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Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a cross-sectional study.
BMJ Open. 2018 05 09; 8(5):e020271.BO

Abstract

OBJECTIVES

To estimate the magnitude of anaemia, iron deficiency (ID), iron deficiency anaemia (IDA) and to explore epidemiological features of ID and feeding practices among infants aged 12 months in Qatar.

SETTING

Well baby clinics in 14 randomly selected primary healthcare centres covering all geographical areas on the national level.

PARTICIPANTS

Three hundred and six (163 male and 143 female) infants of all nationalities were enrolled. Mothers were asked to complete a predesigned interview questionnaire and infants were blood tested for anaemia, ID and IDA.

OUTCOME MEASURES

Cut-off point used to diagnose anaemia was haemoglobin <11.1 g/dL, and to diagnose ID, serum ferritin <6 ug/L with normal C reactive protein.

RESULTS

Prevalence of anaemia was 23.5%, ID was 9.2% and IDA was 7.8%. ID was more prevalent among non-Qatari infants compared with Qatari (10.9% vs1.7%, p=0.029), more prevalent among infants born to housewives and to families of low income (p≤0.05). With regard to feeding practice, ID was higher in infants who continued breastfeeding until the age of 1 year and among those who never took infant formula milk (p≤0.05). Mothers who received infant feeding counselling had less ID occurrence among their infants compared with their counterparts who did not receive such counselling (4.2%vs13.4%, p=0.005).

CONCLUSION

Although ID and IDA among infants in Qatar are less prevalent compared with many developing countries, still further efforts are needed for improvement towards more developed countries. Efforts should be contextualised and should target the key epidemiological features with special emphasis on infant feeding and infant feeding counselling to mothers.

Authors+Show Affiliations

Clinical Affairs, Primary Health Care Corporation, Doha, Qatar.Tropical Health, Alexandria University High Institute of Public Health, Alexandria, Egypt. Family and Community Medicine, Primary Health Care Corporation, Doha, Qatar.Service Development, Primary Health Care Corporation, Doha, Qatar.Family and Community Medicine, Primary Health Care Corporation, Doha, Qatar. Public Health and Preventive Medicine, Cairo University, Cairo, Egypt.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

29743323

Citation

Zainel, Abdul Jaleel A Latif, et al. "Iron Deficiency, Its Epidemiological Features and Feeding Practices Among Infants Aged 12 Months in Qatar: a Cross-sectional Study." BMJ Open, vol. 8, no. 5, 2018, pp. e020271.
Zainel AJAL, Osman SRO, Al-Kohji SMS, et al. Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a cross-sectional study. BMJ Open. 2018;8(5):e020271.
Zainel, A. J. A. L., Osman, S. R. O., Al-Kohji, S. M. S., & Selim, N. A. (2018). Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a cross-sectional study. BMJ Open, 8(5), e020271. https://doi.org/10.1136/bmjopen-2017-020271
Zainel AJAL, et al. Iron Deficiency, Its Epidemiological Features and Feeding Practices Among Infants Aged 12 Months in Qatar: a Cross-sectional Study. BMJ Open. 2018 05 9;8(5):e020271. PubMed PMID: 29743323.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iron deficiency, its epidemiological features and feeding practices among infants aged 12 months in Qatar: a cross-sectional study. AU - Zainel,Abdul Jaleel A Latif, AU - Osman,Sherif R Omar, AU - Al-Kohji,Sadriya Mohammed S, AU - Selim,Nagah A, Y1 - 2018/05/09/ PY - 2018/5/11/entrez PY - 2018/5/11/pubmed PY - 2019/5/18/medline KW - 12 months infants KW - Qatar KW - anemia KW - feeding KW - iron deficiency KW - prevalence SP - e020271 EP - e020271 JF - BMJ open JO - BMJ Open VL - 8 IS - 5 N2 - OBJECTIVES: To estimate the magnitude of anaemia, iron deficiency (ID), iron deficiency anaemia (IDA) and to explore epidemiological features of ID and feeding practices among infants aged 12 months in Qatar. SETTING: Well baby clinics in 14 randomly selected primary healthcare centres covering all geographical areas on the national level. PARTICIPANTS: Three hundred and six (163 male and 143 female) infants of all nationalities were enrolled. Mothers were asked to complete a predesigned interview questionnaire and infants were blood tested for anaemia, ID and IDA. OUTCOME MEASURES: Cut-off point used to diagnose anaemia was haemoglobin <11.1 g/dL, and to diagnose ID, serum ferritin <6 ug/L with normal C reactive protein. RESULTS: Prevalence of anaemia was 23.5%, ID was 9.2% and IDA was 7.8%. ID was more prevalent among non-Qatari infants compared with Qatari (10.9% vs1.7%, p=0.029), more prevalent among infants born to housewives and to families of low income (p≤0.05). With regard to feeding practice, ID was higher in infants who continued breastfeeding until the age of 1 year and among those who never took infant formula milk (p≤0.05). Mothers who received infant feeding counselling had less ID occurrence among their infants compared with their counterparts who did not receive such counselling (4.2%vs13.4%, p=0.005). CONCLUSION: Although ID and IDA among infants in Qatar are less prevalent compared with many developing countries, still further efforts are needed for improvement towards more developed countries. Efforts should be contextualised and should target the key epidemiological features with special emphasis on infant feeding and infant feeding counselling to mothers. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/29743323/Iron_deficiency_its_epidemiological_features_and_feeding_practices_among_infants_aged_12_months_in_Qatar:_a_cross_sectional_study_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&amp;pmid=29743323 DB - PRIME DP - Unbound Medicine ER -