Evidence map›Paper›PMID 35383547›Full record

ReviewThe British journal of nutrition2023

Shooting shadows: India's struggle to reduce the burden of anaemia.

Rajesh Kumar Rai, Sandhya S Kumar, Sourav Sen Gupta, Devraj J Parasannanavar, Thekkumkara Surendran Nair Anish, Anamitra Barik, Rajeev Kumar Varshney, Hemalatha Rajkumar

Open access · hybridAbstract readReview
In one paragraph

Review in The British journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  18. Anemia Prevalence and its Determinants among Adolescent Girls in Gujarat, India: A Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
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

8 authors at 6 institutions in 4 countries.

Rajesh Kumar RaiDepartment of Economics, University of Goettingen, Goettingen, 37073, Germany.ORCID 0000-0002-5249-9937
Sandhya S KumarSociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Sourav Sen GuptaIndian Institute of Liver and Digestive Sciences, Liver Foundation, Kolkata, West Bengal, India.
Devraj J ParasannanavarDivision of Clinical Epidemiology, Indian Council of Medical Research, National Institute of Nutrition, Hyderabad, Telangana, India.
Thekkumkara Surendran Nair AnishDepartment of Community Medicine, Government Medical College Thiruvananthapuram, Thiruvananthapuram, Kerala, India.
Anamitra BarikSociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Rajeev Kumar VarshneyInternational Crops Research Institute for the Semi-Arid Tropics, Hyderabad, Telangana, India.
Hemalatha RajkumarIndian Council of Medical Research, National Institute of Nutrition, Hyderabad, Telangana, India.
Indian Council of Medical Research · INGovernment Medical College · INHarvard Global Health Institute · USLiver Foundation West Bengal · INMurdoch University · AUSurya Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite several efforts by the Government of India, the national burden of anaemia remains high and its growing prevalence (between 2015-2016 and 2019-2021) is concerning to India's public health system. This article reviews existing food-based and clinical strategies to mitigate the anaemia burden and why they are premature and insufficient. In a context where multiple anaemia control programmes are in play, this article proposes a threefold strategy for consideration. First, except the Comprehensive National Nutrition Survey, 2016-2018, which measured Hb concentration among children and adolescents aged 1-19 years using venous blood samples, all national surveys use capillary blood samples to determine Hb levels, which could be erroneous. The Indian government should prioritise conducting a nationwide survey for estimating the burden of anaemia and its clinical determinants for all age groups using venous blood samples. Second, without deciding the appropriate dose of Fe needed for an individual, food fortification programmes that are often compounded with layering of other micronutrients could be harmful and further research on this issue is needed. Same is true for the pharmacological intervention of Fe tablet or syrup supplementation programmes, which is given to individuals without assessing its need. In addition, there is a dire need for robust research to understand both the long-term benefit and side effects of Fe supplementation programmes. Third and final, the WHO is in process of reviewing the Hb threshold for defining anaemia, therefore the introduction of new anaemia control programmes should be restrained.

Indexed as

AnemiaAnemia, Iron-DeficiencyAdolescentChildDietary SupplementsFood, FortifiedHumansIndiaMicronutrientsNutritional StatusMicronutrientsAnaemiaFood policyIron deficiency anaemiaIron supplementsMicronutrients

Identifiers

PMID35383547
PMCPMC9876813
OpenAlexW4225611029

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.