Evidence map›Paper›PMID 32170646›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2020

Anemia, iron status, and associated protective and risk factors among children and adolescents aged 3 to 19 years old from four First Nations communities in Quebec.

Emad Tahir, Pierre Ayotte, Matthew Little, Richard E Bélanger, Michel Lucas, Donna Mergler, Elhadji A Laouan Sidi, Community of Winneway - Long Point First Nation, Community of Lac Simon, CSSS Tshukuminu Kanani of Nutashkuan, Community of Unamen Shipu, Nancy Gros-Louis McHugh, Mélanie Lemire

Open access · hybridAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Emad TahirDépartement de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.ORCID 0000-0002-3037-4703
Pierre AyotteDépartement de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.
Matthew LittleAxe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec, Université Laval, Quebec City, QC, Canada.
Richard E BélangerAxe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec, Université Laval, Quebec City, QC, Canada.
Michel LucasDépartement de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.
Donna MerglerCINBIOSE, Université du Québec à Montréal, Montreal, QC, Canada.
Elhadji A Laouan SidiDépartement de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.
Community of Winneway - Long Point First Nation, Community of Lac Simon, CSSS Tshukuminu Kanani of Nutashkuan, Community of Unamen Shipu
Nancy Gros-Louis McHughFirst Nations of Québec and Labrador Health and Social Services Commission, Wendake, QC, Canada.
Mélanie LemireDépartement de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada. melanie.lemire@crchudequebec.ulaval.ca.ORCID 0000-0003-3334-1349
Université Laval · CAFirst Nations of Quebec and Labrador Health and Social Services Commission · CAUniversité du Québec à Montréal · CACentre de Développement du Porc du Québec · CAHôpital du Saint-Sacrement · CAUniversity of Victoria · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnemia and iron deficiency (ID) are frequent among Indigenous children of Canada, but few data are available in Quebec. The present study aimed to characterize anemia and ID prevalence and associated protective and risk factors among First Nations youth in Quebec.

methodsThe 2015 First Nations (JES!-YEH!) pilot study was conducted among children and adolescents (3 to 19 years; n = 198) from four First Nations communities in Quebec. Blood and urine samples and anthropometric measurements were collected. Hemoglobin (Hb), serum ferritin (SF), plasma hs-CRP, and urinary cotinine levels were measured. Factors associated with anemia and ID (including traditional and market food consumption) were assessed using an interview-administered food frequency questionnaire, based on which nutritional intakes were calculated. Structural equation models were used to test associations.

resultsThe prevalence of anemia and ID was elevated (16.8% and 20.5% respectively). Traditional meat, fruit, and fruit juice (natural and powdered)-via their positive association with vitamin C intake-were the only food variables positively associated with SF (coefficient [95% CI] 0.017 [0.000, 0.114]; 0.090 [0.027, 0.161]; and 0.237 [0.060, 0.411]). Male sex was also associated with higher SF (0.295 [0.093, 0.502]). Inflammation status (hs-CRP > 5 mg/L) was inversely associated with Hb (- 0.015 [- 0.025, - 0.005]), whereas SF was positively associated with Hb (0.066 [0.040, 0.096]). Fruit and juice consumption was also positively associated with Hb, via vitamin C intake and SF (0.004 [0.001, 0.010]; 0.008 [0.003, 0.017]).

conclusionsInterventions fostering healthier food environments as well as higher consumption of traditional meats and foods naturally rich in vitamin C, which is known to enhance iron absorption, and fighting inflammation could contribute to decrease the high prevalence of anemia and ID in this young Indigenous population.

Indexed as

AnemiaIndigenous CanadiansIronAdolescentChildChild, PreschoolFemaleHumansIron DeficienciesMalePilot ProjectsPrevalenceProtective FactorsQuebecRisk FactorsYoung AdultIronChildhood anemiaFirst NationsInflammationIron deficiencyVitamin C

Identifiers

PMID32170646
PMCPMC7501325
OpenAlexW3011609450

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.