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尼泊尔巴克塔普尔轻度发育迟缓婴儿每日补充微量营养素一年与贫血患病率

One-Year Daily Micronutrient Supplementation and Anemia Prevalence Among Mildly Stunted Infants in Bhaktapur, Nepal.

作者信息

Chandyo Ram Krishna, Ranjitkar Suman, Ulak Manjeswori, Hysing Mari, Schwinger Catherine, Strand Tor A

机构信息

Department of Community Medicine, Kathmandu Medical College, Kathmandu, Bagmati, Nepal.

Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Norway.

出版信息

Sage Open Pediatr. 2025 Jun 8;12:30502225251346286. doi: 10.1177/30502225251346286. eCollection 2025 Jan-Dec.

DOI:10.1177/30502225251346286
PMID:40612207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12220883/
Abstract

OBJECTIVES: To describe the burden of anemia at 6 to 11 months and the change in anemia prevalence after 1 year of multi-micronutrient supplementation. METHODS: We analyzed hemoglobin concentration twice in 569 children. First when they were 6 to 11 months old and second after 1 year (at ages 18-23 months). All children were given a lipid-based micronutrient formulation daily for a year. RESULTS: The prevalence (95% CI) of anemia at 6 to 11 months was 65% (61%-68%) and decreased to 25% (21%-28%) after 1 year. Among the 367 infants with anemia at baseline, 29% continued to be anemic during follow-up. There were also 18% infants who developed anemia during follow-up out of 202 infants with normal hemoglobin concentration at baseline. CONCLUSIONS: The anemia prevalence was substantially reduced after 1 year with micronutrient supplementation. However, even after 1 year of multimicronutrient supplementation, one-fourth of toddlers had anemia which merits further integrated research and comprehensive intervention.

摘要

目的：描述6至11个月龄时贫血的负担以及补充多种微量营养素1年后贫血患病率的变化。 方法：我们对569名儿童的血红蛋白浓度进行了两次分析。第一次是在他们6至11个月大时，第二次是在1年后（18至23个月龄）。所有儿童每天服用基于脂质的微量营养素制剂，为期一年。 结果：6至11个月龄时贫血的患病率（95%CI）为65%（61%-68%），1年后降至25%（21%-28%）。在基线时患有贫血的367名婴儿中，29%在随访期间仍患有贫血。在基线时血红蛋白浓度正常的202名婴儿中，也有18%在随访期间出现贫血。 结论：补充微量营养素1年后，贫血患病率大幅降低。然而，即使在补充多种微量营养素1年后，仍有四分之一的幼儿患有贫血，这值得进一步开展综合研究和全面干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4756/12220883/8e88409c8091/10.1177_30502225251346286-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4756/12220883/22d106464a43/10.1177_30502225251346286-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4756/12220883/8e88409c8091/10.1177_30502225251346286-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4756/12220883/22d106464a43/10.1177_30502225251346286-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4756/12220883/8e88409c8091/10.1177_30502225251346286-fig2.jpg

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[1]
One-Year Daily Micronutrient Supplementation and Anemia Prevalence Among Mildly Stunted Infants in Bhaktapur, Nepal.

Sage Open Pediatr. 2025-6-8

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本文引用的文献

[1]
Detection of postpartum women anemia and its impact on their offspring in Zhejiang Province, China.

Front Nutr. 2025-1-27

[2]
Assessing Accuracy and Precision of Hemoglobin Determination in Venous, Capillary Pool, and Single-Drop Capillary Blood Specimens Using three Different HemoCue® Hb Models: The Multicountry Hemoglobin Measurement (HEME) Study.

J Nutr. 2024-7

[3]
Haemoglobin thresholds to define anaemia from age 6 months to 65 years: estimates from international data sources.

Lancet Haematol. 2024-4

[4]
Is child anemia associated with early childhood development? A cross-sectional analysis of nine Demographic and Health Surveys.

PLoS One. 2024

[5]
Prevalence and determinants of anemia due to micronutrient deficiencies among children aged 12-59 months in India-Evidence from Comprehensive National Nutrition Survey, 2016-18.

PLOS Glob Public Health. 2024-1-18

[6]
Hemoglobin measurement in venous blood compared with pooled and single-drop capillary blood: a method-comparison study in a controlled and survey setting in Uganda among children and women.

Am J Clin Nutr. 2024-4

[7]
Anemia and Associated Risk Factors in Pediatric Patients.

Pediatric Health Med Ther. 2023-9-4

[8]
Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990-2021: findings from the Global Burden of Disease Study 2021.

Lancet Haematol. 2023-9

[9]
Strengthen health systems to achieve the SDG targets for healthy children: Evidence on access to medicines situation in Nepal.

Lancet Reg Health Southeast Asia. 2022-8-4

[10]
The Prevalence of Anemia in Children Aged 6-23 Months and its Correlates Differ by District in Kapilvastu and Achham Districts in Nepal.

Curr Dev Nutr. 2023-3-3

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