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Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age
Nearly half of women of reproductive age (WRA) in Cambodia are anemic. To guide interventions, national data on nutritional causes of anemia, including iron deficiency and vitamin A deficiency, are needed. In 2012, a national household survey in WRA on antibodies to routine vaccine-preventable disea...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848666/ https://www.ncbi.nlm.nih.gov/pubmed/27043624 http://dx.doi.org/10.3390/nu8040197 |
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author | Wieringa, Frank T. Sophonneary, Prak Whitney, Sophie Mao, Bunsoth Berger, Jacques Conkle, Joel Dijkhuizen, Marjoleine A. Laillou, Arnaud |
author_facet | Wieringa, Frank T. Sophonneary, Prak Whitney, Sophie Mao, Bunsoth Berger, Jacques Conkle, Joel Dijkhuizen, Marjoleine A. Laillou, Arnaud |
author_sort | Wieringa, Frank T. |
collection | PubMed |
description | Nearly half of women of reproductive age (WRA) in Cambodia are anemic. To guide interventions, national data on nutritional causes of anemia, including iron deficiency and vitamin A deficiency, are needed. In 2012, a national household survey in WRA on antibodies to routine vaccine-preventable disease immunity was performed. We used serum samples from this survey to estimate the prevalence of iron and vitamin A deficiency in 2112 Cambodian WRA, aged 15 to 39 years. Iron deficiency was classified as low or marginal iron stores (ferritin concentrations corrected for inflammation <15 μg/L and <50 μg/L respectively; Fer), iron deficient erythropoiesis (soluble transferrin receptor concentrations >8.3 mg/L; sTfR), or low total body iron (TBI) derived from Fer and sTfR concentrations (<0 mg/kg). Vitamin A status was classified using retinol binding protein (RBP) concentrations corrected for inflammation as deficient (<0.70 μmol/L) or marginal (<1.05 μmol/L. Overall, the prevalence of low iron stores, low TBI and iron deficient erythropoiesis was 8.1%, 5.0% and 9.3% respectively. Almost 40% of the women had marginal iron stores. Iron status was better in women living in urban areas compared to rural areas (p < 0.05 for TBI and sTfR). The prevalence of vitamin A deficiency was <1%. These findings suggest that the contribution of iron and vitamin A deficiency to the high prevalence of anemia in Cambodian WRA may be limited. The etiology of anemia in Cambodia needs to be elucidated further to guide current policies on anemia. |
format | Online Article Text |
id | pubmed-4848666 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-48486662016-05-04 Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age Wieringa, Frank T. Sophonneary, Prak Whitney, Sophie Mao, Bunsoth Berger, Jacques Conkle, Joel Dijkhuizen, Marjoleine A. Laillou, Arnaud Nutrients Article Nearly half of women of reproductive age (WRA) in Cambodia are anemic. To guide interventions, national data on nutritional causes of anemia, including iron deficiency and vitamin A deficiency, are needed. In 2012, a national household survey in WRA on antibodies to routine vaccine-preventable disease immunity was performed. We used serum samples from this survey to estimate the prevalence of iron and vitamin A deficiency in 2112 Cambodian WRA, aged 15 to 39 years. Iron deficiency was classified as low or marginal iron stores (ferritin concentrations corrected for inflammation <15 μg/L and <50 μg/L respectively; Fer), iron deficient erythropoiesis (soluble transferrin receptor concentrations >8.3 mg/L; sTfR), or low total body iron (TBI) derived from Fer and sTfR concentrations (<0 mg/kg). Vitamin A status was classified using retinol binding protein (RBP) concentrations corrected for inflammation as deficient (<0.70 μmol/L) or marginal (<1.05 μmol/L. Overall, the prevalence of low iron stores, low TBI and iron deficient erythropoiesis was 8.1%, 5.0% and 9.3% respectively. Almost 40% of the women had marginal iron stores. Iron status was better in women living in urban areas compared to rural areas (p < 0.05 for TBI and sTfR). The prevalence of vitamin A deficiency was <1%. These findings suggest that the contribution of iron and vitamin A deficiency to the high prevalence of anemia in Cambodian WRA may be limited. The etiology of anemia in Cambodia needs to be elucidated further to guide current policies on anemia. MDPI 2016-04-01 /pmc/articles/PMC4848666/ /pubmed/27043624 http://dx.doi.org/10.3390/nu8040197 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Wieringa, Frank T. Sophonneary, Prak Whitney, Sophie Mao, Bunsoth Berger, Jacques Conkle, Joel Dijkhuizen, Marjoleine A. Laillou, Arnaud Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title | Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title_full | Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title_fullStr | Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title_full_unstemmed | Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title_short | Low Prevalence of Iron and Vitamin A Deficiency among Cambodian Women of Reproductive Age |
title_sort | low prevalence of iron and vitamin a deficiency among cambodian women of reproductive age |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848666/ https://www.ncbi.nlm.nih.gov/pubmed/27043624 http://dx.doi.org/10.3390/nu8040197 |
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