Assessment of anemia among rural children in Kaduna State, Nigeria by determining hemoglobin and serum ferritin levels

Author:

Yasmin Andrew Nuhu1,Obazee Dorcas Yetunde2,Dada Micheal Olugbamila3,Oyewande Azeezat Abimbola4,Alabi Bolanle Yemisi5,Faith Ajani Olumide6,Conteh Ishata7,Sanni Felix Olaniyi8,Abiodun Olaiya Paul7,Bartholomew Ochonye Boniface7,Adaran Tolu9,Gwa Zachary Terna6,Afelumo Olaide Lateef7,Okwose Innocent10

Affiliation:

1. Haematology and Blood Transfusion Department, National Hospital, Abuja, Nigeria

2. Laboratory Department, Asokoro District Hospital, Abuja, Nigeria

3. Department of Medical Laboratory Science, Babcock University, Nigeria

4. Family Medicine Department, General Hospital Lagos, Lagos State Health service commission

5. Department of Haematology and Immunology, University of Medical Sciences, Ondo State, Nigeria

6. Compliance and Laboratory Department, Akesis Health, Abuja Nigeria

7. Public Health Department, University of Central Nicaragua, Nicaragua

8. Department of Research and Development, Fescosof Data Solutions, Nigeria

9. Grant Management and Laboratory Unit, Lagos State Ministry of Health (LSMOH)

10. School of Business (OHS), Loughborough University, United Kingdom

Abstract

Background and objective: Children in the developing world are vulnerable to iron deficiency (ID) and iron deficiency anemia (IDA) because they grow fast and consume diets low in iron. Thus, this study assessed anemia in children aged 6 - 12 years in rural Nigeria, using hematological indices and serum ferritin as diagnostic tools. Materials and methods: This cross-sectional study was carried out in two primary schools in Kumin Masara Kataf village in Kaduna state, Nigeria. School children aged 6 - 12 years were enrolled. Personal information and laboratory data were collected. Hemoglobin and serum ferritin concentration was estimated to determine anemia and iron status. Data analysis was done using IBM-SPSS Inc., Chicago, IL, USA, version-25.0. Results: A total of 191 school-age children aged 6 - 12 years were enrolled in the study. The overall serum ferritin was 16.51±5.20 mg/L, but the children aged 6 - 9 years had significantly (p<0.05) higher serum ferritin (17.23±5.57 mg/L), compared to children aged 10-12 years (15.62±4.62). The mean hemoglobin concentration and serum ferritin were significantly (p<0.05) more elevated among males (11.17±2.53g/dl and 19.01±5.06 mg/L, respectively) than females (10.18±2.46 g/dl and 14.03±4.02 mg/L respectively).The overall rate of anemia was 51.3%, while IDA was 70.4% (69/98). Iron deficiency was present in 47.3% (44/93) children. Also, anemia was significantly (p<0.001) more prevalent among females (66.7%), than males (35.8%), and a higher proportion of females (87.5%) than males (26.2%) were iron deficient (p<0.05), but more males (44.1%) had IDA, p<0.05. Conclusion: This study found a high prevalence of IDA and ID among rural school children in Nigeria. It is recommended that healthcare providers focus more on preventing IDA right before childhood. IMC J Med Sci. 2023. 17(1): 006. DOI: https://doi.org/10.55010/imcjms.17.006 *Correspondence: Andrew Nuhu Yashim, Haematology and Blood Transfusion Department, National Hospital, Abuja, Nigeria. Email: yashimnuhuandrew@gmail.com

Publisher

Ibrahim Medical College

Subject

General Medicine

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