Original Articles · Vol. 7 No. 2 (2016)

Interrelationship between food intake & nutritional anaemia among the children studied in a tertiary care hospital in Dhaka city

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2016
CONTENTSVolume 07Number 2July 2016
Editorial
Subspeciality or super speciality in paediatric surgery – is it essential or luxury?
Md Tosaddeque Hossain Siddiqui
27
Review Articles
Tumor lysis syndrome in paediatric cancer patients
AKM Amirul Morshed, Shahnoor Islam
55
Original Articles
Interrelationship between food intake & nutritional anaemia among the children studied in a tertiary care hospital in Dhaka city
Md Delwar Hossain, Golam Mowlah, Monira Razzak
29
Nonligation and ligation of hernial sac technique during orchiopexy for palpable undescended testis in children: A comparative study
Md Mahbubul Alam, Partha Sarathy Majumder, Syed Abdul Adil, Md Abdul Aziz, Ashrarur Rahman
35
Serum lead level in children with acute lymphoblastic leukemia
AKM Amirul Morshed, Tasnim Ahmed, Tasrina Rabia Choudhury, Shahnoor Islam
41
Evaluation of the efficacy and safety of intralesional 5- fluorouracil in keloid
Masuda Khatun, M M Abu Sayed
46
The optimal biliary reconstruction for pancreaticobiliary maljunction and congenital biliary dilatation: Clinical comparison between hepaticojejunostomy and hepaticoduodenostomy
Akio Kubota, Yasuyuki Mitani
50
Case Reports
Fetus in fetu with jaundice- A rare presentation of a rare disease
Sifat Zereen Khan, Md Ashraf Ul Huq, Tahmina Hossain, Mohammed Moinul Huque, Syed Md Adil, Sahadeb Kumar Das, H M Zafar Sharif, S M Shafiqul Alam
61
Renal primitive neuroectodermal tumor (RPNET) in children
K M Didarul Islam, Umme Habiba Dilshad Munmun, Shoheli Alam, Noor Mahammad, Md Ruhul Amin, Sanjay Kumar Sah, Shirish Silwal
66
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Delwar HossainLecturer, Dept. of Pathology, Sir Salimullah Medical College (SSMC)
  • Golam MowlahProfessor, Institute of Nutrition and Food Science (INFS), University of Dhaka
  • Monira RazzakAssociate Professor, Dept of Physiology, Dhaka National Medical College, Dhaka

Keywords

Abstract

This study was carried out on 128 children of which 80 were male & 48 were female admitted in Paediatric department of DMCH. They were 1 to 12 yrs. 31, 27, 24 and 46 children were of 1-3 yrs, 4-6 yrs, 7-9 yrs & 10-12 yrs age group respectively. A cross sectional sample survey study was carried out. Main variables were age, family size, monthly family income, parents education & occupation Hb and PCV levels. 58% children were illiterate group which also includes less than 5 yrs children. 12% were at primary level & 30% were at high school level. The children of 1-3yrs, 4-6yrs, 7- 9yrs & 10-12yrs age groups took an average of 290, 285, 505 & 555 gm foods/child/day. Cereals intake was highest (67.7%) in comparison to other foods. Consumption of meat, fruits, fats & milk was very low. Iron intake was found more than requirement & Vit-C intake was found lowest of the nutrients requirement. The study revealed the children met protein, iron, folic acid, Vit-A, Vit-B12, Vit-C, Vit-B2, Vit-B6, Zinc & Copper 70.79%, 122.2%, 92%, 72%, 68.5%, 55%, 83%, 57%, 89% & 82% respectively of the requirements. Less than 50% of the requirements of iron, protein, Vit-A, Vit-C, Vit- B2 & folic acid is met by 15%, 50.5%, 39%, 45%, 12% & 29% children respectively. Mean Hb level is found (10.39±2.23)gm/dl of blood & ranges from 4.7gm/dl to 12.9gm/dl & mean PCV level is found (30.1±2.21) percent & ranges from 13.63% to 37.41%. According to Nutrition Survey of Rural Bangladesh 1981-82 & WHO, 1972 28,29 Hb leve <11gm/dl for <6yrs and < 12gm/dl for 6-12 yrs age group are considered to be anaemic. In the present study I found 20(15.62%) children were severely anaemic, 32(25.26%) children were moderately anaemic & 17 (13.02%) children were mildly anaemic by this criterion. Peripheral blood film showed 5.47% & 26.57% children with normocytic & microcytic hypocromic anaemic respectively & 14.85% children with malignancy of blood(ALL). Haemolytic anaemia with raised serum bilirubin level was found in 6.25% children. Eosinophilia was found in 18% children. Aplastic anaemia was found in 5.47% children. Aplastic anaemia & malignancy of blood were confirmed by bone marrow examination.

Journal of Paediatric Surgeons of Bangladesh (2016) Vol. 7 (2): 29–34

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