ArticlePloS one2015
The Influence of Malnutrition and Micronutrient Status on Anemic Risk in Children under 3 Years Old in Poor Areas in China.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Vitamin D levels and its influencing factors in children and adolescents in mainland China: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- A systematic review and meta-analysis of the prevalence and associated factors of iron-deficiency anemia among Chinese children under 6 years of age.Frontiers in pediatrics · 2025Pooled it
- Age and sex-based impacts of maternal iron deficiency on offspring's cognitive function and anemia: A systematic review.European journal of clinical nutrition · 2024Pooled it
- Prevalence of anemia and its associated factors among children aged 6-23 months, in Ethiopia: a systematic review and meta analysis.BMC public health · 2023Pooled it
- Systematic Literature Review of the Nutrient Status, Intake, and Diet Quality of Chinese Children across Different Age Groups.Nutrients · 2023Pooled it
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- Article
- Application of machine learning methods for predicting childhood anaemia: Analysis of Ethiopian Demographic Health Survey of 2016.PloS one · 2024Article
- Maternal selenium deficiency was positively associated with the risk of selenium deficiency in children aged 6-59 months in rural Zimbabwe.PLOS global public health · 2024Article
- Anemia in children aged 6-59 months was significantly associated with maternal anemia status in rural Zimbabwe.Food science & nutrition · 2023Article
- A pilot survey of selenium status and its geospatial variation among children and women in three rural districts of Zimbabwe.Frontiers in nutrition · 2023Article
- Complementary Feeding and Malnutrition among Infants and Young Children Aged 6-23 Months in Rural Areas of China.Nutrients · 2022Article
- Prevalence and associated factors for stunting, underweight and wasting among children under 6 years of age in rural Hunan Province, China: a community-based cross-sectional study.BMC public health · 2022Article
- Article
- Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model.BMC nutrition · 2022Article
- Anaemia and associated factors among children aged 6-23 months in agrarian community of Bale zone: a cross-sectional study.Journal of nutritional science · 2022Article
- Factors associated with undernutrition among children aged between 6-36 months in Semien Bench district, Ethiopia.Heliyon · 2021Article
- Incidence and Predictors of Anemia Among Children on Antiretroviral Therapy at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2007-2017: A Retrospective Follow-Up Study.HIV/AIDS (Auckland, N.Z.) · 2020Article
- Prevalence of Anemia and Associated Factors among Infants and Young Children Aged 6-23 Months in Debre Berhan Town, North Shewa, Ethiopia.Journal of nutrition and metabolism · 2020Article
- Prevalence of Stunting and Its Associated Factors among Children of 6-59 Months in Arba Minch Health and Demographic Surveillance Site (HDSS), Southern Ethiopia: A Community-Based Cross-Sectional Study.Journal of environmental and public health · 2020Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition and anemia affect large numbers of young children living in poor areas of China. Multi-micronutrient deficiencies may be related to the prevalence of anemia in different populations, and identifying the risk factors that render children susceptible to anemia is the first step in combating anemia effectively.
methodsIn this cross-sectional study, a total of 1370 children under 3 years old were selected based on probability proportional to size sampling principles from poor counties of China. Basic characteristics data were collected by questionnaire; then anthropometrics and hemoglobin were measured in the field and anemia prevalence evaluated. Venous blood was drawn from children aged 12-35 months (N = 553) to evaluate micronutrient status. Logistic regression was used to identify the risk factors for children's anemia.
resultsAmong children aged 0-35 months, the prevalence of stunting, low body weight and wasting was 17.5%, 8.6% and 5.1%, respectively, and 25.6% of the children were affected by anemia, with more anemic infants and younger children than older children (P <0.01). There were 26.5%, 12.8%, 14.1% and 20.0% of the children aged 12-35 months affected by iron deficiency, vitamin D deficiency, folic acid deficiency and vitamin B12 deficiency, respectively. For children aged 0-11 months who were breastfed, the mothers' anemic status was the only factor associated with the child's anemia (OR = 2.6; 95% CI: 1.2-5.4, P < 0.05). For children aged 12-35 months, multivariate logistic regression indicated that anemia was significantly associated with iron and vitamin B12 deficiency (OR = 5.3; 95% CI: 1.9-14.5, P < 0.01) and monotonous diet (OR = 2.3; 95% CI: 1.1-4.7, P < 0.05) after adjusting for age and gender.
conclusionThe prevalence of anemia was higher in children under 2 years old and requires urgent intervention. An effective intervention strategy should include iron and vitamin B12 supplements, improving dietary diversity and controlling breastfeeding mothers' anemia.
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