Prevalence of Anemia and Dietary Iron Intake Among Female Adolescents (Grade 8-12) in Lahore

Authors

  • Salma Mazhar University of Home Economics

Abstract

Objectives: To assess the magnitude and status of anemia in adolescent girls and calculate their dietary iron intake through food frequency records to compare it with the dietary standards.
Study Design: The study is cross-sectional.

Place and Duration of Study: Three female institutions namely, Crescent Model Girls section, Government College of Home Economics and Lahore College for Women University were randomly selected.
Materials and Methods: The parameters for study included the information about age, height, body weight, socioeconomic status, information about anemia status and oral consumption of various iron containing pills. A 24-hour recall method was applied to calculate total iron intake. Food Frequency questionnaire were used to assess the consumption of typical iron containing foods. 450 adolescent girls aged 12-19 years were selected. A probability sampling technique was applied. Later on the sample was stratified according to their severity of anemia.
Results: The overall prevalence of 43%, 24%, and 28% was found among adolescent girls for severe, moderate and mild anemia respectively. Hemoglobin level varied from less than 8 mg/dl to more than 12 mg/dl. Dietary consumption of iron was much below the intake level recommended by WHO for the given age (from <8mg10mg/day among 84% population).
Conclusion: The appearance of symptoms of anemia are not enough to detect the problem. Blood tests are required. More intervention is required to improve awareness. Malpractices leading to less bio-availability of iron need to be corrected.

Downloads

Download data is not yet available.

References

Akhtar S, Ismail T, Atukorala S, Arlappa N. Micronutrient Deficiencies in South Asia-current status

and strategies.Trends Food Sci Technol 2013; 31:55-62.

Akhtar, S, Ahmed A, Ismail T. Iron status of the Pakistani population-current issues and strategies. Asia Pacific J Clin Nutr 2013; 22:340-7.

Bloom SS, Wypij D, Gupta M. Dimensions of women’s Autonomy and the influence of maternal health care

utilization in a northern Indian city: Demography; 38: 67-78.

Hunt JR, Gallagher SK, Johnson LK. Effect of ascorbic acid on apparent iron absorption by women with low

iron stores: Am J Clin Nutr 2009; 159:1381-5.

Agarwal KN. Iron and the brain: neurotransmitter receptors and magnetic resonance spectroscopy. British

J of Nutr 2001; 85; suppl. 2; 147-150.

Amin A. Gynecological morbidity and decision-making among rural Maharashtra women. J Nutr 2013; 136:58-64.

Griffiths PL, Stephenson R. Understanding user’s perspectives of barriers to maternal health care use in Maharashtra, India. J Biosoc Sci 2001; 33:339-59.

Unwin N, Harland J. Body mass index, waist circumference, waist-hip ratio and glucose intolerance in Chinese and Europoid adults in new castle UK. J. Epidemiology and community health 1997; 51:160-6.

Frankenfield D, Roth YL, Compher C. Comparison of predictive equations for resting metabolic rate in healthy nonobese and obese adults. J Am Diet Assoc 2005; 105:775-89.

Kapoor SK, Kapil U, Dwivedi SN, Anand K, Pathak P, Singh P. Comparison of HemoCue method with cyanmethemoglobin method for estimation of haemoglobin. Indian Pediatr 2002; 39:743-6.

Mohanram M, Ramana Rao GV, Sastry JG. A comparative study on prevalence of anaemia in women by cyanmethaemoglobin and Haemo-Cue methods. Ind J Com Med 2002; 27:58-61.

WHO, 2008; worldwide prevalence of anemia, global database.

Whitney R, Understanding Nutrition; 14th Edition; Cengage Learning Publishers 2016; 671-96.

Hallberg L, Hulthen L. Prediction of dietary iron absorption: an algorithm for calculating absorption and

bioavailability of dietary iron. Am J Clin Nutr 2000; 71:1147-60.

Laerd Statistics [Internet] Available from https://statistics.laerd.com/spss-tutorials/testing-fornormality-using-spss-statistics.php

World health organization. Report of WHO study group technical report series 37:45-51.

Bardosono S. Determinant of child malnutrition during the economic crisis in selected poor areas of Indonesia.

Am J Clin Nutr 2003; 51:47-52.

Beinner MA, Lamounier JA. Recent experience with fortification of foods and beverages with iron for the control of iron-deficiency Anemia in Brazilian children. Food Nutr Bull 24:268-74.

Halterman JS, Kaczorowski JM, Aligne CA Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement

among school-aged children and adolescents in United States. Pediatrics 2001; 107:1381-6.

Kanani SJ, Poojara RH. Supplementation with iron and folic acid enhances growth in adolescent Indian girls. J. Nutr 130:452-5.

Jones M, Lawson M, Daneman d, Omlsted M, Robin g. Eating disorders among adolescent females. Lancet; 2001; 357:53-65.

Griffiths PL, Bentley ME. The nutrition transition is underway in India. J Nutr 2011; 131:2692-2700.

Khrishnaswami K. Nutritional disorders – Old and changing. Lancet 2001; 351:1268-9.

Kielmann K. Perceived morbidity and the dynamics of ‘women’s health’ in low-income areas of Maharashtra, BMC Public Health 2011; suppl 3:1987-96.

Kotecha PV, Patel RZ, Karkar PD, Nirupam S. Impact evaluation of adolescent girls anaemia reduction

programme in Vadodara. Ind J Nutr 2002; 130:2697-702.

Kriviene I, Ragelivene L. The prevalence of anemia among school children in Siaulian region of Lithuanid.

Am J Clin Nutr 2003; 63:537-41.

Creed-Kanashiro HM, Uribe TG, Bartolini RM, Fukumoto MN, Lopez TT, Zavaleta NM, Bentley ME. Improving dietary intake to prevent anemia in adolescent girls through community kitchens in a periurban population of Lima, Peru J Nutr 130:459-261.

Rajaratnam J, Abel R, Asokan JS, Jonathan P. Prevalence of anemia among adolescent girls of rural Tamil Nadu. Indian Pediat 2000; 27:532-6.28.

Soekarjo DD, Pee SD, Bloem MW, Tjiong R, Yip R, Schreurs, Muhilal. Socio-economic status and puberty are the main factors in determining anemia in adolescent girls and boys in East Java, Indonesia. Eur J Clin Nutr 2001; 55:32-9.

Kumar S. India health survey finds too many women and children in poor health. Lancet 2001; 356:1830.

Downloads

Published

2015-12-28

How to Cite

Mazhar, S. (2015). Prevalence of Anemia and Dietary Iron Intake Among Female Adolescents (Grade 8-12) in Lahore. Journal of the Dow University of Health Sciences (JDUHS), 9(3), 99–105. Retrieved from https://jduhs.com/index.php/jduhs/article/view/1433

Issue

Section

Original Articles