Indicators of anemia and physical growth in schoolchildren from the Ouest and Sud-Est Departments of Haiti: a cross-sectional studyReportar como inadecuado

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BMC Nutrition

, 2:68

Nutritional interventions, policies and public health


BackgroundThe identification and correction of malnutrition in children remains a critical public health issue in many developing countries. In this study, the rate of anemia and standardized indicators of physical growth were investigated in schoolchildren from Haiti.

MethodsHemoglobin concentrations, height, and weight were collected from schoolchildren n = 615 and evaluated by World Health Organization WHO standardized classifications for anemia and child growth. Data on glucose-6-dehydrogenase G6PD deficiency and current or previous malaria infection available for all students; a subset of anemia and non-anemic males n = 43 were tested for serum ferritin. School A n = 504 had a school-based supplemental nutrition program, while School B n = 111 did not.

ResultsAnemia was identified in 48.3% of students 95% CI: 44.3, 52.3, and not associated with BMI Z scores P = 0.28 or serum ferritin concentrations P = 0.17. The average Z scores for body mass index BMI of students at School A was within the normal range, while Z scores for BMI at School B were below average. Compared to school A, students at School B had significantly higher P <0.001 rates of anemia 44.4% vs 65.8% and were significantly P <0.001 more likely to be underweight 16.5% vs 43.2%.

ConclusionsThe high prevalence of anemia in children with and without normal BMIs represents a major public health concern that warrants further investigation with more comprehensive methods. This study may also highlight some potential benefits of in-school nutritional supplementation programs in achieving lower rates of anemia and reaching WHO standards for child growth.

KeywordsAnemia Child growth Haiti School-aged children AbbreviationsAMA-1Apical membrane protein one

BMIBody mass index

ELISAEnzyme-linked immunosorbent assay

G6PDGlucose-6-phosphate dehydrogenase

MSP-1Merozoite surface protein one

NGONon government organization

RDTRapid diagnostic test

WHOWorld Health Organization

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Autor: Thomas A. Weppelmann - Michael E. von Fricken - Roseline Masse - Gedeon Gelin - J. Glenn MorrisJr. - Bernard A. Okech -


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