Anemia and Micronutrient Status of Women of Childbearing Age and Children 6-59 Months in the Democratic Republic of the Congo

Nutrients
Sarah Harvey-LeesonTim J Green

Abstract

Little is known about the micronutrient status of women and children in the Democratic Republic of the Congo, which is critical for the design of effective nutrition interventions. We recruited 744 mother-child pairs from South Kivu (SK) and Kongo Central (KC). We determined hemoglobin (Hb), serum zinc, vitamin B12, folate, ferritin, soluble transferrin receptor (sTfR), retinol binding protein (RBP), C-reactive protein, and α-1 acid glycoprotein concentrations. Anemia prevalence was determined using Hb adjusted for altitude alone and Hb adjusted for both altitude and ethnicity. Anemia prevalence was lower after Hb adjustment for altitude and ethnicity, compared to only altitude, among women (6% vs. 17% in SK; 10% vs. 32% in KC), children 6-23 months (26% vs. 59% in SK; 25% vs. 42% in KC), and children 24-59 months (14% vs. 35% in SK; 23% vs. 44% in KC), respectively. Iron deficiency was seemingly higher with sTfR as compared to inflammation-adjusted ferritin among women (18% vs. 4% in SK; 21% vs. 5% in KC), children 6-23 months (51% vs. 14% in SK; 74% vs. 10% in KC), and children 24-59 months (23% vs. 4% in SK; 58% vs. 1% in KC). Regardless of indicator, iron deficiency anemia (IDA) never exceeded 3% in women. In children, IDA ...Continue Reading

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Citations

Aug 23, 2017·Food and Nutrition Bulletin·Moira Donahue AngelErick Boy
Oct 11, 2017·The American Journal of Tropical Medicine and Hygiene·Esto BahizirePhilippe Donnen
Jul 2, 2019·Annals of the New York Academy of Sciences·Max GassmannMartina U Muckenthaler
Jan 30, 2018·Annals of the New York Academy of Sciences·Anne M Molloy

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Methods Mentioned

BETA
enzyme-linked immunosorbent assay
flame atomic absorption spectrophotometry

Software Mentioned

Stata

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