Abstract Ref Number = APCP1142
COMPARISON OF DIETARY SOURCES OF IRON, NUTRITIONAL STATUS, AND FAMILY FACTORS BETWEEN ANEMIC AND NON-ANEMIC CHILDREN IN SORONG
Bagus Winandi,Agus Senolinggi,Endy Prawirohartono
WKDS Pediatrician, Selebesolu Hospital, Sorong, West Papua Province Pediatrician, Selebesolu Hospital, Sorong, West Papua Province Staff of the Division of Pediatric Nutrition and Metabolic Disease, Department of Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta
Background : National and global data indicate the high prevalence of anemia especially iron deficiency anemia among children. The negative impacts of anemia on child growth and development needs the understanding of related factors for improvements, especially in Sorong, West Papua, where malnutrition, illnesses such as malaria and helminthic diseases as well as insufficient dietary sources of iron are prominent.
Material : We conducted a cross sectional study involving 65 children aged 6-59 months of age who admitted to Selebesolu Hospital, Sorong from January to April 2018. We compared proportion of dietary sources of iron, nutritional status, family factors and illnesses between anemic and non-anemic children using chi-square test.
Results : The prevalence of anemia was 65%. Compared to anemic children, non-anemic children consumed significantly more liver (moderate intake 83% vs 17%, P=0.02), egg (good intake 67% vs 33%, P=0.009), and tempeh (good intake 67% vs 33%, moderate intake 52% vs 48%, P=0.031). Compared to non-anemic children, anemic children were born to mothers without antenatal care (100 vs 0%, P=0.039) as well as never received iron supplementation during pregnancy (100% vs 0%, P=0.045). Economic factor also indicated that family of non-anemic children had higher income than anemic children (income ? regional minimal salary 54% vs 46%, P=0.03). Stunting was more prevalent among anemic compared to non-anemic children (88% vs 12%, P=0.02). We found only two cases with P. vivax malaria and trichuriasis in anemic children respectively.
Conclusions : Majority of anemic children are stunting, born to mothers without antenatal care as well as iron supplementation during pregnancy, and from family with lower income; whereas non-anemic children eat more dietary sources of iron i.e. liver, egg, and tempeh. Government supports to the families with limited resources are needed to reduce the prevalence of anemia among children.
Keywords: anemia dietary sources of iron family factors stunting