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Determinants of iron status and Hb in the Bangladesh population: the role of groundwater iron

  • Sabuktagin Rahman (a1), Tahmeed Ahmed (a1), Ahmed Shafiqur Rahman (a1), Nurul Alam (a2), AM Shamsir Ahmed (a1) (a3), Santhia Ireen (a1), Ireen Akhter Chowdhury (a4), Fatima Parveen Chowdhury (a5) (a6) and SM Mustafizur Rahman (a6) (a7)...

Abstract

Objective

Using data from the national micronutrients survey 2011–2012, the present study explored the determinants of Fe status and Hb levels in Bangladesh with a particular focus on groundwater Fe.

Design

Cross-sectional study conducted at the nationwide scale.

Settings

The survey was conducted in 150 clusters, fifty in each of the three strata of rural, urban and slum.

Subjects

Three population groups: pre-school age children (6–59 months; PSAC), school age children (6–14 years; SAC) and non-pregnant non-lactating women (15–49 years; NPNLW).

Results

National prevalence of Fe deficiency was 10·7 %, 7·1 % and 3·9–9·5 % in PSAC, NPNLW and SAC, respectively. Prevalence of anaemia was 33·1 % (PSAC), 26·0 % (NPNLW) and 17·1–19·1 % (SAC). Multivariate regression analyses showed that the area with ‘predominantly high groundwater Fe’ was a determinant of higher serum ferritin levels in NPNLW (standardized β=0·19; P=0·03), SAC (standardized β=0·22; P=0·01) and PSAC (standardized β=0·20; P=0·03). This area also determined higher levels of Hb in PSAC (standardized β=0·14; P=0·01).

Conclusions

National prevalence of Fe deficiency in Bangladesh is low, contrary to the widely held assumption. High Fe level in groundwater is associated with higher Fe status (all populations) and higher Hb level (PSAC).

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Copyright

Corresponding author

* Corresponding author: Email rahman.sabuktagin@gmail.com

References

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Tables S1-S9 and Figure S1

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Determinants of iron status and Hb in the Bangladesh population: the role of groundwater iron

  • Sabuktagin Rahman (a1), Tahmeed Ahmed (a1), Ahmed Shafiqur Rahman (a1), Nurul Alam (a2), AM Shamsir Ahmed (a1) (a3), Santhia Ireen (a1), Ireen Akhter Chowdhury (a4), Fatima Parveen Chowdhury (a5) (a6) and SM Mustafizur Rahman (a6) (a7)...

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