ArticlePloS one2014
Micronutrient deficiencies and related factors in school-aged children in Ethiopia: a cross-sectional study in Libo Kemkem and Fogera districts, Amhara Regional State.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- A systematic review and meta-analysis of the prevalence and predictors of anemia among children in Ethiopia.African health sciences · 2020Pooled it
- Promoting Healthy Eating among Young People-A Review of the Evidence of the Impact of School-Based Interventions.Nutrients · 2020Pooled it
- Prevalence and associated factors of zinc deficiency among pregnant women and children in Ethiopia: a systematic review and meta-analysis.BMC public health · 2019Pooled it
- Is vitamin D deficiency a public health concern for low middle income countries? A systematic literature review.European journal of nutrition · 2019Pooled it
- Male and undernourished children were at high risk of anemia in Ethiopia: a systematic review and meta-analysis.Italian journal of pediatrics · 2018Pooled it
- Prevalence of anemia among school-age children in Ethiopia: a systematic review and meta-analysis.Systematic reviews · 2018Pooled it
- Effect of Picture-based health education and counselling on knowledge and adherence to preconception Iron-folic acid supplementation among women planning to be pregnant in Eastern Ethiopia: a randomized controlled trial.Journal of nutritional science · 2022Trial
- Fortified Snack Reduced Anemia in Rural School-Aged Children of Haiti: A Cluster-Randomized, Controlled Trial.PloS one · 2016Trial
- Prevalence of Clinical Vitamin A Deficiency and Associated Factors Among Children Aged 24-59 Months in Finote Selam Town, Ethiopia: A Community Based Cross-Sectional Study, 2022.Health science reports · 2026Article
- Improving school-age nutrition and school performance through amaranth plus flaxseed food product distribution in Sidama, Ethiopia: a study protocol.Global health action · 2025Article
- An exploratory study on soil-transmitted helminths, growth, and micronutrient status in Northwest Ethiopian schoolchildren.BMC nutrition · 2025Article
- Heavy on Plans, Light on Delivery: The Structural Failures of Ethiopia's Nutrition Policies.Maternal & child nutrition · 2025Article
- Nutritional predictors of lymphatic filariasis progression: Insights from a machine learning approach.PloS one · 2025Article
- Nutrition profiles of farm households across different farming systems in Ethiopia: Unpacking the determinants and implications for nutrition-sensitive interventions.Food science & nutrition · 2024Article
- Prevalence of vitamin B 12 deficiency and associated factors among primary school children: North East Ethiopia: multicenter cross-sectional study.Journal of health, population, and nutrition · 2024Article
- An assessment of the nutritional status of internally displaced school children in the West and Littoral Regions of Cameroon.Food science & nutrition · 2024Article
- Article
- Association between Child Nutritional Anthropometric Indices and Iron Deficiencies among Children Aged 6-59 Months in Nepal.Nutrients · 2024Article
- Community-based nutrition education and counselling provided during pregnancy: effects on knowledge and attitude towards iron-folic acid supplementation.Journal of nutritional science · 2024Article
- Estimation of calories intake, iron, zinc, and selenium among children of the underprivileged area in Sindh, Pakistan.PloS one · 2024Article
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
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Abstract
introductionThe present study describes the distribution of selected micronutrients and anaemia among school-aged children living in Libo Kemkem and Fogera (Amhara State, Ethiopia), assessing differences by socio-demographic characteristics, health status and dietary habits.
methodsA cross-sectional survey was carried out during May-December 2009. Socio-demographic characteristics, health status and dietary habits were collected. Biomarkers were determined for 764 children. Bivariate and multivariable statistical methods were employed to assess micronutrient deficiencies (MD), anaemia, and their association with different factors.
resultsMore than two thirds of the school-aged children (79.5%) had at least one MD and 40.5% had two or more coexisting micronutrient deficiencies. The most prevalent deficiencies were of zinc (12.5%), folate (13.9%), vit A (29.3%) and vit D (49%). Anaemia occurred in 30.9% of the children. Children living in rural areas were more likely to have vit D insufficiency [OR: 5.9 (3.7-9.5)] but less likely to have folate deficiency [OR: 0.2 (0.1-0.4)] and anaemia [OR: 0.58 (0.35-0.97)]. Splenomegaly was positively associated with folate deficiency and anaemia [OR: 2.77 (1.19-6.48) and 4.91 (2.47-9.75)]. Meat and fish consumption were inversely correlated with zinc and ferritin deficiencies [OR: 0.2 (0.1-0.8) and 0.2 (0.1-0.9)], while oil consumption showed a negative association with anaemia and deficiencies of folate and vitamin A [0.58 (0.3-0.9), OR: 0.5 (0.3-0.9) and 0.6 (0.4-0.9)]. Serum ferritin levels were inversely correlated to the presence of anaemia (p<0.005).
conclusionThere is a high prevalence of vitamin A deficiency and vitamin D insufficiency and a moderate prevalence of zinc and folate deficiencies in school-aged children in this area. The inverse association of anaemia and serum ferritin levels may be due to the presence of infectious diseases in the area. To effectively tackle malnutrition, strategies should target not only isolated micronutrient supplementation but also diet diversification.
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