Pervasiveness of Anaemia and Vitamin A Deficiency among Females Aged 15-45 Years in Urban and Riverine Rural Areas of Anambra State, Nigeria
DOI:
https://doi.org/10.3923/pjn.2021.119.126Keywords:
Anaemia, micronutrient, retinol deficiency, vitamin A, women of childbearing ageAbstract
Background and Objective: Micronutrient deficiencies among females has posed both health and economic challenges in the developing countries of the world. The present study assessed the prevalence of anaemia and vitamin A deficiency among females in urban and riverine rural communities in Anambra State, Nigeria. Materials and Methods: A total of 586 females aged 15-45 years participated in the study. The participants filled a self-reported questionnaire which covered items related to anaemia, vitamin A and frequency of consumption of iron and vitamin A rich foods. Serum iron and retinol levels of sub-sample of participants were measured. Descriptive and inferential statistics were used to analyze the data using SPSS, version 22. Significance was set at p<0.05. Results: Results showed that 40.0% of the respondents were retinol deficient. More than half (63.3%) were anaemic out of which 26.6 and 5.0% had moderate and severe anaemia, respectively. About 46.0% of the urban respondents had low serum retinol compared to 33.3% of their rural counterparts. There was no significant (p>0.05) relationship between location and the respondents’ serum retinol and iron status. Overall, daily consumptions of meat, fish and vegetables were low in the urban and riverine rural communities (24.7% vs. 21.7%, 20.3% vs. 28.0% and 51.3% vs 48.2%, respectively). Many (78.7%) respondents in riverine rural area reported skipping meals. Conclusion: Anaemia, vitamin A deficiency and low consumption of micronutrient rich foods were observed among the respondents. Behaviour change communication is required to improve the micronutrient status of the women.
References
Institute of Medicine, 1998. Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers. National Academies Press, Washington, DC, Pages: 224.
Bailey, R.L., K.P. West Jr. and R.E. Black, 2015. The epidemiology of global micronutrient deficiencies. Ann. Nutr. Metab., 66: 22-33.
Harris-Fry, H., N. Shrestha, A. Costello and N.M. Saville, 2017. Determinants of intra-household food allocation between adults in South Asia - A systematic review. Int. J. Equity Health, Vol. 16.
WHO., 2015. The global prevalence of anemia in 2011. World Health Organization, Geneva.
National Population Commission (NPC) [Nigeria] and ICF., 2019. 2018 Nigeria DHS Key Findings. Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF. https://dhsprogram.com/pubs/pdf/SR264/SR264.pdf
Hassan, A.A., A.I. Mamman, S. Adaji, B. Musa and S. Kene, 2014. Anemia and iron deficiency in pregnant women in Zaria, Nigeria. Sub-Saharan Afr. J. Med., 1: 36-39.
Teshale, A.B., G.A. Tesema, M.G. Worku, Y. Yeshaw and Z.T. Tessema, 2020. Anemia and its associated factors among women of reproductive age in eastern Africa: A multilevel mixed-effects generalized linear model. PLOS ONE, Vol. 15.
Awoleke, J.O., 2011. Maternal risk factors for low birth weight babies in Lagos, Nigeria. Arch. Gynecol. Obstet., Vol. 285.
Omole-Ohonsi, A. and R.A. Attah, 2012. Risk factors of preterm deliveries at Aminu Kano teaching hospital, Kano, Nigeria South Asian J. Manage. Sci., 1: 3-10.
Lozoff, B., J.B. Smith, N. Kaciroti, K.M. Clark, S. Guevara and E. Jimenez, 2013. Functional significance of early-life iron deficiency: outcomes at 25 years. J. Pediatr., 163: 1260-1266.
Black, R.E., C.G. Victora, S.P. Walker, Z.A. Bhutta and P. Christian et al., 2013. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382: 427-451.
WHO., ‎2011. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. World Health Organization, Geneva.
Stevens, G.A., J.E. Bennett, Q. Hennocq, Y. Lu and L.M. De-Regil et al., 2015. Trends and mortality effects of vitamin A deficiency in children in 138 low-income and middle-income countries between 1991 and 2013: A pooled analysis of population-based surveys. Lancet Global Health, 3: e528-e536.
Maziya-Dixon, B., I.O. Akinyele, E.B. Oguntona, S. Nokoe, R.A. Sanusi and E. Harris, 2004. Nigeria Food Consumption and Nutrition Survey 2001-2003. International Institute of Tropical Agriculture (IITA), Ibadan, Nigeria, ISBN-13: 9789781312212, Pages: 67.
Koryo-Dabrah, A., C.A. Nti and R. Adanu, 2012. Dietary practices and nutrient intakes of pregnant women in Accra, Ghana. Curr. Res. J. Biol. Sci., 4: 358-365.
Federal Republic of Nigeria, 2010. Population Distribution by Sex, State, LGA & Senatorial District. National Population Commission, Abuja, Nigeria.
National Bureau of Statistics, 2013. Annual Abstract of Statistics, 2011. Federal Republic of Nigeria. https://istmat.org/files/uploads/53129/annual_abstract_of_statistics_2011.pdf
Yamane, T., 1967. Statistics: An Introductory Analysis. 2nd Edn., Harper and Row, New York, Pages: 919.
Craft, N.E., J. Bulux, C. Valdez, Y. Li and N.W. Solomons, 2000. Retinol concentrations in capillary dried blood spots from healthy volunteers: Method validation. Am. J. Clin. Nutr., 72: 450-454.
WHO., 1996. Indicators for assessing vitamin A deficiency and their application in monitoring and evaluating intervention programmes. WHO/NUT/9610. WHO/NUT., Geneva, Switzerland.
Patil, R., A. Mittal, D. Vedapriya, M.I. Khan and M. Raghavia, 2010. Taboos and misconceptions about food during pregnancy among rural population of Pondicherry. Calicut Med. J., 8: 4-8.
Ahadi, Z., R. Heshmat, M. Sanaei, G. Shafiee and M. Ghaderpanahi et al., 2014. Knowledge, attitude and practice of urban and rural households towards principles of nutrition in Iran: Results of NUTRIKAP survey. J. Diabetes Metab. Disord., Vol. 13.
Central Statistical Agency (CSA) [Ethiopia] and ICF., 2016. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA: CSA and ICF. https://dhsprogram.com/pubs/pdf/FR328/FR328.pdf
Hakizimana, D., M.P. Nisingizwe, J. Logan and R. Wong, 2019. Identifying risk factors of anemia among women of reproductive age in Rwanda – A cross-sectional study using secondary data from the Rwanda demographic and health survey 2014/2015. BMC Public Health.
Gautam, S., H. Min, H. Kim and H.-S. Jeong, 2019. Determining factors for the prevalence of anemia in women of reproductive age in Nepal: Evidence from recent national survey data. PLoS ONE.
Dairo, M.D. and O.K. Ige, 2009. Supplementation of micronutrient in community micronutrient deficiency prevention programmes. Ann. Ib. Postgrad. Med., 7: 6-9.
WHO, 2009. Global Prevalence of Vitamin A Deficiency in Populations at Risk 1995-2005: Who Global Database on Vitamin A Deficiency. World Health Organization, Geneva, Switzerland, ISBN: 978-92-4-159801-9, Pages: 55.
Rodriguez-Bernal,C.L., M. Rebagliato and F. Ballester, 2012. Maternal nutrition and fetal growth: the role of iron status and intake during pregnancy. Nutr. Dietary Supplements 4: 25-37.
Chalise,B., K.K. Aryal, R.K. Mehta, M. Dhimal and F. Sapkota et al., 2018. Prevalence and correlates of anemia among adolescents in Nepal: Findings from a nationally representative cross-sectional survey. PLoS ONE.
Bentley, M.E. and P.L. Griffiths, 2003. The burden of anemia among women in India. Eur. J. Clin. Nutr., 57: 52-60.
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