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The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh.

Abstract

OBJECTIVE

To investigate the prevalence of selected micronutrient deficiencies amongst anaemic adolescent schoolgirls in rural Bangladesh and to examine their relationship with haemoglobin (Hb) levels.

DESIGN

A cross-sectional study.

SETTING

Girls' high schools in rural areas of Dhaka District in Bangladesh.

SUBJECTS AND METHODS

Three hundred and ten anaemic adolescent girls aged 14-18 years from eight schools participated in the study. Information on personal characteristics and food habits were collected by interview. Parents were asked about their socio-economic conditions. Anthropometric data and blood samples were collected following the interview.

RESULTS

Twenty-eight per cent of the girls had depleted iron stores (serum ferritin <12.0 microg/l), 25% had folic acid deficiency (red blood cell folic acid <317 nmol/l), 89% had vitamin B(2) (erythrocyte glutathione reductase activity coefficient > or =1.4) and 7% had vitamin B(12) deficiencies (serum vitamin B(12) <150 pmol/l). Although the prevalence of vitamins A and C deficiency was very low, a significant proportion had low vitamin A (serum retinol between 0.70 and <1.05 micromol/l) and vitamin C status (plasma ascorbic acid between 11.4-23.0 micromol/l). Frequency of consumption of meat, serum ferritin and vitamin B(2) status were found to be strongly related to Hb by multiple regression analysis. For 1 microg/l change in serum ferritin, there was a 0.13 g/l change in Hb when adjusted for other factors.

CONCLUSIONS

There is coexistence of micronutrient deficiencies among anaemic adolescent girls in rural Bangladesh, although they do not suffer from energy deficiency. Of all micronutrients, only iron and vitamin B(2) concentrations were found to be related to the Hb concentration.

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  • Authors+Show Affiliations

    ,

    Department of Family Sciences, College for Women, Kuwait University, Safat, Kuwait. F.Ahmed@cfw.kuniv.edu

    , , ,

    Source

    MeSH

    Adolescent
    Adolescent Nutritional Physiological Phenomena
    Anemia, Iron-Deficiency
    Anthropometry
    Bangladesh
    Comorbidity
    Cross-Sectional Studies
    Female
    Ferritins
    Folic Acid Deficiency
    Hemoglobins
    Humans
    Iron
    Micronutrients
    Nutrition Assessment
    Nutrition Disorders
    Prevalence
    Riboflavin Deficiency
    Rural Health
    Socioeconomic Factors
    Vitamin B 12 Deficiency

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    17327866

    Citation

    Ahmed, F, et al. "The Coexistence of Other Micronutrient Deficiencies in Anaemic Adolescent Schoolgirls in Rural Bangladesh." European Journal of Clinical Nutrition, vol. 62, no. 3, 2008, pp. 365-72.
    Ahmed F, Khan MR, Banu CP, et al. The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh. Eur J Clin Nutr. 2008;62(3):365-72.
    Ahmed, F., Khan, M. R., Banu, C. P., Qazi, M. R., & Akhtaruzzaman, M. (2008). The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh. European Journal of Clinical Nutrition, 62(3), pp. 365-72.
    Ahmed F, et al. The Coexistence of Other Micronutrient Deficiencies in Anaemic Adolescent Schoolgirls in Rural Bangladesh. Eur J Clin Nutr. 2008;62(3):365-72. PubMed PMID: 17327866.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh. AU - Ahmed,F, AU - Khan,M R, AU - Banu,C P, AU - Qazi,M R, AU - Akhtaruzzaman,M, Y1 - 2007/02/28/ PY - 2007/3/1/pubmed PY - 2008/7/2/medline PY - 2007/3/1/entrez SP - 365 EP - 72 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 62 IS - 3 N2 - OBJECTIVE: To investigate the prevalence of selected micronutrient deficiencies amongst anaemic adolescent schoolgirls in rural Bangladesh and to examine their relationship with haemoglobin (Hb) levels. DESIGN: A cross-sectional study. SETTING: Girls' high schools in rural areas of Dhaka District in Bangladesh. SUBJECTS AND METHODS: Three hundred and ten anaemic adolescent girls aged 14-18 years from eight schools participated in the study. Information on personal characteristics and food habits were collected by interview. Parents were asked about their socio-economic conditions. Anthropometric data and blood samples were collected following the interview. RESULTS: Twenty-eight per cent of the girls had depleted iron stores (serum ferritin <12.0 microg/l), 25% had folic acid deficiency (red blood cell folic acid <317 nmol/l), 89% had vitamin B(2) (erythrocyte glutathione reductase activity coefficient > or =1.4) and 7% had vitamin B(12) deficiencies (serum vitamin B(12) <150 pmol/l). Although the prevalence of vitamins A and C deficiency was very low, a significant proportion had low vitamin A (serum retinol between 0.70 and <1.05 micromol/l) and vitamin C status (plasma ascorbic acid between 11.4-23.0 micromol/l). Frequency of consumption of meat, serum ferritin and vitamin B(2) status were found to be strongly related to Hb by multiple regression analysis. For 1 microg/l change in serum ferritin, there was a 0.13 g/l change in Hb when adjusted for other factors. CONCLUSIONS: There is coexistence of micronutrient deficiencies among anaemic adolescent girls in rural Bangladesh, although they do not suffer from energy deficiency. Of all micronutrients, only iron and vitamin B(2) concentrations were found to be related to the Hb concentration. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/17327866/The_coexistence_of_other_micronutrient_deficiencies_in_anaemic_adolescent_schoolgirls_in_rural_Bangladesh_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1602697 DB - PRIME DP - Unbound Medicine ER -