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黎巴嫩住院儿童贫血患病率:风险和保护因素。

Prevalence of anemia among Lebanese hospitalized children: Risk and protective factors.

机构信息

Department of Mathematics, Faculty of Sciences (V), Lebanese University, Nabatieh, Lebanon.

Department of Anatomy, Cell Biology, and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

出版信息

PLoS One. 2018 Aug 7;13(8):e0201806. doi: 10.1371/journal.pone.0201806. eCollection 2018.

Abstract

BACKGROUND

Anemia is a global health problem associated with short- and long-term consequences especially in children. The incidence of anemia along with the factors associated with its increased or decreased risk is not yet well studied in Lebanon. Our study aims at determining the demographics of this health burden and identifying some of the important factors linked to it among the pediatric population.

METHODS

A 4-months cross-sectional study was performed between August and November 2017 including 295 children aged 1 month to 12 years, who were hospitalized in a tertiary care hospital located in South Lebanon. We analyzed the different demographic data, age, gender, breast feeding duration, solid food introduction, iron supplementation and disease of diagnosis in association with multiple hematological parameters.

RESULTS

The prevalence of both mild and moderate anemia was 71.8 and 25.4%, with only 2 cases of severe anemia encountered among children aged 6 months or above. Results showed that the risk of anemia increases by around 3.4 folds among malnourished children than in well-nourished children. This risk also decreased by almost 42% in children receiving iron supplement.

CONCLUSION

In consideration to the fact that anemia is a prevalent disease in the Lebanese childhood population, especially in infancy, simple preventive measures such as proper nutritional habits and supplementation of iron rich food to children are highly recommended and should be respected by public health providers.

摘要

背景

贫血是一个全球性的健康问题,与短期和长期后果有关,尤其是在儿童中。在黎巴嫩,贫血的发病率及其风险增加或降低的相关因素尚未得到充分研究。我们的研究旨在确定这一健康负担的人口统计学特征,并确定儿科人群中与之相关的一些重要因素。

方法

2017 年 8 月至 11 月进行了为期 4 个月的横断面研究,纳入了 295 名年龄在 1 个月至 12 岁的住院儿童,他们来自位于黎巴嫩南部的一家三级保健医院。我们分析了不同的人口统计学数据、年龄、性别、母乳喂养持续时间、固体食物引入、铁补充剂和诊断疾病与多种血液学参数的关系。

结果

轻度和中度贫血的患病率分别为 71.8%和 25.4%,仅在 6 个月或以上的儿童中发现 2 例严重贫血。结果表明,营养不良儿童患贫血的风险比营养良好的儿童高约 3.4 倍。接受铁补充剂的儿童的患病风险降低了近 42%。

结论

鉴于贫血是黎巴嫩儿童人群中一种普遍存在的疾病,特别是在婴儿期,因此强烈建议采取适当的营养习惯和补充富含铁的食物等简单的预防措施,公共卫生提供者应尊重这些措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4559/6080804/a94bca469360/pone.0201806.g001.jpg

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