Main Article Content
Abstract
RÉSUMÉ
Background. Anemia is one of the most common nutritional deficiency disorders in the world. Objective. This study objectively evaluated the effect of nutritional education on the health status of children aged 6-59 months with moderate anemia. Material and methods. A total of 105 mother-child couples were worked on and were divided into two groups: group A received iron supplements and nutritional education, while group B received only iron supplements. Nutritional education was carried out based on responses given from a questionnaire. Data on biological (hemoglobin) and anthropometric (weight) parameters were collected before and after nutritional education. Results. The most affected age group was children between 13-24 months (41%). Males were more affected (56.2%). It was observed in the course of the study that malaria had a significant effect on anemia, with 60% of the total population suffering from malaria. Additionally, there was a significant change in group A in weight (P = 0.001) and hemoglobin (P= 0.045) after nutritional education. For group B, the change was not as significant as that of group A. Conclusion. Nutritional education in our series helped improve hemoglobin levels and weight in moderately anemic children. It should be considered an important element in the prevention and management of anemia.
ABSTRACT
Contexte. L'anémie est l'une des carences nutritionnelles les plus répandues dans le monde. Objectif. Cette étude a évalué l'effet de l'éducation nutritionnelle sur l'état de santé d'enfants âgés de 6 à 59 mois atteints d'anémie modérée. Matériel et méthodes. Un total de 105 couples mère-enfant ont été inclus dans l'étude et répartis en deux groupes : le groupe A a reçu des suppléments de fer et une éducation nutritionnelle, tandis que le groupe B n'a reçu que des suppléments de fer. L'éducation nutritionnelle a été dispensée en fonction des réponses données à un questionnaire. Des données sur les paramètres biologiques (hémoglobine) et anthropométriques (poids) ont été recueillies avant et après l'éducation nutritionnelle. Résultats. La tranche d'âge la plus touchée était celle des enfants de 13 à 24 mois (41 %). Les garçons étaient plus touchés (56,2 %). Au cours de l'étude, il a été observé que le paludisme avait un effet significatif sur l'anémie, 60 % de la population totale étant atteinte de paludisme. De plus, un changement significatif a été observé dans le groupe A en ce qui concerne le poids (P = 0,001) et l'hémoglobine (P = 0,045) après l'éducation nutritionnelle. Pour le groupe B, le changement n'était pas aussi significatif que pour le groupe A. Conclusion. Dans notre série, l'éducation nutritionnelle a contribué à améliorer les taux d'hémoglobine et le poids des enfants atteints d'anémie modérée. Elle devrait être considérée comme un élément important de la prévention et la prise ne charge de l’anémie.
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References
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- Cappellini MD, Motta I. Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change With Aging? Semin Hematol. 2015 Oct;52(4):261-9. doi: 10.1053/j.seminhematol.2015.07.006. Epub 2015 Jul 17. PMID: 26404438.
- OMS. Hemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and Mineral Nutrition Information System (VMNIS). Genève (Suisse) : OMS ; 2011. 6 p. ligne :http://apps.who.int/iris/bitstream/handle/10665/85839/WHO_NMH_NHD_MNM_11.1_eng.pdf?sequence=22
- Janus J, Moerschel SK. Evaluation of anemia in children. Am Fam Physician. 2010 Jun 15;81(12):1462-71. PMID: 20540485.
- WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020. License: CC BY-NC-SA 3.0 IGO
- Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. 2019 Aug;1450(1):15-31. doi: 10.1111/nyas.14092. Epub 2019 Apr 22. PMID: 31008520; PMCID: PMC6697587.
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- White NJ. What causes malaria anemia? Blood. 2022 Apr 14;139(15):2268-2269. doi: 10.1182/blood.2021015055. PMID: 35420692.
- Davidsson L, Galan P, Cherouvrier F, Kastenmayer P, Juillerat MA, Hercberg S, Hurrell RF. Bioavailability in infants of iron from infant cereals: effect of dephytinization. Am J Clin Nutr. 1997 Apr;65(4):916-20. doi: 10.1093/ajcn/65.4.916. PMID: 9094872.
- Muzhingi T, Gadaga TH, Siwela AH, Grusak MA, Russell RM, Tang G. Yellow maize with high β-carotene is an effective source of vitamin A in healthy Zimbabwean men. Am J Clin Nutr. 2011 Aug;94(2):510-9. doi: 10.3945/ajcn.110.006486. Epub 2011 Jun 29. PMID: 21715509; PMCID: PMC3142725.
- Chandra J, Dewan P, Kumar P, Mahajan A, Singh P, Dhingra B, Radhakrishnan N, Sharma R, Manglani M, Rawat AK, Gupta P, Gomber S, Bhat S, Gaikwad P, Elizabeth KE, Bansal D, Dubey AP, Shah N, Kini P, Trehan A, Datta K, Basavraja GV, Saxena V, Kumar RR. Diagnosis, Treatment and Prevention of Nutritional Anemia in Children: Recommendations of the Joint Committee of Pediatric Hematology-Oncology Chapter and Pediatric and Adolescent Nutrition Society of the Indian Academy of Pediatrics. Indian Pediatr. 2022 Oct 15;59(10):782-801. PMID: 36263494.
- da Silva Lopes K, Yamaji N, Rahman MO, Suto M, Takemoto Y, Garcia-Casal MN, Ota E. Nutrition-specific interventions for preventing and controlling anemia throughout the life cycle: an overview of systematic reviews. Cochrane Database Syst Rev. 2021 Sep 26;9(9):CD013092. doi: 10.1002/14651858.CD013092.pub2. PMID: 34564844; PMCID: PMC8464655.
- Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK, Pradhan PMS. Effect of nutrition education on hemoglobin level in pregnant women: A quasiexperimental study. PLoS One. 2019 Mar 21;14(3):e0213982. doi: 10.1371/journal.pone.0213982. PMID: 30897129; PMCID: PMC6428266.K
- Suter PM, Suter WN. Patient education. Timeless principles of learning: a solid foundation for enhancing chronic disease self-management. Home Healthc Nurse. 2008 Feb;26(2):82-8; quiz 89-90. doi: 10.1097/01.NHH.0000311024.11023.09. PMID: 18301109.
- Coghlan B, Coghlan S, Wilson A. Nutrition education fit for modern health systems. Lancet. 2019 Dec 7;394(10214):2071. doi: 10.1016/S0140-6736(19)32627-3. PMID: 31818407.
References
Allen, L., de Benoist, B., Dary, O. and Hurrell, R., World Health Organization and Food and Agriculture Organization of the United Nations (WHO/FAO) (2006) Guidelines on Food Fortification with Micronutrients. 1-341.
Cappellini MD, Motta I. Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change With Aging? Semin Hematol. 2015 Oct;52(4):261-9. doi: 10.1053/j.seminhematol.2015.07.006. Epub 2015 Jul 17. PMID: 26404438.
OMS. Hemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and Mineral Nutrition Information System (VMNIS). Genève (Suisse) : OMS ; 2011. 6 p. ligne :http://apps.who.int/iris/bitstream/handle/10665/85839/WHO_NMH_NHD_MNM_11.1_eng.pdf?sequence=22
Janus J, Moerschel SK. Evaluation of anemia in children. Am Fam Physician. 2010 Jun 15;81(12):1462-71. PMID: 20540485.
WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020. License: CC BY-NC-SA 3.0 IGO
Chaparro CM, Suchdev PS. Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. 2019 Aug;1450(1):15-31. doi: 10.1111/nyas.14092. Epub 2019 Apr 22. PMID: 31008520; PMCID: PMC6697587.
Mutonhodza B, Dembedza MP, Lark MR, Joy EJM, Manzeke-Kangara MG, Njovo H, Nyadzayo TK, Kalimbira AA, Bailey EH, Broadley MR, Matsungo TM, Chopera P. Anemia in children aged 6-59 months was significantly associated with maternal anemia status in rural Zimbabwe. Food Sci Nutr. 2022 Dec 5;11(3):1232-1246. doi: 10.1002/fsn3.3157. PMID: 36911837; PMCID: PMC10003031.
World Health Organization . Global Nutrition Targets 2025: Anemia Policy Brief. World Health Organization; Geneva, Switzerland: 2014. [(accessed on 1Mai 2023)]. Available online: https://apps.who.int/iris/handle/10665/148556 [Google Scholar]
Institut National de la Statistique (INS) et ICF. 2020. Enquête Démographique et de Santé du Cameroun 2018. Yaoundé, Cameroun et Rockville, Maryland, USA : INS et ICF.
Islam GMR. Association of Socioeconomic Status With Childhood Anemia Among Infant, Toddler, and Preschool Children in Bangladesh. Value Health Reg Issues. 2020 May;21:141-148. doi: 10.1016/j.vhri.2019.09.008. Epub 2019 Dec 5. PMID: 31812112.
Bishwajit G, Yaya S, Tang S, Hossain A, Fan Y, Akter M, Feng Z. Association of Living Arrangement Conditions and Socioeconomic Differentials with Anemia Status among Women in Rural Bangladesh. Biomed Res Int. 2016;2016:4571686. doi: 10.1155/2016/4571686. Epub 2016 Jul 19. PMID: 27517045; PMCID: PMC4969504.
André HP, Sperandio N, Siqueira RL, Franceschini SDCC, Priore SE. Food and nutrition insecurity indicators associated with iron deficiency anemia in Brazilian children: a systematic review. Cien Saude Colet. 2018 Apr;23(4):1159-1167. English, Portuguese. doi: 10.1590/1413-81232018234.16012016. PMID: 29694583.
Domellöf M, Braegger C, Campoy C, Colomb V, Decsi T, Fewtrell M, Hojsak I, Mihatsch W, Molgaard C, Shamir R, Turck D, van Goudoever J; ESPGHAN Committee on Nutrition. Iron requirements of infants and toddlers. J Pediatr Gastroenterol Nutr. 2014 Jan;58(1):119-29. doi: 10.1097/MPG.0000000000000206. PMID: 24135983.
Klein SL. Sex influences immune responses to viruses, and efficacy of prophylaxis and treatments for viral diseases. Bioessays. 2012 Dec;34(12):1050-9. doi: 10.1002/bies.201200099. Epub 2012 Sep 26. PMID: 23012250; PMCID: PMC4120666.
White NJ. What causes malaria anemia? Blood. 2022 Apr 14;139(15):2268-2269. doi: 10.1182/blood.2021015055. PMID: 35420692.
Davidsson L, Galan P, Cherouvrier F, Kastenmayer P, Juillerat MA, Hercberg S, Hurrell RF. Bioavailability in infants of iron from infant cereals: effect of dephytinization. Am J Clin Nutr. 1997 Apr;65(4):916-20. doi: 10.1093/ajcn/65.4.916. PMID: 9094872.
Muzhingi T, Gadaga TH, Siwela AH, Grusak MA, Russell RM, Tang G. Yellow maize with high β-carotene is an effective source of vitamin A in healthy Zimbabwean men. Am J Clin Nutr. 2011 Aug;94(2):510-9. doi: 10.3945/ajcn.110.006486. Epub 2011 Jun 29. PMID: 21715509; PMCID: PMC3142725.
Chandra J, Dewan P, Kumar P, Mahajan A, Singh P, Dhingra B, Radhakrishnan N, Sharma R, Manglani M, Rawat AK, Gupta P, Gomber S, Bhat S, Gaikwad P, Elizabeth KE, Bansal D, Dubey AP, Shah N, Kini P, Trehan A, Datta K, Basavraja GV, Saxena V, Kumar RR. Diagnosis, Treatment and Prevention of Nutritional Anemia in Children: Recommendations of the Joint Committee of Pediatric Hematology-Oncology Chapter and Pediatric and Adolescent Nutrition Society of the Indian Academy of Pediatrics. Indian Pediatr. 2022 Oct 15;59(10):782-801. PMID: 36263494.
da Silva Lopes K, Yamaji N, Rahman MO, Suto M, Takemoto Y, Garcia-Casal MN, Ota E. Nutrition-specific interventions for preventing and controlling anemia throughout the life cycle: an overview of systematic reviews. Cochrane Database Syst Rev. 2021 Sep 26;9(9):CD013092. doi: 10.1002/14651858.CD013092.pub2. PMID: 34564844; PMCID: PMC8464655.
Sunuwar DR, Sangroula RK, Shakya NS, Yadav R, Chaudhary NK, Pradhan PMS. Effect of nutrition education on hemoglobin level in pregnant women: A quasiexperimental study. PLoS One. 2019 Mar 21;14(3):e0213982. doi: 10.1371/journal.pone.0213982. PMID: 30897129; PMCID: PMC6428266.K
Suter PM, Suter WN. Patient education. Timeless principles of learning: a solid foundation for enhancing chronic disease self-management. Home Healthc Nurse. 2008 Feb;26(2):82-8; quiz 89-90. doi: 10.1097/01.NHH.0000311024.11023.09. PMID: 18301109.
Coghlan B, Coghlan S, Wilson A. Nutrition education fit for modern health systems. Lancet. 2019 Dec 7;394(10214):2071. doi: 10.1016/S0140-6736(19)32627-3. PMID: 31818407.