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Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children

Received: 7 November 2022    Accepted: 9 December 2022    Published: 31 January 2023
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Abstract

The main cause of anemia in the preschool population is dietary iron deficiency; however, there are other conditions that can lead to anemia such as diseases that produce chronic inflammation and obesity. The objective was to evaluate the prevalence of anemia and iron deficiency in children aged 6 to 59 months and the association with inflammation, global overweight and maternal educational level. A national sample of cross-sectional study design was carried out. Hemoglobin, ferritin, soluble transferrin receptors, leukocytes, C-reactive protein, and alpha-1 acid glycoprotein were assessed. Nutritional status was evaluated and level of mother education was collected by survey. A total of 1417 children were studied. Anemia prevalence was 22.5% and constitutes a moderate public health problem. Iron deficiency prevalence was 35.6% and erythropoietic dysfunction 13.3%; with elevated inflammation indicators 37.6% and leukocytosis 36.1%. Malnutrition occurred in 1.0% of the children, with a prevalence of overweight in 4.7% and obesity in 2.8%. Anemia was associated with iron storage deficiency OR=2.07 (1.45-2.97) and inflammation OR=2.01 (1.45-2.78). No associations were found between anemia OR=0.68 (95% CI= 0.35-1.32) and iron deficiency OR=0.96 (95% CI= 0.68-1.35) with global overweight. Global overweight does not explain the inflammation found OR=1.13 (95% CI= 0.54-2.37), neither by CRP OR=0.57 (0.24-1.37) or AGP OR=1.14 (0.54-2.42). Low education level of the mother was associated with anemia in the children (χ2 trend= 4.327 p=0.037), but not with iron deficiency (χ2 trend= 0.212 p=0.646). Anemia and iron deficiency in Cuban preschool children was a moderate public health problem associated with inflammation.

Published in Biomedical Sciences (Volume 9, Issue 1)
DOI 10.11648/j.bs.20230901.11
Page(s) 1-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anemia, Iron Deficiency, Inflammation, Preschool Children, Overweight

References
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    Gisela Maria Pita-Rodriguez, Beatriz Basabe-Tuero, Maria Elena Diaz-Sanchez, Karen Alfonso-Sague, Ana Maria Gomez-Alvarez, et al. (2023). Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children. Biomedical Sciences, 9(1), 1-8. https://doi.org/10.11648/j.bs.20230901.11

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    Gisela Maria Pita-Rodriguez; Beatriz Basabe-Tuero; Maria Elena Diaz-Sanchez; Karen Alfonso-Sague; Ana Maria Gomez-Alvarez, et al. Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children. Biomed. Sci. 2023, 9(1), 1-8. doi: 10.11648/j.bs.20230901.11

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    AMA Style

    Gisela Maria Pita-Rodriguez, Beatriz Basabe-Tuero, Maria Elena Diaz-Sanchez, Karen Alfonso-Sague, Ana Maria Gomez-Alvarez, et al. Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children. Biomed Sci. 2023;9(1):1-8. doi: 10.11648/j.bs.20230901.11

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  • @article{10.11648/j.bs.20230901.11,
      author = {Gisela Maria Pita-Rodriguez and Beatriz Basabe-Tuero and Maria Elena Diaz-Sanchez and Karen Alfonso-Sague and Ana Maria Gomez-Alvarez and Minerva Montero-Diaz and Cristina Chavez-Chong and Ernesto Rodriguez-Martinez and Yoandy Diaz-Fuentes and Elisa Llera-Abreu and Santa Jimenez-Acosta},
      title = {Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children},
      journal = {Biomedical Sciences},
      volume = {9},
      number = {1},
      pages = {1-8},
      doi = {10.11648/j.bs.20230901.11},
      url = {https://doi.org/10.11648/j.bs.20230901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20230901.11},
      abstract = {The main cause of anemia in the preschool population is dietary iron deficiency; however, there are other conditions that can lead to anemia such as diseases that produce chronic inflammation and obesity. The objective was to evaluate the prevalence of anemia and iron deficiency in children aged 6 to 59 months and the association with inflammation, global overweight and maternal educational level. A national sample of cross-sectional study design was carried out. Hemoglobin, ferritin, soluble transferrin receptors, leukocytes, C-reactive protein, and alpha-1 acid glycoprotein were assessed. Nutritional status was evaluated and level of mother education was collected by survey. A total of 1417 children were studied. Anemia prevalence was 22.5% and constitutes a moderate public health problem. Iron deficiency prevalence was 35.6% and erythropoietic dysfunction 13.3%; with elevated inflammation indicators 37.6% and leukocytosis 36.1%. Malnutrition occurred in 1.0% of the children, with a prevalence of overweight in 4.7% and obesity in 2.8%. Anemia was associated with iron storage deficiency OR=2.07 (1.45-2.97) and inflammation OR=2.01 (1.45-2.78). No associations were found between anemia OR=0.68 (95% CI= 0.35-1.32) and iron deficiency OR=0.96 (95% CI= 0.68-1.35) with global overweight. Global overweight does not explain the inflammation found OR=1.13 (95% CI= 0.54-2.37), neither by CRP OR=0.57 (0.24-1.37) or AGP OR=1.14 (0.54-2.42). Low education level of the mother was associated with anemia in the children (χ2 trend= 4.327 p=0.037), but not with iron deficiency (χ2 trend= 0.212 p=0.646). Anemia and iron deficiency in Cuban preschool children was a moderate public health problem associated with inflammation.},
     year = {2023}
    }
    

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    T1  - Anemia Is Related to Iron Deficiency and Inflammation, But No to Global Overweight in Cuban Preschool Children
    AU  - Gisela Maria Pita-Rodriguez
    AU  - Beatriz Basabe-Tuero
    AU  - Maria Elena Diaz-Sanchez
    AU  - Karen Alfonso-Sague
    AU  - Ana Maria Gomez-Alvarez
    AU  - Minerva Montero-Diaz
    AU  - Cristina Chavez-Chong
    AU  - Ernesto Rodriguez-Martinez
    AU  - Yoandy Diaz-Fuentes
    AU  - Elisa Llera-Abreu
    AU  - Santa Jimenez-Acosta
    Y1  - 2023/01/31
    PY  - 2023
    N1  - https://doi.org/10.11648/j.bs.20230901.11
    DO  - 10.11648/j.bs.20230901.11
    T2  - Biomedical Sciences
    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
    SP  - 1
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20230901.11
    AB  - The main cause of anemia in the preschool population is dietary iron deficiency; however, there are other conditions that can lead to anemia such as diseases that produce chronic inflammation and obesity. The objective was to evaluate the prevalence of anemia and iron deficiency in children aged 6 to 59 months and the association with inflammation, global overweight and maternal educational level. A national sample of cross-sectional study design was carried out. Hemoglobin, ferritin, soluble transferrin receptors, leukocytes, C-reactive protein, and alpha-1 acid glycoprotein were assessed. Nutritional status was evaluated and level of mother education was collected by survey. A total of 1417 children were studied. Anemia prevalence was 22.5% and constitutes a moderate public health problem. Iron deficiency prevalence was 35.6% and erythropoietic dysfunction 13.3%; with elevated inflammation indicators 37.6% and leukocytosis 36.1%. Malnutrition occurred in 1.0% of the children, with a prevalence of overweight in 4.7% and obesity in 2.8%. Anemia was associated with iron storage deficiency OR=2.07 (1.45-2.97) and inflammation OR=2.01 (1.45-2.78). No associations were found between anemia OR=0.68 (95% CI= 0.35-1.32) and iron deficiency OR=0.96 (95% CI= 0.68-1.35) with global overweight. Global overweight does not explain the inflammation found OR=1.13 (95% CI= 0.54-2.37), neither by CRP OR=0.57 (0.24-1.37) or AGP OR=1.14 (0.54-2.42). Low education level of the mother was associated with anemia in the children (χ2 trend= 4.327 p=0.037), but not with iron deficiency (χ2 trend= 0.212 p=0.646). Anemia and iron deficiency in Cuban preschool children was a moderate public health problem associated with inflammation.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Biochemistry, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Biochemistry, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Community Nutrition, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Community Nutrition, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Physiological Sciences, Latin American School of Medicine, Havana, Cuba

  • Department of Mathematics, Mathematical Cybernetics and Physics Institute, Havana, Cuba

  • Department of Mathematics, Mathematical Cybernetics and Physics Institute, Havana, Cuba

  • Department of Mathematics, Mathematical Cybernetics and Physics Institute, Havana, Cuba

  • Department of Community Nutrition, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Community Nutrition, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Biochemistry, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

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