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Prevalence and risk factor analysis of iron deficiency and iron-deficiency anaemia among female adolescents in the Gaza Strip, Palestine

  • Marwan O Jalambo (a1), Norimah A Karim (a2), Ihab A Naser (a3) and Razinah Sharif (a2) (a4)
Abstract
Objective

The present study aimed to determine the prevalence of anaemia, iron deficiency (ID) and iron-deficiency anaemia (IDA) among female adolescents in the Gaza Strip, Palestine, as well as the risk factors involved in these conditions.

Design

The study was conducted using the quantitative descriptive method with a cross-sectional design. Data were collected using an FFQ and sociodemographic, sedentary behaviour and physical activity questionnaires. Anthropometric measurements and blood analyses were also conducted.

Setting

The study population included all Palestinian female adolescents enrolled in secondary schools in the academic years 2015–2016. Five female secondary schools were selected randomly from five governorates of the Gaza Strip.

Subjects

Female adolescents (n 330) aged 15–19 years in the selected secondary schools were enrolled randomly.

Results

Prevalence of anaemia, ID and IDA among female adolescents in the Gaza Strip, Palestine, was 35·8, 40·3 and 26·0 %, respectively. A significant association (P<0·05) existed between ID, anaemia and IDA and dietary habits, including skipping breakfast and amount of junk food intake. Also, low consumption of fruits and vegetables was associated with IDA in the female adolescents. A statistically significant association was found between mother’s education and ID but not with the other sociodemographic factors.

Conclusions

The study shows that there is an alarming problem of anaemia and IDA in the Gaza Strip, Palestine. This may indicate that there are insufficient nutrition education programmes, particularly inside schools or by the mass media.

Copyright
Corresponding author
*Corresponding author: Email razinah@ukm.edu.my
References
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1. Shekhwat, S, Gupta, P, Gupta, M et al. (2014) A study of nutritional and health status of adolescent girls. J Evol Med Dent Sci 3, 42994309.
2. World Health Organization (2011) Prevention of Iron Deficiency Anaemia in Adolescents. Role of Weekly Iron and Folic Acid Supplementation. New Delhi: WHO Regional Office for South East Asia; available at http://www.searo.who.int/entity/child_adolescent/documents/sea_cah_2/en/
3. Bhanushali, MM, Shirode, AR, Joshi, WM et al. (2011) An intervention on iron deficiency anaemia and changes in dietary behaviour among adolescent girls. J Pharm Pharm Sci 3, 4042.
4. Jáuregui-Lobera, I (2014) Iron deficiency and cognitive functions. Neuropsychiatr Dis Treat 10, 20872095.
5. Falkingham, M, Abdelhamid, A, Curtis, P et al. (2010) The effects of oral iron supplementation on cognition in older children and adults: a systematic review and meta-analysis. Nutr J 9, 4.
6. Huang, Y-F, Tok, T-S, Lu, C-L et al. (2015) Relationship between being overweight and iron deficiency in adolescents. Pediatr Neonatol 56, 386392.
7. Gupta, N & Kochar, G (2009) Pervasiveness of anaemia in adolescent girls of low socioeconomic group of the district of Kurukshetra (Haryana). Internet J Nutr Wellness 7, 15.
8. Jeong, KS, Park, HHE, Hong, YCHM et al. (2014) Evidence that cognitive deficit in children is associated not only with iron deficiency, but also with blood lead concentration: a preliminary study. J Trace Elem Med Biol 29, 336341.
9. Hurrell, R & Egli, I (2010) Iron bioavailability and dietary reference values. Am J Clin Nutr 91, issue 5, 1461S1467S.
10. Applied Research Institute Jerusalem (2009) Annual Report 2009 Towards a Sustainable Palestine. Palestine: ARIJ.
11. Palestinian Central Bureau of Statistics (2018) Poverty Profile in Palestine, 2017. http://www.pcbs.gov.ps/Document/pdf/txte_poverty2017.pdf?date=16_4_2018_2 (accessed May 2018).
12. Charan, J & Biswas, T (2013) How to calculate sample size for different study designs in medical research? Indian J Psychol Med 35, 121126.
13. Tayyem, RF, Abu-Mweis, SS, Bawadi, HA et al. (2013) Validation of a food frequency questionnaire to assess macronutrient and micronutrient intake among Jordanians. J Acad Nutr Diet 114, 10461052.
14. Al-Hazzaa, HM (2011) Arab Teens Lifestyle Study Physical Activity Questionnaire. Riyadh: King Saud University.
15. World Health Organization (2010) WHO Anthro for Personal Computers Manual: Software for Assessing Growth and Development of the World’s Children. Geneva: WHO.
16. Remedy’s Health Communities.com (2012) Iron Tests. http://www.healthcommunities.com/blood-tests/iron-tests.shtml (accessed May 2018).
17. Grondin, MA, Ruivard, M, Perreve, A et al. (2008) Prevalence of iron deficiency and health-related quality of life among female students. J Am Coll Nutr 27, 337341.
18. Palestinian Central Bureau of Statistics (2009) The Impact of the War and Siege on Gaza Strip Survey. http://www.pcbs.gov.ps/PCBS-Metadata-en-v43/indexphp/catalog/111 (accessed November 2015).
19. Liu, J, Ai, YX, Hanlon, A et al. (2011) Micronutrients deficiency and associated sociodemographic factors in Chinese children. World J Pediatr 7, 217223.
20. Centers for Disease Control and Prevention (2002) Iron deficiency – United States, 1999–2000. MMWR Morb Mortal Wkly Rep 51, 897899.
21. De Andrade Cairo, RC, Rodrigues Silva, L, Carneiro Bustani, N et al. (2014) Iron deficiency anaemia in adolescents; a literature review. Nutr Hosp 29, 12401249.
22. Deegan, H, Bates, HM & McCargar, LJ (2005) Assessment of iron status in adolescents: dietary, biochemical and lifestyle determinants. J Adolesc Health 37, 75.
23. Hashizume, M, Shiba, M, Shinohara, A et al. (2005) Anaemia, iron deficiency and vitamin A status among school-age children in rural Kazakhstan. Public Health Nutr 8, 564571.
24. Caballo, RN, Garcia, P, Valdemoro, M et al. (1993) The prevalence of anaemia in the children and adolescents of Madrid. An Esp Pediatr 39, 219222.
25. Nelson, M, White, J & Rhodes, C (1993) Haemoglobin, ferritin, and iron intakes in British children aged 12–14 years: a preliminary investigation. Br J Nutr 70, 147155.
26. Foo, LH, Khor, GL, Tee, Es et al. (2004) Determinants of iron status in Malaysia adolescents from a rural community. Int J Food Sci Nutr 55, 517525.
27. Ngui, R, Lim, Y, Chong Kin, L et al. (2012) Association between anaemia, iron deficiency anaemia, neglected parasitic infections and socioeconomic factors in rural children of West Malaysia. PLoS Negl Trop Dis 6, E1550.
28. Ahmed, F, Khan, M, Islam, M et al. (2000) Anaemia and iron deficiency among adolescent school girls in peri-urban Bangladesh. Eur J Clin Nutr 54, 678683.
29. Abalkhail, B & Shawky, S (2002) Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. Int J Food Sci Nutr 53, 519528.
30. Barduagni, P, Ahmed, A, Curtale, F et al. (2004) Anaemia among schoolchildren Qena Governorate, Upper Egypt. East Mediterr Health J 10, 916920.
31. Tur, JA, Puig, MS, Benito, E et al. (2004) Associations between sociodemographic and lifestyle factors and dietary quality among adolescents in Palma de Mallorca. Nutrition 20, 502508.
32. Serra Majem, L, Ribas Barba, L, Pérez Rodrigo, C et al. (2003) Dietary habits and food consumption in Spanish children and adolescents (1998–2000): sociodemographic and demographic factors. Med Clin (Barc) 121, 126131.
33. Al-Mekhlafi, MH, Surin, J, Atiya, A et al. (2008) Anaemia and iron deficiency anaemia among aboriginal schoolchildren in rural Peninsular Malaysia: an update on a continuing problem. Trans R Soc Trop Med Hyg 102, 10461052.
34. Bagni, UV, Luiz, RR & Veige, GV (2013) Overweight is associated with low haemoglobin levels in adolescent girls. Obes Res Clin Pract 7, 218229.
35. Zimmermann, MB & Hurrell, RF (2007) Nutritional iron deficiency. Lancet 370, 511520.
36. Tayyem, R, Al-Hazzaa, H, Abu-Mweis, S et al. (2014) Dietary habits and physical activity levels in Jordanian adolescents attending private verses public schools. East Mediterr Health J 20, 416423.
37. Musaiger, AO, Al-Mannai, M, Tayyem, R et al. (2013) Perceived barriers to healthy eating and physical activity among adolescents in seven Arab countries: a cross-cultural study. ScientificWorldJournal 2013, 232164.
38. Jalambo, MO, Naser, IA, Sharif, R et al. (2017) Knowledge, attitude and practices of iron deficient and iron deficient anaemic adolescents in the Gaza Strip, Palestine. Asian J Clin Nutr 9, 5156.
39. Musaiger, AO & Kalam, F (2014) Dietary habits and lifestyle among adolescents in Damascus, Syria. Ann Agric Environ Med 21, 416419.
40. Musaiger, AO, Nabaj, FO & Al-Mannai, M (2016) Obesity, dietary habits and sedentary behaviours among adolescents in Sudan. Alarming risk factors for chronic diseases in a poor country. Food Nutr Bull 37, 6572.
41. World Health Organization (2005) Nutrition in Adolescence: Issues and Challenges for the Health Sector: Issues in Adolescents Health and Development. Geneva: WHO.
42. World Health Organization (2006) Adolescent Nutrition: A Review of the Situation in Selected South-East Asian Countries. New Delhi: WHO Regional Office for South-East Asia; available at http://apps.searo.who.int/pds_docs/B0239.pdf (accessed May 2018).
43. Al Sabbah, H, Vereecken, C, Kolsteren, P et al. (2007) Food habits and physical activity patterns among Palestinian adolescents: findings from the national of Palestinian schoolchildren (HBSC-WBG2004). Public Health Nutr 10, 739746.
44. Tremblay, MS, LeBlanc, AG, Kho, ME et al. (2011) Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act 8, 98.
45. Kokubo, Y, Ohira, Y, Tada, Y et al. (2016) Relationship between dietary factors and bodily iron status among Japanese collegiate elite female rhythmic gymnasts. Int J Sport Nutr Exerc Metab 26, 105113.
46. Sallis, JF, Patrick, K & Long, BJ (1994) Overview of the international consensus conference on physical activity guidelines for adolescents. Pediatr Exerc Sci 6, 299301.
47. Jalambo, MO, Hamad, A & Abed, Y (2013) Anemia and risk factors among female secondary school students in the Gaza Strip. J Public Health 21, 271278.
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