The extent of anemia and its socioeconomic determinants among the preschool children (6-59 months old) in India have been studied in this article. Relevant data are taken from the third round of the National Family Health Survey. The initial analysis reveals some interesting features. The most affected children are in the age-group of 6 to 23 months. Beyond this age a decreasing trend is observed up to the age of 48 to 59 months. The highest and the lowest prevalence of anemia have been found to be in the central and the northeast zones, respectively. The vulnerable groups are the children of illiterate parents and those belonging to the poor families in the rural areas. Categorical logistic regression also confirms that status of literacy and wealth of parents have strong negative association with the status of anemia of the children.
Food and Agricultural Organization/World Health Organization. International Conference on Nutrition. Nutrition and Development—A Global Assessment. 1992. Rome, Italy: Food and Agricultural Organization.
2.
DemayerE. Preventing and Controlling Iron Deficiency Anaemia Through Primary Health Care. A Guide for Health Administrators and Programme Managers. Geneva, Switzerland: World Health Organization; 1989.
3.
World Health Organization. Worldwide Prevalence of Anemia 1993-2005: WHO Global Database on Anemia. Geneva, Switzerland: World Health Organization; 2008.
4.
International Institute for Population Sciences, ORC Macro. National Family Health Survey (NFHS-3), 2005-06. Vol. 1: Mumbai, India: International Institute for Population Sciences; 2007.
5.
World Health Organization. The Prevalence of Anaemia in Women: A Tabulation of Available Information. Geneva, Switzerland: World Health Organization; 1992:119-124.
6.
ThakachanPWalczykTMuthayyaSKurpadAVHurrelRF. Iron absorption in young Indian women: the interaction of iron status with the influence of tea and ascorbic acid. Am J Clin Nutr. 2008;87:881-886.
7.
DuqueXFlores-HernándezSFlores-HuertaS. Prevalence of anaemia and deficiency of iron, folic acid and zinc in children younger than 2 years of age who use the health services provided by the Mexican Social Security Institute. BMC Public Health. 2007;7:345.
8.
CalisJCPhiriKSFaragherEB. Severe anemia in Malawian children. N Engl J Med. 2008;358:888-899.
9.
UNICEF/United Nations University/World Health Organization. Iron Deficiency Anaemia: Assessment, Prevention and Control. A Guide for Programme Managers (WHO/NHD Report No. 01.3). Geneva, Switzerland: World Health Organization; 2001.
10.
FredricksonCJ. Importance of zinc in the central nervous system. J Nutr. 2000;130:14715-14835.
11.
WalterTKovalsysJStekelA. Effect of mild iron deficiency on infant mental developmental scores. J Pediatr. 1983;102:519-522.
12.
LozoffB. Methodologic issues in studying behavioral effects of infant iron-deficiency anemia. Am J Clin Nutr. 1989;50(3 suppl):641-651.
13.
LozoffBJimenezEWolfAW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med. 1991;325:687-695.
14.
SeshadriSGopaldasT. Impact of iron supplementation on cognitive functions in pre-school and school-aged children: the Indian experience. Am J Clin Nutr. 1989;50(3 suppl):675-684.
15.
SoemantriHG. Preliminary findings on iron supplementation and learning achievement of rural Indonesian children. Am J Clin Nutr. 1989;50:675-686.
16.
SoemantriHGPollittEKimI. Iron deficiency anemia and educational achievement. Am J Clin Nutr. 1985;42:1221-1228.
17.
PollittEHathiratPKotchabhakdiNJMissellLValyaseviA. Iron deficiency and educational achievement in Thailand. Am J Clin Nutr. 1989;50:687-697.
18.
WebbTEOskiFA. Iron deficiency anemia and scholastic achievement in young adolescents. J Pediatr. 1973;82:827-830.
19.
KatzmanRNovackAPearsonH. Nutritional anemia in an inner-city community. Relationship to age and ethnic groupJAMA. 1972;222:670-673.
20.
PabloVSWindomRPearsonHA. Disappearance of iron deficiency anemia in a high risk infant population given supplemental iron. N Engl J Med. 1985;313:1239-1240.
21.
BehrmanREKleigmanRM. Nelson Essentials of Pediatrics: Hematology. 2nd ed. Philadelphia, PA: WB Saunders; 1994:48-53.
22.
OskiFA. Iron deficiency in infancy and childhood. N Engl J Med. 1993;329:190-193.
23.
SargentJDStukelTADaltonMAFreemanJLBrownMJ. Iron deficiency in Massachusetts communities: socioeconomic and demographic risk factors among children. Am J Public Health. 1996;86:544-550.
24.
PasrichaSRBlackJMuthayyaS. Determinants of anemia among young children in rural India. Pediatrics. 2010;126:e140-e149.
25.
RutsteinS. Wealth Versus Expenditure: Comparison Between the DHS Wealth Index and Household Expenditures in Four Departments of Guatemala. Calverton, MD: ORC Macro; 1999.
26.
MonteiroCASzarfarcSC. Health conditions of children of the municipality of São Paulo, SP (Brazil), 1984-1985. V—Anemia [in Portuguese]. Rev Saude Publica. 1987;21:255-260.
27.
OsórioMM. Determinant factors of anemia in children [in Portuguese]. J Pediatr (Rio J). 2002;78:269-278.
28.
Food and Agricultural Organization/World Health Organization. Requirements of Vitamin A, Iron, Folate and Vitamin B12 (Report of a Joint FAO/WHO Expert Consultation). Rome, Italy: Food and Agricultural Organization; 1988.
29.
ReeveJDYipRKileyVADallmanPR. Iron deficiency in infants: the influence of mild antecedent infection. J Pediatr. 1984;105:874-879.
30.
OseiAPandeyPSpiroD. Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali district of Nepal. Food Nutr Bull. 2010;31:483-494.
