标题:L'anémie nutritionnelle chez les enfants scolarisés dans une zone rurale et côtière du Nord Ouest Marocain
Nutritional Anaemia in Rural Schoolchildren in a Coastal area of Morocco
摘要:Background: Iron deficiency anaemia is the major public health problem encountered in the world. In Children, this trouble has deleterious consequences on the global health and e weak cognitive development.
Aims: This study aims to determine the prevalence of anaemia and iron deficiency and its association with socio-economic and anthropometric parameters of the Schoolchildren in region of KENITRA (North West of Morocco).
Methods: 295 students between 6 and 16 years old composed the study sample. The level of Haemoglobin was measured in a sub group of 280 school children. The iron status was determined by ferritin level in serum. Cut off points for anaemia is defined when haemoglobin is under 11.5 g/dl and for Iron deficiency when ferritin level is less than 15 mg/l.
A questionnaire was developed to collect information on the socio-economic and demographic status of the family such as the size of household, the working status of parents their level of education.
Results: The overall prevalence of anaemia in the studied population was 12, 2 % and iron deficiency was found in 24 %. The mean haemoglobin concentration was 12.41 g/dl in boys and 12, 5 g/dl in girls, whereas the mean ferritin level was 26, 7 µg/l in boys and 27, 9 µg/l in girls.
There was an inversely significant relationship between education of the mother and anaemia in children (p= 0.01). However, using logistic regression analysis, the results show that anaemia is not significantly associated with gender, parents’ employment.
Conclusion: The results suggest that iron deficiency is an important factor of anaemia in this population. However, whole anaemia cannot be solely explained by iron deficiency. Further studies are needed to consider micronutrients status, parasite infestation, hereditary disorders, and environmental pollutants. A positive deviation study is needed to investigate the factors involved in improving nutritional status is this rural area.
关键词:Anaemia, Iron deficiency, Serum ferritin, Schoolchildren, Morocco.