Abstract：Objective To investigate the prevalence of anemia and related risk factors in infants aged 6-12 months from rural areas of southern Shaanxi Province. Methods A questionnaire survey was used to collect the basic information on infants aged 6-12 months and their families from rural areas of southern Shaanxi Province, China. The content of hemoglobin was measured in these infants. A multivariate logistic stepwise regression analysis was performed to determine the risk factors for the development of anemia in infants. Results A total of 1 802 infants and their families participated in the survey, and there were 1 770 valid samples. A total of 865 infants (865/1 770, 48.87%) were found to have anemia. The multivariate logistic stepwise regression analysis showed that breastfeeding after birth (lack of scientific supplementary food) increased the risk of anemia in infants (OR=1.768, P OR=0.779, P OR=0.658, P Conclusions In the rural areas in southern Shaanxi Province, anemia in infants aged 6-12 months is still a serious public health problem. Improper feeding can increase the risk of anemia in infants, and scientific addition of supplementary food is the key to reducing anemia in infants.
LUO Ren-Fu,LIANG Xia,LIU Cheng-Fang et al. Risk factors for anemia in infants aged 6-12 months from rural areas of southern Shaanxi Province, China[J]. CJCP, 2016, 18(8): 736-741.
McLean E,Cogswell M,Egli I,et al.Worldwide prevalence of anaemia,WHO Vitamin and Mineral Nutrition Information System,1993-2005[J].Public Health Nutr,2009,12(4):444-454.
[2]
Balarajan Y,Ramakrishnan U,ÖZaltin E,et al.Anaemia in low-income and middle-income countries[J].Lancet,2011,378(9809):2123-2135.
Lozoff B,Jimenez E,Hagen J,et al.Poorer behavioral and developmental outcome more than 10 years after treatment for iron deficiency in infancy[J].Pediatrics,2000,105(4):E51.
WHO/UNICEF/USAID.Indicators for assessing infant and young child feeding practices (part I-definitions)[S].Geneva:World Health Organization,2008.
[17]
WHO/UNICEF/USAID.Indicators for assessing infant and young child feeding practices (part Ⅱ-measurement)[S].Geneva:World Health Organization,2010.
[18]
WHO Multicentre Growth Reference Study Group.WHO Child Growth Standards:Length/Height-for-Age,Weight-for-Age,Weight-for-Length,Weight-for-Height and Body Mass Index-for-Age:Methods and Development[S].Geneva:World Health Organization,2006.
[19]
Centers for Disease Control and Prevention.Recommendations to prevent and control iron deficiency in the United States[J].MMWR Recomm Rep,1998,47(RR-3):1-29.
[20]
郭霞,高举.儿童贫血的诊断思路[J].中国实用儿科杂志,2014,29(11):805-810.
[21]
WHO/UNICEF/UNU.Iron deficiency anaemia:assessment,prevention,and control.A guide for programme managers[S].Geneva:World Health Organization,2001.
Meinzen-Derr JK,Guerrero ML,Altaye M,et al.Risk of infant anemia is associated with exclusive breast-feeding and maternal anemia in a Mexican cohort[J].J Nutr,2006,136(2):452-458.
[32]
Gong YH,Ji CY,Zheng XX,et al.Correlation of 4-month infant feeding modes with their growth and iron status in Beijing[J].Chin Med J (Engl),2008,121(5):392-398.
[33]
Mello-Neto J,Rondó PH,Morgano MA,et al.Iron concentrations in breast milk and selected maternal factors of human milk bank donors[J].J Hum Lact,2010,26(2):175-179.
