Haidar J, Muroki N M, Omwega A M, Ayana G
Ethiopian Health and Nutrition Research Institute, PO Box 5654, Addis Ababa, Ethiopia.
East Afr Med J. 2003 Apr;80(4):191-4. doi: 10.4314/eamj.v80i4.8640.
To determine the status of iron deficiency anaemia (IDA) and malnutrition in lactating women.
A cross-sectional study.
Six urban slum communities in Teklehaimanot district, Addis Ababa.
One thousand and seventeen lactating women were enrolled and assessed for their haemoglobin (Hgb), serum ferritin level and body mass index (BMI) during the month of March 2001. Iron deficiency anaemia was considered when Hgb and serum ferritin concentrations were less than 12gm/dl and 12 microg/l respectively, whereas, a BMI less than 18.5% kg/m2 was considered malnourished.
Determinations of haemoglobin, serum ferritin and BMI measurements.
The overall prevalence of iron deficiency anaemia (IDA) and protein energy malnutrition in the slum communities was 22.3% and 27.1% respectively. The mean age of mothers (28.4 +/- 6.12 years) indicates that prevalence of malnutrition and iron deficiency anaemia was higher among younger mothers than among older mothers. The prevalence of malnutrition was positively correlated with the serum ferritin concentration status, of the mothers (r=0.12, p=0.2, RR=1.03).
It is observed that malnutrition and IDA are major health problems and therefore, an appropriate nutrition intervention package to improve the nutrition situation of the communities is recommended.
确定哺乳期妇女缺铁性贫血（IDA）及营养不良状况。
一项横断面研究。
亚的斯亚贝巴Teklehaimanot区的六个城市贫民窟社区。
2001年3月，招募了1017名哺乳期妇女，并对她们的血红蛋白（Hgb）、血清铁蛋白水平和体重指数（BMI）进行评估。当血红蛋白和血清铁蛋白浓度分别低于12g/dl和12μg/l时，被认为患有缺铁性贫血，而BMI低于18.5kg/m²被认为营养不良。
血红蛋白、血清铁蛋白测定及BMI测量。
贫民窟社区缺铁性贫血（IDA）和蛋白质能量营养不良的总体患病率分别为22.3%和27.1%。母亲的平均年龄（28.4±6.12岁）表明，年轻母亲中营养不良和缺铁性贫血的患病率高于年长母亲。母亲的营养不良患病率与血清铁蛋白浓度状况呈正相关（r=0.12，p=0.2，RR=1.03）。
据观察，营养不良和缺铁性贫血是主要的健康问题，因此，建议制定适当的营养干预方案以改善社区的营养状况。
