الفهرس | Only 14 pages are availabe for public view |
Abstract Anemia is one of a serious public health problem in Kuwait especially among school children as it is in most developing countries. Iron deficiency anemia is one of the most frequently observed nutritional anemia. It is defined as a reduction in blood hemoglobin concentration resulting of deficiency of iron. The effective control of iron deficiency anemia requires the identification of its causes as well as the ecological factors which intensity its prevalence. The aim of this study to: 1. Determine the prevalence of iron deficiency anemia among school children aged from 6-16 years in Kuwait. 2. Identify the ecological factors associated with its occurrence among those children. 3. The impact of IDA on growth and development, scholastic achievement, power of concentration, physical performance. 4. Effect of iron supplementation on anemic children, over a period of 3 months. To achieve the aim of this study, the sample was selected using a stratified random sample. The total sample was 2500 students of primary and intermediate schools. The schools selected from the five educational districts of Kuwait. All the students included in the study sample (2500 students) have been screened for their hemoglobin level. A questionnaire was designed to collect data from the anemic students and their controls, which included: 1. Personal, socioeconomic, nutritional habit and personal history. 2. Clinical examination. 3. Some anthropometric measurements. 4. Laboratory investigations. One. Blood examination - Hematocrit - Red count - Serum iron - Total iron binding. - Serum ferritin. - Blood indices will be calculated. For the diagnosis of IDA the following criteria should be fulfilled: 1- Serum Iron < 8 ?mol /L(33) . 2- Serum Ferritin < 16?g /L (84). 3- Transferrin Saturation < 16(85). 4- For children more than 12 years old the hemoglobin concentration should be 12g/dl or less for girls, and 13g/dl or less for boys (40,84). Also the MCV is less than 78µ3 and the hematocrit less than 36 (2). |