Skip to main content
Erschienen in: European Journal of Nutrition 2/2018

09.12.2016 | Original Contribution

Concurrent iron and zinc deficiencies in lactating mothers and their children 6–23 months of age in two agro-ecological zones of rural Ethiopia

verfasst von: Kedir Teji Roba, Thomas P. O’Connor, Tefera Belachew, Nora M. O’Brien

Erschienen in: European Journal of Nutrition | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study is to examine the co-occurrences of low serum ferritin and zinc and anaemia among mothers and their children in two agro-ecological zones of rural Ethiopia.

Methods

Data were collected from 162 lactating mothers and their breast fed children aged 6–23 months. The data were collected via a structured interview, anthropometric measurements, and blood tests for zinc, ferritin and anaemia. Correlation, Chi-square and multivariable analysis were used to determine the association between nutritional status of mothers and children, and agro-ecological zones.

Results

Low serum levels of iron and zinc, anaemia and iron deficiency anaemia were found in 44.4, 72.2, 52.5 and 29.6% of children and 19.8, 67.3, 21.8, 10.5% of mothers, respectively. There was a strong correlation between the micronutrient status of the mothers and the children for ferritin, zinc and anaemia (p < 0.005). Deficiency in both zinc and ferritin and one of the two was observed in 19.1, and 53.7% of the mothers and 32.7 and 46.3%, of their children, respectively. In the 24 h before the survey, 82.1% of mothers and 91.9% of their infants consumed foods that can decrease zinc bioavailability while only 2.5% of mothers and 3.7% of their infants consumed flesh foods.

Conclusion

This study shows that micronutrient deficiencies were prevalent among lactating mothers and their children, with variation in prevalence across the agro-ecological zones. This finding calls for a need to design effective preventive public health nutrition programs to address both the mothers’ and their children’s needs.
Literatur
1.
Zurück zum Zitat FAO/WHO (1992) International conference on nutrition. World declaration and plan of action. FAO, Rome FAO/WHO (1992) International conference on nutrition. World declaration and plan of action. FAO, Rome
3.
Zurück zum Zitat Allen LH (1993) The nutrition CRSP: what is marginal malnutrition, and does it affect human function? Nutr Rev 51:255–267CrossRef Allen LH (1993) The nutrition CRSP: what is marginal malnutrition, and does it affect human function? Nutr Rev 51:255–267CrossRef
4.
Zurück zum Zitat Christian P, West KP Jr (1998) Interactions between zinc and vitamin A: an update. Am J Clin Nutr 68:435S–441SCrossRef Christian P, West KP Jr (1998) Interactions between zinc and vitamin A: an update. Am J Clin Nutr 68:435S–441SCrossRef
5.
Zurück zum Zitat Whittaker P (1998) Iron and zinc interactions in humans. Am J Clin Nutr 68:442S–446SCrossRef Whittaker P (1998) Iron and zinc interactions in humans. Am J Clin Nutr 68:442S–446SCrossRef
6.
Zurück zum Zitat Singh M (2004) Role of micronutrients for physical growth and mental development. Indian J Pediatr 71:59–62CrossRef Singh M (2004) Role of micronutrients for physical growth and mental development. Indian J Pediatr 71:59–62CrossRef
7.
Zurück zum Zitat Bitanihirwe BK, Cunningham MG (2009) Zinc: the brain’s dark horse. Synapse 63:1029–1049CrossRef Bitanihirwe BK, Cunningham MG (2009) Zinc: the brain’s dark horse. Synapse 63:1029–1049CrossRef
8.
Zurück zum Zitat Solomons NW, Jacob R (1981) Studies on the bioavailability of zinc in humans: effects of heme and nonheme iron on the absorption of zinc. Am J Clin Nutr 34:475–482CrossRef Solomons NW, Jacob R (1981) Studies on the bioavailability of zinc in humans: effects of heme and nonheme iron on the absorption of zinc. Am J Clin Nutr 34:475–482CrossRef
9.
Zurück zum Zitat Hurtado EK, Claussen AH, Scott KG (1999) Early childhood anemia and mild or moderate mental retardation. Am J Clin Nutr 69:115–119CrossRef Hurtado EK, Claussen AH, Scott KG (1999) Early childhood anemia and mild or moderate mental retardation. Am J Clin Nutr 69:115–119CrossRef
10.
Zurück zum Zitat Idjradinata P, Pollitt E (1993) Reversal of developmental delays in iron-deficient anemic infants treated with iron. Lancet 341(8836):1–4CrossRef Idjradinata P, Pollitt E (1993) Reversal of developmental delays in iron-deficient anemic infants treated with iron. Lancet 341(8836):1–4CrossRef
11.
Zurück zum Zitat Brown KH (1998) Effect of infections on plasma zinc concentration and implications for zinc status assessment in low-income countries. Am J Clin Nutr 68:425S–429SCrossRef Brown KH (1998) Effect of infections on plasma zinc concentration and implications for zinc status assessment in low-income countries. Am J Clin Nutr 68:425S–429SCrossRef
12.
Zurück zum Zitat Brown KH, Wuehler SE, Peerson JM (2001) The importance of zinc in human nutrition and estimation of the global prevalence of zinc deficiency. Food Nutr Bull 22:113–125CrossRef Brown KH, Wuehler SE, Peerson JM (2001) The importance of zinc in human nutrition and estimation of the global prevalence of zinc deficiency. Food Nutr Bull 22:113–125CrossRef
13.
Zurück zum Zitat Umeta M, West CE, Haidar J, Deurenberg P, Hautvast JG (2000) Zinc supplementation and stunted infants in Ethiopia: a randomised controlled trial. Lancet 355:2021–2026CrossRef Umeta M, West CE, Haidar J, Deurenberg P, Hautvast JG (2000) Zinc supplementation and stunted infants in Ethiopia: a randomised controlled trial. Lancet 355:2021–2026CrossRef
15.
Zurück zum Zitat Kalaivani K (2009) Prevalence & consequences of anaemia in pregnancy. Indian J Med Res 130:627–633 Kalaivani K (2009) Prevalence & consequences of anaemia in pregnancy. Indian J Med Res 130:627–633
16.
Zurück zum Zitat Kassu A, Yabutani T, Mulu A, Tessema B, Ota F (2008) Serum zinc, copper, selenium, calcium, and magnesium levels in pregnant and non-pregnant women in Gondar, Northwest Ethiopia. Biol Trace Elem Res 122(2):97–106CrossRef Kassu A, Yabutani T, Mulu A, Tessema B, Ota F (2008) Serum zinc, copper, selenium, calcium, and magnesium levels in pregnant and non-pregnant women in Gondar, Northwest Ethiopia. Biol Trace Elem Res 122(2):97–106CrossRef
17.
Zurück zum Zitat Gebremedhin S (2011) Prevalence of prenatal zinc deficiency and its association with socio-demographic, dietary and health care related factors in Rural Sidama, Southern Ethiopia: a crosssectional study. BMC Public Health 11:1CrossRef Gebremedhin S (2011) Prevalence of prenatal zinc deficiency and its association with socio-demographic, dietary and health care related factors in Rural Sidama, Southern Ethiopia: a crosssectional study. BMC Public Health 11:1CrossRef
18.
Zurück zum Zitat Umeta M, Haidar J, Demissie T, Akalu G, Ayana G (2008) iron deficiency anaemia among women of reproductive age in nine administrative regions of Ethiopia. Ethiop J Health Dev 22:252–258 Umeta M, Haidar J, Demissie T, Akalu G, Ayana G (2008) iron deficiency anaemia among women of reproductive age in nine administrative regions of Ethiopia. Ethiop J Health Dev 22:252–258
19.
Zurück zum Zitat Haidar J, Muroki NM, Omwega AM, Ayana G (2003) Malnutrition and iron deficiency in lactating women in urban slum communities from Addis Ababa, Ethiopia. East Afr Med J 80:191–194 Haidar J, Muroki NM, Omwega AM, Ayana G (2003) Malnutrition and iron deficiency in lactating women in urban slum communities from Addis Ababa, Ethiopia. East Afr Med J 80:191–194
20.
Zurück zum Zitat Woldie H, Kebede Y, Tariku A (2015) Factors associated with anemia among children aged 6–23 months attending growth monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia. J Nutr Metab 2015. doi:10.1155/2015/928632 Woldie H, Kebede Y, Tariku A (2015) Factors associated with anemia among children aged 6–23 months attending growth monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia. J Nutr Metab 2015. doi:10.​1155/​2015/​928632
21.
Zurück zum Zitat EDHS (2012) Central Statistical Authority, ORC Macro: Ethiopia demographic and health survey. CSA and ORC, Addis Ababa, Ethiopia and Calverton, Maryland, USA EDHS (2012) Central Statistical Authority, ORC Macro: Ethiopia demographic and health survey. CSA and ORC, Addis Ababa, Ethiopia and Calverton, Maryland, USA
22.
Zurück zum Zitat Gebreegziabiher G, Etana B, and Niggusie D (2014) Determinants of anemia among children aged 6–59 months living in Kilte Awulaelo Woreda, Northern Ethiopia J Anaemia 2014:245870. doi:10.1155/2014/245870 Gebreegziabiher G, Etana B, and Niggusie D (2014) Determinants of anemia among children aged 6–59 months living in Kilte Awulaelo Woreda, Northern Ethiopia J Anaemia 2014:245870. doi:10.​1155/​2014/​245870
23.
Zurück zum Zitat IZiNCG (2004) Assessment of the risk of zinc deficiency in populations and options for its control. Food Nutr Bull 25(1 Suppl):S99–S203 IZiNCG (2004) Assessment of the risk of zinc deficiency in populations and options for its control. Food Nutr Bull 25(1 Suppl):S99–S203
24.
Zurück zum Zitat International nutritional anaemia consultative group (INACG) (1979) Iron deficiency in infants and child hood. Nutrition Foundation, New York International nutritional anaemia consultative group (INACG) (1979) Iron deficiency in infants and child hood. Nutrition Foundation, New York
25.
Zurück zum Zitat WHO (2001) Iron deficiency anaemia: assessment, prevention and control, a guide for programme managers. World Health Organization, Geneva WHO (2001) Iron deficiency anaemia: assessment, prevention and control, a guide for programme managers. World Health Organization, Geneva
26.
Zurück zum Zitat Nkrumah B, Nguah S, Sarpong N, Dekker D, Idriss A et al (2011) Hemoglobin estimation by the HemoCueH portable hemoglobin photometer in a resource poor setting. BMC Clin Pathol 11:1CrossRef Nkrumah B, Nguah S, Sarpong N, Dekker D, Idriss A et al (2011) Hemoglobin estimation by the HemoCueH portable hemoglobin photometer in a resource poor setting. BMC Clin Pathol 11:1CrossRef
27.
Zurück zum Zitat WHO (2011) Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System Geneva, World Health Organization (WHO/NMH/NHD/MNM/111) WHO (2011) Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System Geneva, World Health Organization (WHO/NMH/NHD/MNM/111)
28.
Zurück zum Zitat Iyengar GV, Woittiez JRW, Subramanian KS (1998) Element analysis of biological samples: principles and practice. CRC Press, Boca Raton Iyengar GV, Woittiez JRW, Subramanian KS (1998) Element analysis of biological samples: principles and practice. CRC Press, Boca Raton
29.
Zurück zum Zitat World Health Organization Multicentre Growth Reference Study Group (2006) WHO child growth standards based on length/height, weight and age. Acta Paediatr 450:76S–85S World Health Organization Multicentre Growth Reference Study Group (2006) WHO child growth standards based on length/height, weight and age. Acta Paediatr 450:76S–85S
30.
Zurück zum Zitat WHO (2009) Child growth standards: growth velocity based on weight, length and head circumference: methods and development. World Health Organization, Geneva, p 242 WHO (2009) Child growth standards: growth velocity based on weight, length and head circumference: methods and development. World Health Organization, Geneva, p 242
31.
Zurück zum Zitat Cogill B (2001) Anthropometric indicators measurement guide. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington DC Cogill B (2001) Anthropometric indicators measurement guide. Food and Nutrition Technical Assistance Project, Academy for Educational Development, Washington DC
32.
Zurück zum Zitat WHO, United Nations Children’s Fund United States, Agency for International Development, UC DAVIS, and IFPRI (2010) Indictors for assessing infant and young child feeding practices part III. WHO, Geneva WHO, United Nations Children’s Fund United States, Agency for International Development, UC DAVIS, and IFPRI (2010) Indictors for assessing infant and young child feeding practices part III. WHO, Geneva
33.
Zurück zum Zitat Arimond M, Ruel MT (2004) Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr 134:2579–2585CrossRef Arimond M, Ruel MT (2004) Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr 134:2579–2585CrossRef
34.
Zurück zum Zitat Roba KT, O’Connor TP, Belachew T, O’Brien NM (2016) Infant and Young Child Feeding (IYCF) practices among mothers of children aged 6–23 months in two agro-ecological zones of rural Ethiopia. Int J Nutr Food Sci 5:185–194CrossRef Roba KT, O’Connor TP, Belachew T, O’Brien NM (2016) Infant and Young Child Feeding (IYCF) practices among mothers of children aged 6–23 months in two agro-ecological zones of rural Ethiopia. Int J Nutr Food Sci 5:185–194CrossRef
35.
Zurück zum Zitat Roba KT, O’Connor TP, Belachew T, O’Brien NM (2015) Seasonal variation in nutritional status and anaemia among lactating mothers in two agro-ecological zones of rural Ethiopia: a longitudinal study. Nutrition 31:1213–1218CrossRef Roba KT, O’Connor TP, Belachew T, O’Brien NM (2015) Seasonal variation in nutritional status and anaemia among lactating mothers in two agro-ecological zones of rural Ethiopia: a longitudinal study. Nutrition 31:1213–1218CrossRef
36.
Zurück zum Zitat Girma W, Genebo T (2002) Determinants of nutritional status of women and children in Ethiopia. ORC Macro, Calverton Girma W, Genebo T (2002) Determinants of nutritional status of women and children in Ethiopia. ORC Macro, Calverton
37.
Zurück zum Zitat Silveira KBR, Alves JFR, Ferreira HS, Sawaya AL, Florêncio TMMT (2010) Association between malnutrition in children living in favelas, maternal nutritional status, and environmental factors. J Pediatr 86:215–220CrossRef Silveira KBR, Alves JFR, Ferreira HS, Sawaya AL, Florêncio TMMT (2010) Association between malnutrition in children living in favelas, maternal nutritional status, and environmental factors. J Pediatr 86:215–220CrossRef
38.
Zurück zum Zitat Dijkhuizen MA, Wieringa FT, West CE, Muherdiyantiningsih Muhilal (2001) Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia. Am J Clin Nutr 73:786–791 Dijkhuizen MA, Wieringa FT, West CE, Muherdiyantiningsih Muhilal (2001) Concurrent micronutrient deficiencies in lactating mothers and their infants in Indonesia. Am J Clin Nutr 73:786–791
39.
Zurück zum Zitat Villalpando Salvador, García-Guerra A, Ramírez-Silva CI, Mejía-Rodríguez F, Matute G et al (2003) Iron, zinc and iodide status in Mexican children under 12 years and women 12–49 years of age. A probabilistic national survey. Salud Pública de México 45:S520–S529CrossRef Villalpando Salvador, García-Guerra A, Ramírez-Silva CI, Mejía-Rodríguez F, Matute G et al (2003) Iron, zinc and iodide status in Mexican children under 12 years and women 12–49 years of age. A probabilistic national survey. Salud Pública de México 45:S520–S529CrossRef
40.
Zurück zum Zitat Gibson RS, Abebe Y, Stabler S et al (2008) Zinc, gravida, infection and iron, but not vitamin B-12 or folate status, predict hemoglobin during pregnancy in Southern Ethiopia. J Nutr 138:581–586CrossRef Gibson RS, Abebe Y, Stabler S et al (2008) Zinc, gravida, infection and iron, but not vitamin B-12 or folate status, predict hemoglobin during pregnancy in Southern Ethiopia. J Nutr 138:581–586CrossRef
41.
Zurück zum Zitat Haidar J (2010) Prevalence of anaemia, deficiencies of iron and folic acid and their determinants in Ethiopian women. J Health Popul Nutr 28:359–368CrossRef Haidar J (2010) Prevalence of anaemia, deficiencies of iron and folic acid and their determinants in Ethiopian women. J Health Popul Nutr 28:359–368CrossRef
42.
Zurück zum Zitat Reinbott A, Jordan I, Herrmann J, Kuchenbecker J, Kevanna O, Krawinkel MB (2016) Role of breastfeeding and complementary food on hemoglobin and ferritin levels in a Cambodian cross-sectional sample of children aged 3 to 24 months. PLoS ONE. doi:10.1371/journal.pone.0150750 Reinbott A, Jordan I, Herrmann J, Kuchenbecker J, Kevanna O, Krawinkel MB (2016) Role of breastfeeding and complementary food on hemoglobin and ferritin levels in a Cambodian cross-sectional sample of children aged 3 to 24 months. PLoS ONE. doi:10.​1371/​journal.​pone.​0150750
Metadaten
Titel
Concurrent iron and zinc deficiencies in lactating mothers and their children 6–23 months of age in two agro-ecological zones of rural Ethiopia
verfasst von
Kedir Teji Roba
Thomas P. O’Connor
Tefera Belachew
Nora M. O’Brien
Publikationsdatum
09.12.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 2/2018
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-016-1351-5

Weitere Artikel der Ausgabe 2/2018

European Journal of Nutrition 2/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.