Research Article
Volume 7 Issue 8 - 2018
Comparison of Prevalence and Etiology of Iron Deficiency Anaemia in Well-Nourished vs Protein Energy Malnutrition Children in Suburb Population of Lahore, a Case Control Study
Muhammad Jamil Azhar*
Department of Pediatrics, Avicenna Medical College and Hospitals, Pakistan
*Corresponding Author: Muhammad Jamil Azhar, Department of Pediatrics, Avicenna Medical College and Hospitals, Pakistan.
Received: April 19, 2018; Published: July 17, 2018
Citation: Muhammad Jamil Azhar. “Comparison of Prevalence and Etiology of Iron Deficiency Anaemia in Well-Nourished vs Protein Energy Malnutrition Children in Suburb Population of Lahore, a Case Control Study”. EC Paediatrics 7.8 (2018):766-772.
Protein energy malnutrition and iron deficiency anaemia are both quite common in third world countries and Pakistan is no exception. This study was carried out to compare the prevalence of iron deficiency anaemia in well-nourished and severe protein energy malnourished children in suburban area of Lahore and identification of common predisposing factors associated with iron deficiency anaemia in children. This was a double blinded case-controlled study. All children age 6 months to 5 years presenting in hospital OPD/Emergency were included in this study. They were divided into two groups {controls-well-nourished (Z-score -2-+2)} and {cases-malnourished (Z-score: > -2)} based on WHO Z-score charts. Children with thalassemia, sickle cell disease, chronic illness (renal, liver) were excluded from the study. Parents were interviewed, kids examined and investigated (CBC, peripheral smear, serum iron and total iron binding capacity). Important informations (history, examination and laboratory findings) were recorded. Children with hemoglobin level less than 11gm/dl were considered as anaemic and further classified as mild, moderate and severe anaemia based on hemoglobin level as per WHO guidelines [1]. All anaemic children were prescribed appropriate medication (oral iron hydroxide polymaltose @ 6 mg/kg (elemental iron). This study was carried out at pediatric department Avicenna medical college during period of October 2017-March 2018. Data were analyzed using SPSS v20 and chi square test. Results showed that iron deficiency anaemia was common in both groups, although moderate-severe anaemia was more common in malnourished children (55.4%). Moreover, poverty and illiteracy (34.5%) were most common etiological factors identified. Statistical analysis showed these results are highly significant as P value was 0.000.
Keywords: Iron Deficiency Anaemia; Protein Energy Malnutrition; Non-Governmental Organization
Copyright: © 2018 Muhammad Jamil Azhar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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