Prevalence of nutritional anemia in children of high socioeconomic status in a tertiary care center

Background: Anemia is a highly prevalent condition developed in children belonging to all socioeconomic status and is mainly caused due to iron deficiency in nutrition. Aim: To identify the Prevalence of nutritional anemia in children of high socioeconomic status. Methods: Children between 6 months and 14 years of age belonging to high socioeconomic status, admitted in pediatric ward of Kauvery Hospital, a tertiary center at Trichy were included in the study. Children with hemolytic anemia, chronic illnesses, and those who received blood transfusion were excluded from the study. The World Health Organization classification was used for grading the severity of anemia as mild, moderate, and severe based on hemoglobin levels for the age. Modified Kuppuswamy scale 2016 was used to assess the socioeconomic status of the children. Children belonging to upper and upper middle socioeconomic status were included in the study. Results: The overall prevalence of anemia among the study population was 44.5%. Out of 400 subjects, 178 participants were anemic. Of the 178 anemic children, 78.1% were in the age group of 6 months–5 years, 20.2% in 5–11 years, and 1.7% in 12–14 years. Among children between 6 and 23 months, 75 were anemic. Almost all patients showed microcytic hypochromic anemia. There were a significantly higher number of overweight and obese children among those anemic in all age groups. Conclusion: This study concludes that every other child is anemic even in families of high socioeconomic status, especially <2 years of age. There is an urgent need to screen and treat all children regardless of their socioeconomic status or body mass index.

Prevalence of Nutritional Anemia and Its Causes among Adolescent Girls

Background: Nutritional anemia is a disorder that cause due to a lack of one or more vital nutrients, such as iron, protein, vitamin B12, and other vitamins and minerals. In this condition hemoglobin content in the blood is lower than usual. Nutritional anemia has been described as correlated with reduced childhood emotional, physical, and cognitive function and is a major risk factor for maternal mortality. Objective: 1. To assess the prevalence of nutritional anemia among adolescent girls. 2. To assess the causes of nutritional anemia among adolescent girls. 3. To associate the demographic variable with prevalence and causes of nutritional anemia among adolescent girls. Methodology: This is a cross sectional observational study will be conducted among the adolescent girls where age is between 10-14 years, the sample size can be calculated statistically by using the prevalence of previous studies which done in India and the sample size is 220 adolescent girls selected in a particular rural community area of Wardha district. Non-probability convenience sampling will be using for sample collection. The standard haemoglobinometer (Accusure HB meter) for analyzing the haemoglobin according to WHO criteria and structure questionnaire scale is made upon the causes behind the nutritional anemia. According to some previous studies, the prevalence rate has been shown high in the adolescent age group so this study help to find the prevalence rate in a particular community and the causes of nutritional anemia among adolescent girls. Expected Results: In this study the researcher evaluate the prevalence and its causes of nutritional anemia among adolescent girls, this study will show the rate of prevalence in the particular community area and also the causes of nutritional anemia among adolescent girls. Conclusion: The conclusion will be drawn from the results.

Kepatuhan Konsumsi Tablet Tambah Darah terhadap Anemia Remaja Putri

The consumption iron tablets for adolescent girls is one indicator of improving community nutrition. Research data in various regions in Indonesia shows the prevalence of anemia in adolescents girls ranges from 32.4% to 61%. The main causes of nutritional anemia in adolescents girls are due to lack of nutrient intake through food, iron loss in adolescents girls with more menstrual patterns and longer periods. Another reason is adolescents girls often maintain their appearance, the desire to stay slim or thin so that they go on a diet and eat less. The purpose of this study was to determine the compliance of iron tablet consumption on the incidence of anemia in adolescents girls. The research design was analytical observation with a cross sectional study approach for 12 weeks.. The number of sample in this study are 104 respondents (total sampling). The results showed that most of the adolescents ages 12-18 years (86.4%), 83 (79.8%) of the adolescents girls were anemia before consumption iron tablets. After consumption iron tablets for 12 weeks and mentoring as many as 69 people (66.3%) were obedient in consuming iron tablets and most of the adolescents girls (81.2%) weren’t anemia after consuming iron tablets for 12 weeks.

ARTICLE ON ADOLESCENT NUTRITIONAL ANEMIA WITH SPECIAL REFERENCE TO GIRLS

Nutritional anaemia is a major health problem worldwide. Adolescent girls are the most vulnerable group of the population due to different reasons. Adolescence is a stage of transition from childhood to adulthood. Adolescence is a physiological & social process through which a child matures into an adult adolescent, comprised of 10-19 years old, from the largest generation of young people in our history. Nutritional anaemia is a serious health problem in Indian school children. A high prevalence of anaemia has been reported in non-pregnant adolescent girls. Adolescent girls are most vulnerable to the influences of cultural & gen- der norms, which often discriminate against them. Dietary patterns and physical activity in addition to schooling & countervailing social norms for early marriage influence the health and nutritional well-being of adolescents. At this age girls having menses and menarche age (10-13 years). In this age nutrients, requirements of iron further increase. This review article purposes the effect of various ayurvedic drugs on anaemia from the existing literature. Keywords: Ayurveda, nutritional anaemia, Pandu Roga, Adolescent girls.

The Effect of Nutrition Education Using Pocketbook Media on Iron and Protein Intake

The provision of nutrition education for teenage girls is an alternative to increase protein and iron intake to prevent anemia. This study aims to determine nutrition education's effect using pocketbook media on protein and iron intake in teenage girls. The research design used was quasi-experimental with a control group pre and post-test design. Sampling was done by the purposive sampling method—statistical analysis using Paired Samples T-test, Wilcoxon, Independent Samples T-test, and Mann Whitney. This study indicates an influence of nutrition education using pocketbook media on protein intake (p = 0.000) and iron (p = 0.000) in the treatment group. There is no effect of nutrition education using PowerPoint on protein intake (p = 0.326) and substances iron (p = 0.52) in the control group. Statistically, there was a significant difference between protein intake (p = 0.000) and iron (p = 0.001) of the treatment and control groups. It is recommended that UKS and students work together to conduct nutrition education routinely so that the nutrition information delivered can be given to all students in the school to prevent nutritional anemia.

Stomatitis sebagai Manifestasi Oral dari Anemia Defisiensi Zat Besi disertai Trombositosis

Studies in Indonesia stated that the main cause of nutritional anemia in adolescents is due to lack of iron intake, which is called iron deficiency anemia. One of its oral manifestations is stomatitis. Thrombocytosis is also found in iron deficiency anemia. We reported a case of a 22-year-old female patient with complaints of stomatitis and further examination showed the occurrence of iron deficiency anemia and thrombocytosis. The patient was instructed to maintain good diet containing meat, vitamin C-rich vegetables and fruits, have good sleep pattern, take care of her oral health, and not to force herself to overwork. Triamcinolone acetonide in ora base 0.1% was applied on the lesion by using cotton bud after meal and before bedtime until the lesion disappeared or became painless. The patient was referred to an internist for further examination. After two weeks, the lesion had disappeared, and there was no new lesion. However, the patient had not checked to the internist, therefore, ferrous gluconate 250 mg twice daily was given to her for 30 days. In conclusion, the patient was diagnosed as stomatitis aphthosa as an oral manifestation of iron deficiency anemia associated with secondary thrombocytosis.Keywords: stomatitis, iron deficiency anemia, thrombocytosis Abstrak: Penelitian di Indonesia menyatakan bahwa penyebab utama terjadinya anemia gizi pada remaja ialah kurangnya asupan zat besi, yang disebut anemia defisiensi zat besi. Salah satu manifestasi oralnya ialah stomatitis. Kondisi trombositosis juga ditemukan pada anemia defisiensi zat besi. Kami melaporkan kasus seorang perempuan berusia 22 tahun dengan keluhan stomatitis dan hasil pemeriksaan penunjang menunjukkan anemia defisiensi zat besi dan trombositosis. Pasien diinstruksikan untuk menjaga pola makan yang baik dengan mengonsumsi daging serta buah dan sayuran mengandung vitamin C, tidur serta istirahat yang cukup, tidak memaksakan diri secara berlebihan, serta menjaga kebersihan mulut. Diberikan obat oles yaitu triamcinolone acetonide in orabase 0,1% untuk dioles pada lesi menggunakan cotton bud sehabis makan dan sebelum tidur sampai lesi sembuh atau tidak sakit lagi. Pasien dirujuk ke spesialis penyakit dalam untuk tindak lanjut dari kondisi sistemiknya. Kontrol setelah dua minggu sariawan sudah hilang, tidak muncul sariawan baru. Pasien belum ke dokter spesialis penyakit dalam untuk memeriksa kondisi anemia yang dideritanya. Oleh karena itu diberikan ferrous gluconate 250 mg dua kali sehari selama 30 hari. Simpulan kasus ini ialah suatu stomatitis sebagai salah satu manifestasi oral pada anemia defisiensi besi yang disertai trombositosis sekunder.Kata kunci: stomatitis, anemia defisiensi zat besi, trombositosis