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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence and public health relevance of micronutrient deficiencies and undernutrition in pre-school children and women of reproductive age in Côte d'Ivoire, West Africa
Public Health Nutrition, Volume 17, No. 9, Year 2014
Notification
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Description
Objective: To provide nationally representative data on the prevalence of anaemia, vitamin A and Fe deficiencies among pre-school age children (pre-SAC) and non-pregnant women of reproductive age (WRA), and on vitamin B12 and folate deficiencies in WRA, and the influence of inflammation on their interpretation. Design: A cross-sectional survey to measure anthropometry, malaria parasitaemia and micronutrient status. Specifically, blood samples were analysed for Hb, plasma ferritin, soluble transferrin receptors, C-reactive protein, α1-acid glycoprotein, retinol-binding protein, vitamin B12 and folate. Setting: Côte d'Ivoire in 2007. Subjects: Nine hundred and twenty-eight WRA and 879 pre-SAC. Results: In WRA, prevalence of Plasmodium parasitaemia (5 %) was low, but inflammation (34 %) was higher. Anaemia was a severe public health problem and prevalence differed by residency and eco-region. Inflammation-adjusted Fe deficiency was highest in urban areas (20 %). Nationally, folate deficiency was 86 %, higher in urban areas and varied by eco-region. Prevalence of vitamin B12 deficiency was low but higher in the rural areas and the north. Inflammation-adjusted vitamin A deficiency was very low (1 %). In pre-SAC, prevalence of inflammation (67 %) and Plasmodium parasites (25 %) was high; the latter was associated with poverty, rural residency and higher ferritin concentrations. Anaemia was classified as a severe public health problem (72 %), and was higher in rural areas (76 %) and the north (87 %). A quarter of pre-SAC suffered from vitamin A deficiency (inflammation-adjusted) and prevalence of undernutrition was high. Conclusions: Prevalence of inflammation, Plasmodium parasitaemia and micronutrient deficiencies were high in Côte d'Ivoire, particularly in pre-SAC. Nutritional interventions should be accompanied by strategies to reduce exposure to infections. Copyright © The Authors 2013.
Authors & Co-Authors
Rohner, Fabian
Switzerland, Zurich
Groundwork Llc
Switzerland, Geneva
Global Alliance for Improved Nutrition
Northrop-Clewes, Christine A.
Switzerland, Geneva
Global Alliance for Improved Nutrition
Tschannen, Andres B.
Cote D'ivoire, Abidjan
Centre Suisse de Recherche Scientifique
Bosso, Patrice Emery
United States, New York
Helen Keller International
Kouassi-Gohou, Valérie
Cote D'ivoire, Abidjan
Direction de L'information de la Planification et de L'evaluation
Erhardt, Juergen Georg
Indonesia, Jakarta
University of Jakarta
Bui, Mai H.
Switzerland, Epalinges
Swiss Vitamin Institute
Zimmermann, Michaël Bruce
Switzerland, Zurich
Eth Zürich
Mascie-Taylor, Christopher Guy Nicholas C.G.N.
United Kingdom, Cambridge
University of Cambridge
Statistics
Citations: 38
Authors: 9
Affiliations: 9
Identifiers
Doi:
10.1017/S136898001300222X
e-ISSN:
14752727
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Multi-countries
Ivory Coast
Participants Gender
Female