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

Rahman, Sabuktagin, Ahmed, Tahmeed, Rahman, Ahmed S., Alam, Nurul, Ahmed, AM S., Ireen, Santhia, Chowdhury, Ireen A., Chowdhury, Fatima P. and Rahman SM M. (2016) Determinants of iron status and Hb in the Bangladesh population: the role of groundwater iron. Public Health Nutrition, 19 10: 1862-1874. doi:10.1017/S1368980015003651

Author Rahman, Sabuktagin
Ahmed, Tahmeed
Rahman, Ahmed S.
Alam, Nurul
Ahmed, AM S.
Ireen, Santhia
Chowdhury, Ireen A.
Chowdhury, Fatima P.
Rahman SM M.
Title Determinants of iron status and Hb in the Bangladesh population: the role of groundwater iron
Journal name Public Health Nutrition   Check publisher's open access policy
ISSN 1475-2727
Publication date 2016-06-01
Sub-type Article (original research)
DOI 10.1017/S1368980015003651
Open Access Status Not Open Access
Volume 19
Issue 10
Start page 1862
End page 1874
Total pages 13
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Formatted 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).
Keyword Anaemia
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Faculty of Medicine
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