Department of Nutrition and Food Engineering, Faculty of Allied Health Sciences, Daffodil International University, Birulia, Savar, Dhaka-1216, Bangladesh.
Griffith University, Public Health, School of Medicine and Dentistry, Gold Coast, QLD, Australia.
Public Health Nutr. 2023 Jun;26(6):1115-1124. doi: 10.1017/S1368980023000393. Epub 2023 Feb 27.
To develop the methods for an extended reporting of anaemia and to measure the status of the key contextual underlying factors of anaemia.
Statistical appraisal of Hb . key influencers of anaemia in Bangladesh – the intake of animal source food (ASF), concentration of Fe in the drinking groundwater (GWI) and the prevalence of congenital Hb disorder (CH) are conducted. The primary data of the National Micronutrient Survey 2011–2012 and the British Geological Survey 2001 are analysed to assess the intake of ASF and the GWI concentration, respectively. The prevalence of thalassaemia from a national survey is used to appraise the CH. ASF is evaluated relative to the 97·5 percentile intake and group scores are assigned. Association of the GWI and Hb is examined by the linear fit and the mspline fit and the group scores are allocated. Group score is allocated for the prevalence of thalassaemia. Inflammation-adjusted ferritin is considered to report Hb.
A nationwide survey in Bangladesh.
Preschool children (6–59 months), school-age children (6–14 years) and non-pregnant non-lactating women (NPNLW, 15–49 years).
The extended reporting to the prevalence of anaemia in Bangladeshi preschool children, school children and women is – anaemia 33 % (ASF: 2·08; GWI: 1·75; CH: 2), anaemia 19 % (ASF: 1·98; GWI: 1·56; CH: 2) and anaemia 26 % (ASF: 2·16; GWI: 1·58; CH: 2), respectively.
The extended reporting of anaemia is a useful tool to understand the status of the key influencers of anaemia, to design the context-customised intervention and to monitor the intervention.
制定贫血延伸报告方法并衡量贫血关键潜在因素的现状。
对孟加拉国的血红蛋白（Hb）进行统计评估，分析关键影响因素，包括动物源食物（ASF）的摄入量、饮用水中铁浓度（GWI）和先天性血红蛋白障碍（CH）的流行率。分别利用 2011-2012 年全国营养微量调查和英国地质调查局 2001 年的原始数据评估 ASF 的摄入量和 GWI 浓度。利用全国性调查评估地中海贫血的流行率。采用相对 97.5 百分位摄入量和组评分的方法评估 ASF 的摄入量。采用线性拟合和 mspline 拟合方法评估 GWI 和 Hb 的相关性，并分配组评分。根据地中海贫血的流行率分配组评分。考虑到炎症调整后的铁蛋白来报告 Hb。
孟加拉国全国性调查。
学龄前儿童（6-59 个月）、学龄儿童（6-14 岁）和非妊娠非哺乳期妇女（NPNLW，15-49 岁）。
孟加拉国学龄前儿童、学龄儿童和妇女贫血的延伸报告患病率分别为贫血 33%（ASF：2.08；GWI：1.75；CH：2）、贫血 19%（ASF：1.98；GWI：1.56；CH：2）和贫血 26%（ASF：2.16；GWI：1.58；CH：2）。
贫血的延伸报告是一种有用的工具，可以了解贫血关键影响因素的现状，设计适合具体情况的干预措施，并监测干预效果。
