Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia

Simple item page
dc.contributor.authorSibeko, L N
dc.contributor.authorDhansay, M A
dc.contributor.authorCharlton, K E
dc.contributor.authorJohns, T
dc.contributor.authorVan Stuijvenberg, M E
dc.contributor.authorGray-Donald, K
dc.date.accessioned2021-10-08T07:15:56Z
dc.date.available2021-10-08T07:15:56Z
dc.date.issued2004
dc.description.abstractOBJECTIVE: There is a paucity of data on the micronutrient status of low-income, lactating South African women and their infants under 6 months of age. The aim of this study was to elucidate the level of anaemia and vitamin A deficiency (VAD) in peri-urban breast-feeding women and their young infants. DESIGN: Cross-sectional study including anthropometric, biochemical and infant feeding data. SETTING: Peri-urban settlement in Cape Town, South Africa. SUBJECTS: Breast-feeding women (n=113) and their infants (aged 1-6 months) attending a peri-urban clinic. RESULTS: Mean (standard deviation (SD)) haemoglobin (Hb) of the lactating mothers was 12.4 (1.3) g dl(-1), with 32% found to be anaemic (Hb<12 g dl(-1)). Maternal serum retinol was 49.8 (SD 13.3) microg dl(-1), with 4.5% VAD. Using breast milk, mean (SD) retinol concentration was found to be 70.6 (24.6) microg dl(-1) and 15.7 (8.3) microg/g milk fat, with 13% below the cut-off level of <8 microg/g fat. There was no correlation found between breast milk retinol and infant serum retinol. Z-scores (SD) of height-for-age, weight-for-age and weight-for-height were -0.69 (0.81), 0.89 (1.01) and 1.78 (0.83), respectively. Mean (SD) infant Hb was 10.9 (1.1) g dl(-1), with the prevalence of anaemia being 50%, 33% and 12% using Hb cut-offs below 11 g dl(-1), 10.5 g dl(-1) and 9.5 g dl(-1), respectively. Mean (SD) infant serum retinol was 26.9 (7.2) microg dl(-1), with 10% being VAD. None of the infants was exclusively breast-fed, 22% were predominantly breast-fed and 78% received complementary (mixed) breast-feeding. Thirty-two per cent of infants received weaning foods at an exceptionally young age (< or =1 month old). CONCLUSION: A high rate of anaemia is present in lactating women residing in resource-poor settings. Moreover, their seemingly healthy infants under 6 months of age are at an elevated risk of developing early-onset anaemia and at lower risk of VAD.
dc.identifier.apacitationSibeko, L. N., Dhansay, M. A., Charlton, K. E., Johns, T., Van Stuijvenberg, M. E., & Gray-Donald, K. (2004). Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia. <i>Public Health Nutrition</i>, 7(6), 174 - 177. http://hdl.handle.net/11427/34726en_ZA
dc.identifier.chicagocitationSibeko, L N, M A Dhansay, K E Charlton, T Johns, M E Van Stuijvenberg, and K Gray-Donald "Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia." <i>Public Health Nutrition</i> 7, 6. (2004): 174 - 177. http://hdl.handle.net/11427/34726en_ZA
dc.identifier.citationSibeko, L.N., Dhansay, M.A., Charlton, K.E., Johns, T., Van Stuijvenberg, M.E. & Gray-Donald, K. 2004. Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia. <i>Public Health Nutrition.</i> 7(6):174 - 177. http://hdl.handle.net/11427/34726en_ZA
dc.identifier.issn1368-9800
dc.identifier.issn1475-2727
dc.identifier.ris TY - Journal Article AU - Sibeko, L N AU - Dhansay, M A AU - Charlton, K E AU - Johns, T AU - Van Stuijvenberg, M E AU - Gray-Donald, K AB - OBJECTIVE: There is a paucity of data on the micronutrient status of low-income, lactating South African women and their infants under 6 months of age. The aim of this study was to elucidate the level of anaemia and vitamin A deficiency (VAD) in peri-urban breast-feeding women and their young infants. DESIGN: Cross-sectional study including anthropometric, biochemical and infant feeding data. SETTING: Peri-urban settlement in Cape Town, South Africa. SUBJECTS: Breast-feeding women (n=113) and their infants (aged 1-6 months) attending a peri-urban clinic. RESULTS: Mean (standard deviation (SD)) haemoglobin (Hb) of the lactating mothers was 12.4 (1.3) g dl(-1), with 32% found to be anaemic (Hb<12 g dl(-1)). Maternal serum retinol was 49.8 (SD 13.3) microg dl(-1), with 4.5% VAD. Using breast milk, mean (SD) retinol concentration was found to be 70.6 (24.6) microg dl(-1) and 15.7 (8.3) microg/g milk fat, with 13% below the cut-off level of <8 microg/g fat. There was no correlation found between breast milk retinol and infant serum retinol. Z-scores (SD) of height-for-age, weight-for-age and weight-for-height were -0.69 (0.81), 0.89 (1.01) and 1.78 (0.83), respectively. Mean (SD) infant Hb was 10.9 (1.1) g dl(-1), with the prevalence of anaemia being 50%, 33% and 12% using Hb cut-offs below 11 g dl(-1), 10.5 g dl(-1) and 9.5 g dl(-1), respectively. Mean (SD) infant serum retinol was 26.9 (7.2) microg dl(-1), with 10% being VAD. None of the infants was exclusively breast-fed, 22% were predominantly breast-fed and 78% received complementary (mixed) breast-feeding. Thirty-two per cent of infants received weaning foods at an exceptionally young age (< or =1 month old). CONCLUSION: A high rate of anaemia is present in lactating women residing in resource-poor settings. Moreover, their seemingly healthy infants under 6 months of age are at an elevated risk of developing early-onset anaemia and at lower risk of VAD. DA - 2004 DB - OpenUCT DP - University of Cape Town IS - 6 J1 - Public Health Nutrition LK - https://open.uct.ac.za PY - 2004 SM - 1368-9800 SM - 1475-2727 T1 - Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia TI - Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia UR - http://hdl.handle.net/11427/34726 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34726
dc.identifier.vancouvercitationSibeko LN, Dhansay MA, Charlton KE, Johns T, Van Stuijvenberg ME, Gray-Donald K. Full-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia. Public Health Nutrition. 2004;7(6):174 - 177. http://hdl.handle.net/11427/34726.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourcePublic Health Nutrition
dc.source.journalissue6
dc.source.journalvolume7
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1079/PHN2004612
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAnemia, Iron-Deficiency
dc.subject.otherBreast Feeding
dc.subject.otherCross-Sectional Studies
dc.subject.otherFemale
dc.subject.otherHemoglobins
dc.subject.otherHumans
dc.subject.otherInfant
dc.subject.otherInfant, Newborn
dc.subject.otherMale
dc.subject.otherNutritional Status
dc.subject.otherPoverty
dc.subject.otherPregnancy
dc.subject.otherPrevalence
dc.subject.otherSouth Africa
dc.subject.otherUrban Health
dc.subject.otherVitamin A
dc.titleFull-term, peri-urban South African infants under 6 months of age are at risk for early-onset anaemia
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
SibekoLN_Full_term_peri_2004.pdf
Size:
200.32 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles