scholarly journals Determinants of iron status and Hb in the Bangladesh population: the role of groundwater iron

2016 ◽  
Vol 19 (10) ◽  
pp. 1862-1874 ◽  
Author(s):  
Sabuktagin Rahman ◽  
Tahmeed Ahmed ◽  
Ahmed Shafiqur Rahman ◽  
Nurul Alam ◽  
AM Shamsir Ahmed ◽  
...  

AbstractObjectiveUsing data from the national micronutrients survey 2011–2012, the present study explored the determinants of Fe status and Hb levels in Bangladesh with a particular focus on groundwater Fe.DesignCross-sectional study conducted at the nationwide scale.SettingsThe survey was conducted in 150 clusters, fifty in each of the three strata of rural, urban and slum.SubjectsThree population groups: pre-school age children (6–59 months; PSAC), school age children (6–14 years; SAC) and non-pregnant non-lactating women (15–49 years; NPNLW).ResultsNational prevalence of Fe deficiency was 10·7 %, 7·1 % and 3·9–9·5 % in PSAC, NPNLW and SAC, respectively. Prevalence of anaemia was 33·1 % (PSAC), 26·0 % (NPNLW) and 17·1–19·1 % (SAC). Multivariate regression analyses showed that the area with ‘predominantly high groundwater Fe’ was a determinant of higher serum ferritin levels in NPNLW (standardized β=0·19; P=0·03), SAC (standardized β=0·22; P=0·01) and PSAC (standardized β=0·20; P=0·03). This area also determined higher levels of Hb in PSAC (standardized β=0·14; P=0·01).ConclusionsNational prevalence of Fe deficiency in Bangladesh is low, contrary to the widely held assumption. High Fe level in groundwater is associated with higher Fe status (all populations) and higher Hb level (PSAC).

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2141
Author(s):  
Eugenia Mendoza ◽  
Ximena Duque ◽  
Jordán I. Hernández Franco ◽  
Elba Reyes Maldonado ◽  
Segundo Morán ◽  
...  

Hepcidin regulates iron metabolism. Its synthesis increases in infection and decreases in iron deficiency. The aim of this study was to evaluate the relationship between H. pylori infection and iron deficiency by levels of hepcidin in children. A total of 350 school-age children participated in this cross-sectional study. Determinations of serum ferritin, hemoglobin, hepcidin, C-reactive protein, and α-1-acid-glycoprotein were done. Active H. pylori infection was performed with a 13C-urea breath test. In schoolchildren without H. pylori infection, hepcidin was lower in those with iron deficiency compared to children with normal iron status (5.5 ng/mL vs. 8.2 ng/mL, p = 0.017); while in schoolchildren with H. pylori infection the levels of hepcidin tended to be higher, regardless of the iron nutritional status. Using multivariate analysis, the association between H. pylori infection and iron deficiency was different by hepcidin levels. The association between H. pylori and iron deficiency was not significant for lower values of hepcidin (Odds Ratio = 0.17; 95% Confidence Interval [CI] 0.02–1.44), while the same association was significant for higher values of hepcidin (OR = 2.84; CI 95% 1.32–6.09). This joint effect is reflected in the adjusted probabilities for iron deficiency: Individuals with H. pylori infection and higher levels of hepcidin had a probability of 0.24 (CI 95% 0.14–0.34) for iron deficiency, and this probability was 0.24 (CI 95% 0.14–0.33) in children without H. pylori infection and lower levels of hepcidin. In children with H. pylori infection and iron deficiency, the hepcidin synthesis is upregulated. The stimulus to the synthesis of hepcidin due to H. pylori infection is greater than the iron deficiency stimulus.


2021 ◽  
Vol 1 (1) ◽  
pp. 1011-1020
Author(s):  
Leandra Binar Ilyasa ◽  
Andriyani Asmuni ◽  
Nur Romdhona ◽  
Ernyasih Ernyasih

About 40% of the world's human population has no place in their homes to wash their hands with soap and water. The prevalence of handwashing behavior with soap for school children in Indonesia in 2018 was 46%. In 2018 the behavior of washing hands with soap in Banten Province in the group of school children was 44.5%.  South Tangerang City has a prevalence of handwashing behavior with soap in school children in 2018 of 69.12%. This research was conducted to Factors Related to the Behavior of Washing Hands with Soap for Elementary School Age Children During the COVID-19 Pandemic at RT.008/RW.007 Pisangan, East Ciputat in 2021. Cross-sectional study design with 86 people as samples, the sampling done by total sampling technique. Data analysis used chi-square test (α = 0.05). Variables related to the handwashing behavior with soap are knowledge (p-value 0,038. OR= 3,4), facilities (p-value = 0,000. OR= 76,3), the role of parents (p-value = 0,005. OR= 4,5). While variables not related to handwashing behavior with soap are attitude (p-value = 0,132. OR = 8,1). Factors Related to the Behavior of Washing Hands with Soap at RT.008 RW.007 Pisangan, East Ciputat are knowledge, facilities, the role of parents. An active parental role is needed so that they can guide, teach and be an example for their children in good handwashing behavior with soap. There is a need for prevention actions such as the distribution of handwashing soap and pamphlets containing an invitation to wash hands and this activity is under the supervision of the Pisangan Health Center


2020 ◽  
Vol 3 (2) ◽  
pp. 32-40
Author(s):  
Desak Gede Yenny Apriani

Background: Children develop very traumatic and anxious experiences during the infusion process. The role of finance for children in hospitals is related to collaboration between family and nurses or doctors with financial participation in meeting children's needs and care by providing emotional support for children.Objective: This study discusses family relationships with children during infusion of teenage children (12-18 years).Method: The design of this study used a cross sectional study using observational. The samples used were school-age children 12-18 years old who were to take intravenous measures at the BRSU IRD Room in Tabanan Regency.Results: Most respondents who did not get anxious were 55 (38.8%) respondents and family recipients who received 107 (79.9%) respondents. Based on the results of the Spearman rank test the results of the r value are 0.604 and the value of p 0.000 means that there is a family relationship with the children during infusion in adolescents (12-18 years) in the BRSUD Room in Tabanan Regency.Conclusion: Family support provides a strong level of ability for children when installing IVs.


2017 ◽  
Author(s):  
Edward Goldstein

AbstractBackgroundThere is limited information about the role of different age groups, particularly subgroups of school-age children and younger adults in propagating influenza epidemics.MethodsFor a communicable disease outbreak, some subpopulations may play a disproportionate role during the ascent of the outbreak due to increased susceptibility and/or contact rates. Such subpopulations can be identified by considering the proportion that cases in a subpopulation represent among all cases in the population occurring before the epidemic peak (Bp), the corresponding proportion after the epidemic peak (Ap), to calculate the relative risk for a subpopulation, RR=Bp/Ap. We estimated RR for several age groups using data on reported influenza A cases in Germany between 2002-2017.ResultsChildren aged 14-17y had the highest RR estimates for 7 out of 15 influenza A epidemics in the data, including the 2009 pandemic, and the large 2016/17, 2008/09, and 2006/07 seasons. Children aged 10-13y had the highest RR estimates during 3 epidemics, including the large 2014/15 and 2004/05 seasons. Children aged 6-9y had the highest RR estimates during two epidemics, including the large 2012/13 season. Children aged 2-5y had the highest RR estimate during the moderate 2015/16 season; adults aged 18-24y had the highest RR estimate during the small 2005/06 season; adults aged 25-34y had the highest RR estimate during the large, 2002/03 season.ConclusionsOur results support the prominent role of all school-age children, particularly the oldest ones, in propagating influenza epidemics in the community. We note that national vaccination coverage levels among older school-age children were lower than among younger school-age children during the recent influenza seasons in the US, and influenza vaccination program in England has not been phased in yet for secondary school students.


2020 ◽  
Vol 8 (3) ◽  
pp. 266-270
Author(s):  
Ekwuluo Celestine Emeka ◽  
S.I Muhammed

Motivation/Background: In 2001, non-communicable diseases (NCDs) accounted for 60 percent of 56 million deaths worldwide and 47% of global burden of disease. In all countries, evidence suggested underlying determinants of NCDs were largely same. These include increased consumption of rapidly processed energy-dense nutrient-poor foods high in fat, sugar, salt and reduced levels of physical activity. The objective of this study was to determine prevalence, pattern and determinants of fast foods consumption among school age children in Jos metropolis. Method: In this study, we used descriptive cross-sectional study and included 347 mothers or care givers with children age 6 to 12 years in our sample size. We applied structured interviewer-administered questionnaire during data collection and analyzed the data with SPSS version 21.0. Results: Prevalence of fast food consumption among school age children in Jos metropolis in the last one week is 91.1%. Knowledge of health risk associated with fast food consumption was 86.5%. Flour based fast food were most commonly consumed. We established an association between meal skipping, fast food advertisement and fast food consumption. Conclusions: We recommend the need to focus public enlightenment on health risk associated with fast food consumption among school age children. Likewise, children should be encouraged to carry home-made food to school and legislation on fast food advertisement directed at children should be enacted.


2017 ◽  
Vol 9 (1) ◽  
pp. 46
Author(s):  
Rendy Manuhutu ◽  
Dyah Umiyarni Purnamasari ◽  
Endo Dardjito

School age is the important period of human life and the quality have to be prepared well. The school age children is susceptible to malnutrition. Malnutrition among school age children will implicatethe children�s development and further potential development in that age. Food consumption levels and worm infection status are the two most affected factors to nutritional status of children school. The purpose of this research is to know the effect of energy, protein, fat and worm inflectional status to the nutritional status of SDN 01 Limpakuwus�s student in Sumbang, Banyumas. This research was cross sectional study approach,used purposive sampling with inclusion and exclusion criteria in 44 respondents. Analysis conducted by univariate, bivariate (Spearman rank) and multivariate (multiple logistic regression).Multivariate analysis showed the variables that influenced nutritional status is the level of fat consumption (p=0.022), and the variable did not affect the nutritional status are the level of energy consumption (p=0.999), protein consumption level (p=0.580), and worm infection status (p = 0.661). The suggestion is to get more food that can fulfil the energy, protein, fat needs and make the canteen in the school becomes a healthy canteen that serves healthy and nutritious meal.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Zerihun Zerdo ◽  
Tsegaye Yohanes ◽  
Befikadu Tariku

Mass drug administration (MDA) to the most risky population including school-age children (SAC) is the central strategy to control soil-transmitted helminth (STH) infection. The present study was aimed at estimating the prevalence of STHs reinfection three months posttreatment and associated risk factors among SAC in Chencha district. A cross-sectional study design was employed from April 20 to May 5, 2015, to enroll 408 SAC. Structured questionnaire and Kato-Katz thick smear technique were used to interview parents or guardians and quantify the number of eggs per gram of stool. Pearson chi-square and logistic regression were used to assess the association between predictor variable and STH reinfection. The prevalence of STHs within three months of mass chemotherapy among SAC was 36.8% which is 93.4% of the prevalence (39.4%) before treatment. The estimated prevalence of reinfection (95%CI) forAscaris lumbricoides,Trichuris trichiura, and hookworms was 23.8% (21.1–28.2), 16.2% (12.7–20.1), and 1.0% (0.3–2.5), respectively. Children of merchant fathers were more likely to be reinfected by STHs in Chencha district. In conclusion, there is rapid reinfection after mass chemotherapy among SAC in Chencha district. Further studies should be carried out to generate cost efficient methods that can supplement mass drug administration to accelerate the control of STHs.


2014 ◽  
Vol 38 (4) ◽  
pp. 350-358 ◽  
Author(s):  
Gisela Jia ◽  
Jennifer Chen ◽  
HyeYoung Kim ◽  
Phoenix-Shan Chan ◽  
Changmo Jeung

This cross-sectional study investigated the bilingual lexical skills of 175 US school-age children (5 to18 years old) with Cantonese, Mandarin, or Korean as their heritage language (HL), and English as their dominant language. Primary study goals were to identify potential patterns of development in bilingual lexical skills over the elementary to high school time span and to examine the relation of environmental factors to lexical skills. HL and English productive lexical skills were assessed with a Picture Naming and a Verbal Fluency task. English receptive lexical skills were assessed with Peabody Picture Vocabulary Test. A survey obtained information about participants’ language use in six environmental contexts. There were age-related significant increases in both HL and English skills. However, English proficiency already had a significant lead over HL proficiency at the youngest age. English receptive lexical skills reached monolingual expectations from age 8, whereas for HL, high school age participants on average only reached the level of early elementary school monolinguals. Although more English use at home at younger ages was associated with stronger English skills, the relation did not exist for older participants. Instead, among older participants, more English use at home was associated with weaker HL skills. Children’s attendance at HL programs and visits to home countries bore little relation to HL proficiency.


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