Nutritional status of young children with inherited blood disorders in western Kenya

Am J Trop Med Hyg. 2014 May;90(5):955-962. doi: 10.4269/ajtmh.13-0496. Epub 2014 Mar 17.

Abstract

To determine the association between a range of inherited blood disorders and indicators of poor nutrition, we analyzed data from a population-based, cross-sectional survey of 882 children 6-35 months of age in western Kenya. Of children with valid measurements, 71.7% were anemic (hemoglobin < 11 g/dL), 19.1% had ferritin levels < 12 μg/L, and 30.9% had retinol binding protein (RBP) levels < 0.7 μmol/L. Unadjusted analyses showed that compared with normal children, homozygous α(+)-thalassemia individuals had a higher prevalence of anemia (82.3% versus 66.8%, P = 0.001), but a lower prevalence of low RBP (20.5% versus 31.4%, P = 0.024). In multivariable analysis, homozygous α(+)-thalassemia remained associated with anemia (adjusted odds ratio [aOR] = 1.8, P = 0.004) but not with low RBP (aOR = 0.6, P = 0.065). Among young Kenyan children, α(+)-thalassemia is associated with anemia, whereas G6PD deficiency, haptoglobin 2-2, and HbS are not; none of these blood disorders are associated with iron deficiency, vitamin A deficiency, or poor growth.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anemia, Iron-Deficiency / complications
  • Anemia, Iron-Deficiency / epidemiology*
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Hemoglobins
  • Humans
  • Infant
  • Kenya / epidemiology
  • Logistic Models
  • Male
  • Malnutrition / blood
  • Malnutrition / epidemiology*
  • Multivariate Analysis
  • Nutrition Assessment
  • Nutritional Status*
  • Vitamin A Deficiency / complications
  • Vitamin A Deficiency / epidemiology*
  • alpha-Thalassemia / complications
  • alpha-Thalassemia / epidemiology*
  • alpha-Thalassemia / genetics

Substances

  • Hemoglobins