Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices

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cg.authorship.typesCGIAR single centre
cg.contributor.crpAgriculture for Nutrition and Health
cg.coverage.countryBangladesh
cg.coverage.iso3166-alpha2BD
cg.coverage.regionSouthern Asia
cg.coverage.regionAsia
cg.creator.identifierKuntal Saha: 0000-0002-4800-5690
cg.creator.identifierMarie Ruel: 0000-0002-9506-348X
cg.creator.identifierRahul Rawat: 0000-0001-6509-486X
cg.creator.identifierPurnima Menon: 0000-0001-5988-2894
cg.identifier.doihttps://doi.org/10.1017/s0007114513001852
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Division
cg.identifier.projectIFPRI - South Asia Office
cg.identifier.publicationRankA
cg.isijournalISI Journal
cg.issn0007-1145
cg.issn1475-2662
cg.issue1
cg.journalBritish Journal of Nutrition
cg.reviewStatusPeer Review
cg.volume111
dc.contributor.authorRawat, Rahul
dc.contributor.authorSaha, Kuntal K.
dc.contributor.authorKennedy, Andrew
dc.contributor.authorRohner, Fabian
dc.contributor.authorRuel, Marie T.
dc.contributor.authorMenon, Purnima
dc.date.accessioned2024-08-01T02:54:55Zen
dc.date.available2024-08-01T02:54:55Zen
dc.identifier.urihttps://hdl.handle.net/10568/151032
dc.titleAnaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practicesen
dcterms.abstractFew data exist on the aetiology of anaemia and Fe deficiency (ID) during early infancy in South Asia. The present study aimed to determine the contribution of ID, infections and feeding practices to anaemia in Bangladeshi infants aged 6–11 months. Baseline data from 1600 infants recruited into a cluster-randomised trial testing the effectiveness of micronutrient powder sales by frontline health workers on the prevalence of anaemia were used. Multivariate logistic regression was used to identify risk factors for anaemia and ID, and population attributable fractions (PAF) were computed to estimate the proportion of anaemia that might be prevented by the elimination of individual risk factors. It was found that 68 % of the infants were anaemic, 56 % were Fe deficient, and one-third had evidence of subclinical infections. The prevalence of anaemia and ID increased rapidly, until 8–9 months of age, while that of subclinical infections was constant. ID (adjusted OR (AOR) 2·6–5·0;P< 0·001) and subclinical infections (AOR 1·4–1·5;P< 0·01) were major risk factors for anaemia, in addition to age and male sex. Similarly, subclinical infections, age and male sex were significant risk factors for ID. Previous-day consumption of Fe-rich foods was very low and not associated with anaemia or ID. The PAF of anaemia attributable to ID was 67 % (95 % CI 62, 71) and that of subclinical infections was 16 % (95 % CI 11, 20). These results suggest that a multipronged strategy that combines improvements in dietary Fe intake alongside infection control strategies is needed to prevent anaemia during infancy in Bangladesh.en
dcterms.accessRightsLimited Access
dcterms.bibliographicCitationRawat, Rahul; Saha, Kuntal K.; Kennedy, Andrew; Rohner, Fabian; Ruel, Marie T.; and Menon, Purnima. Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices. British Journal of Nutrition 111(1): 172-181. https://doi.org/10.1017/s0007114513001852en
dcterms.extentpp. 172-181
dcterms.issued2014
dcterms.languageen
dcterms.licenseCopyrighted; all rights reserved
dcterms.publisherCambridge University Press
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/4016
dcterms.subjectinfectionen
dcterms.subjectanaemiaen
dcterms.subjectinfantsen
dcterms.subjectdeficiency diseasesen
dcterms.subjectbest practicesen
dcterms.subjectironen
dcterms.subjectfeeding habitsen
dcterms.typeJournal Article

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