Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices

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dc.creatorRawat, Rahul
dc.creatorSaha, Kuntal K.
dc.creatorKennedy, Andrew
dc.creatorRohner, Fabian
dc.creatorRuel, Marie T.
dc.creatorMenon, Purnima
dc.date2014
dc.date2024-08-01T02:54:55Z
dc.date2024-08-01T02:54:55Z
dc.date.accessioned2026-06-27T15:18:37Z
dc.descriptionFew data exist on the aetiology of anaemia and Fe deficiency (ID) during early infancy in South Asia. The present study aimed to determine the contribution of ID, infections and feeding practices to anaemia in Bangladeshi infants aged 6–11 months. Baseline data from 1600 infants recruited into a cluster-randomised trial testing the effectiveness of micronutrient powder sales by frontline health workers on the prevalence of anaemia were used. Multivariate logistic regression was used to identify risk factors for anaemia and ID, and population attributable fractions (PAF) were computed to estimate the proportion of anaemia that might be prevented by the elimination of individual risk factors. It was found that 68 % of the infants were anaemic, 56 % were Fe deficient, and one-third had evidence of subclinical infections. The prevalence of anaemia and ID increased rapidly, until 8–9 months of age, while that of subclinical infections was constant. ID (adjusted OR (AOR) 2·6–5·0;P< 0·001) and subclinical infections (AOR 1·4–1·5;P< 0·01) were major risk factors for anaemia, in addition to age and male sex. Similarly, subclinical infections, age and male sex were significant risk factors for ID. Previous-day consumption of Fe-rich foods was very low and not associated with anaemia or ID. The PAF of anaemia attributable to ID was 67 % (95 % CI 62, 71) and that of subclinical infections was 16 % (95 % CI 11, 20). These results suggest that a multipronged strategy that combines improvements in dietary Fe intake alongside infection control strategies is needed to prevent anaemia during infancy in Bangladesh.
dc.identifierhttps://hdl.handle.net/10568/151032
dc.identifier.urihttp://hdl.handle.net/123456789/100733
dc.languageen
dc.publisherCambridge University Press
dc.rightsLimited Access
dc.sourceRawat, Rahul; Saha, Kuntal K.; Kennedy, Andrew; Rohner, Fabian; Ruel, Marie T.; and Menon, Purnima. Anaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices. British Journal of Nutrition 111(1): 172-181. https://doi.org/10.1017/s0007114513001852
dc.subjectinfection
dc.subjectanaemia
dc.subjectinfants
dc.subjectdeficiency diseases
dc.subjectbest practices
dc.subjectiron
dc.subjectfeeding habits
dc.titleAnaemia in infancy in rural Bangladesh: Contribution of iron deficiency, infections and poor feeding practices
dc.typeJournal Article

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