• Login
    View Item 
    •   Repository Home
    • Journal Articles
    • Department of Medical Sciences
    • View Item
    •   Repository Home
    • Journal Articles
    • Department of Medical Sciences
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Early Childhood Anemia in a Birth Cohort in Coastal Kenya: Links to Infection and Nutrition

    Thumbnail
    View/Open
    [14761645 - The American Journal of Tropical Medicine and Hygiene] Early Childhood Anemia in a Birth Cohort in Coastal Kenya Links to Infection and Nutrition.pdf (1.195Mb)
    Date
    2019
    Author
    Mutuku, Francis
    Kao, Julia
    Shanique, Martin
    Lee, Justin
    Mwandi, Jackson
    Mukoko, Dunstan
    Malhotra, Indu
    King, Charles H.
    LaBeaud, Angelle Desiree
    Metadata
    Show full item record
    Abstract
    Anemia is known to impact a child’s growth and development, but not all anemia are caused by iron deficiency, and the CDC and WHO have emphasized investigating other contributors to anemia. This cross-sectional sub study of a 2012–2016 maternal-child cohort in coastal Kenya evaluated 244 children and found 185 (76%) to have been anemic on at least one time point since birth. At the time of assessment in 2016, evaluation included a complete blood count, nutritional assessment, and testing for parasitic infections, focusing on the primary outcome of anemia, defined as hemoglobin (Hb) < 11 g/dL. The average age at assessment was 20.5 ± 7 months. Ninety-five percent had a lifetime average Hb in the anemic range. Adjusting for age and gender, prior or current malaria infection (prior: Hb β = −0.99, 95% CI: −1.49 to −0.49, P = 0.01), or having any current infection with hookworm, Trichuris, Strongyloides, Ascaris, and/or malaria (β = −0.84, 95% CI: −1.36 to −0.33, P = 0.01) was associated with decreased current Hb. Nutritional evaluation revealed that children with a declining Hb ate fewer vitamin-A–rich vegetables per week (P = 0.01) or eggs (P = 0.01), drank more milk (P = 0.07), and ate more bread (P = 0.01), and were more likely to live in a household that experienced food shortage (P = 0.05). The high prevalence of anemia, polyparasitism, and dietary insufficiency among children in rural coastal Kenya suggests that remedial interventions will need to address both diet and parasitic infections to effectively combat this significant health threat.
    URI
    https://ir.tum.ac.ke/handle/123456789/17328
    Collections
    • Department of Medical Sciences [15]

    Technical University of Mombasa copyright © 2020  University Library
    Contact Us | Send Feedback
    Supported by KUBUNI
     

     

    Browse

    All of RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Technical University of Mombasa copyright © 2020  University Library
    Contact Us | Send Feedback
    Supported by KUBUNI