中华全科医学, 2018, 16(2): 257-259. GUO P, YAO H Y. Analysis of related factors of nutritional iron deficiency anemia in children[J]. Chin J Gen Pract, 2018, 16(2): 257-259.
[20]	陈頔, 孙静, 黄建, 等. 中国农村寄宿制初中生铁相关营养知识状况[J]. 中国学校卫生, 2016, 37(6): 810-812. doi: 10.16835/j.cnki.1000-9817.2016.06.003 CHEN D, SUN J, HUANG J, et al. A survey on the baseline status of iron related nutrition knowledge in the 21 provinces of rural boarding school in China[J]. Chin J Sch Health, 2016, 37(6): 810-812. doi: 10.16835/j.cnki.1000-9817.2016.06.003