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Coexisting micronutrient deficiencies among Sri Lankan pre-school children: a community-based study.
Matern Child Nutr. 2012 Apr; 8(2):259-66.MC

Abstract

Assessing micronutrient status in children may also have the benefit of addressing the problems of various micronutrient deficiencies with a unified programmatic approach on a public health scale. A cross-sectional survey in the Galle district of the micronutrient and anthropometric status of 248 children of ages 3-5 years was performed to determine the prevalence of micronutrient deficiencies [iron, zinc (Zn), folate, calcium, caeruloplasmin, iodine, vitamin A and vitamin D] and the extent to which multiple micronutrient deficiencies coexist. The prevalence of anaemia [haemogbolin (Hb) < 110.0 g L⁻¹] was 34.0% in males and 33.0% in females (overall 33.5%, gender difference, P = 0.92). In anaemic children, 7.0% of males and 15.0% of females were iron deficient (serum ferritin < 15.0 µg L⁻¹). Folate deficiency (<3.00 ng mL⁻¹) was found in 41.0% and 33.0% of male and female, respectively, whereas Zn deficiency (<9.95 µmol L⁻¹) occurred in 57.0% and 50.0% of male and female, respectively. Serum vitamin D deficiency (<35.0 nmol L⁻¹) was found in 26% and 25% of male and female, respectively. Anaemic males had a 3.0-fold (95% confidence interval (CI) 1.1-8.3) and 2.3-fold (95% CI 0.8-6.6) greater risk of being underweight and thin, whereas the risk among anaemic females was 0.7-fold (95% CI 0.3-1.8) and 0.9-fold (95% CI 0.3-2.6) for being underweight and thin. Only 7.3% of the subjects did not have any micronutrient deficiency, 38.3% were deficient in two micronutrients, 17.7% had three micronutrient deficiencies and 6.0% had four or more micronutrient deficiencies. Multiple micronutrient deficiencies are prevalent in Sri Lankan pre-school children and established baseline data for future studies.

Authors+Show Affiliations

Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka. nmu_galle@yahoo.comNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

21166995

Citation

Hettiarachchi, Manjula, and Chandrani Liyanage. "Coexisting Micronutrient Deficiencies Among Sri Lankan Pre-school Children: a Community-based Study." Maternal & Child Nutrition, vol. 8, no. 2, 2012, pp. 259-66.
Hettiarachchi M, Liyanage C. Coexisting micronutrient deficiencies among Sri Lankan pre-school children: a community-based study. Matern Child Nutr. 2012;8(2):259-66.
Hettiarachchi, M., & Liyanage, C. (2012). Coexisting micronutrient deficiencies among Sri Lankan pre-school children: a community-based study. Maternal & Child Nutrition, 8(2), 259-66. https://doi.org/10.1111/j.1740-8709.2010.00290.x
Hettiarachchi M, Liyanage C. Coexisting Micronutrient Deficiencies Among Sri Lankan Pre-school Children: a Community-based Study. Matern Child Nutr. 2012;8(2):259-66. PubMed PMID: 21166995.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coexisting micronutrient deficiencies among Sri Lankan pre-school children: a community-based study. AU - Hettiarachchi,Manjula, AU - Liyanage,Chandrani, Y1 - 2010/12/19/ PY - 2010/12/21/entrez PY - 2010/12/21/pubmed PY - 2012/7/20/medline SP - 259 EP - 66 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 8 IS - 2 N2 - Assessing micronutrient status in children may also have the benefit of addressing the problems of various micronutrient deficiencies with a unified programmatic approach on a public health scale. A cross-sectional survey in the Galle district of the micronutrient and anthropometric status of 248 children of ages 3-5 years was performed to determine the prevalence of micronutrient deficiencies [iron, zinc (Zn), folate, calcium, caeruloplasmin, iodine, vitamin A and vitamin D] and the extent to which multiple micronutrient deficiencies coexist. The prevalence of anaemia [haemogbolin (Hb) < 110.0 g L⁻¹] was 34.0% in males and 33.0% in females (overall 33.5%, gender difference, P = 0.92). In anaemic children, 7.0% of males and 15.0% of females were iron deficient (serum ferritin < 15.0 µg L⁻¹). Folate deficiency (<3.00 ng mL⁻¹) was found in 41.0% and 33.0% of male and female, respectively, whereas Zn deficiency (<9.95 µmol L⁻¹) occurred in 57.0% and 50.0% of male and female, respectively. Serum vitamin D deficiency (<35.0 nmol L⁻¹) was found in 26% and 25% of male and female, respectively. Anaemic males had a 3.0-fold (95% confidence interval (CI) 1.1-8.3) and 2.3-fold (95% CI 0.8-6.6) greater risk of being underweight and thin, whereas the risk among anaemic females was 0.7-fold (95% CI 0.3-1.8) and 0.9-fold (95% CI 0.3-2.6) for being underweight and thin. Only 7.3% of the subjects did not have any micronutrient deficiency, 38.3% were deficient in two micronutrients, 17.7% had three micronutrient deficiencies and 6.0% had four or more micronutrient deficiencies. Multiple micronutrient deficiencies are prevalent in Sri Lankan pre-school children and established baseline data for future studies. SN - 1740-8709 UR - https://www.unboundmedicine.com/medline/citation/21166995/Coexisting_micronutrient_deficiencies_among_Sri_Lankan_pre_school_children:_a_community_based_study_ L2 - https://doi.org/10.1111/j.1740-8709.2010.00290.x DB - PRIME DP - Unbound Medicine ER -