The Analysis of Nutritional Predictors of Anemia Combined with Obesity in Primary School-Age Children

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The consumption and amounts of a variety of food products used in a diet affect the incidence of anemia and different levels of nutritional status among school-age children. The prevalence of food intake comprised of fats, carbohydrates and sodium (salt) is a significant contributing factor to the incidence of excessive weight. Apart from nutrition, a leisure-time physical activity and the time spent in front of the TV or computer may contribute to an increase in anemia and obesity rates. The objective of this paper was to examine nutritional status, dietary habits and anemia among school-age children in the central Serbia region (the city of Kragujevac). It was established that 47.3% of the surveyed children fell into the normal weight group, 24.5% of the children are considered to be at risk of being overweight, 21.4 % of the children are considered as obese, whereas 6.8% of the children fell into the under-weight group. The incidence of anemia was noted in 10.8% of the cases, whereas anemia in obese children was observed in 21.6% of the cases (n=114; during the school year of 2014-2015). The obtained results show a statistically significant correlation between an increase in the consumption of fast food and anemia in children, whereas the amount of time children spend in front of the TV is also associated with the higher percentage of anemia and obesity.

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  • 1. Harvey LJ Berti C Casgrain A Cetin I Collings R Gurinovic M et al. (2013). EURRECA-Estimating iron requirements for deriving dietary reference values. Critical reviews in food science and nutrition. 53(10) 1064-1076.

  • 2. Jáuregui-Lobera I. (2014). Iron deficiency and cognitive functions. Neuropsychiatr Dis Treat. 10 2087–2095.

  • 3. Kuźbicka K Rachoń D. (2013). Bad eating habits as the main cause of obesity among children. Pediatr Endocrinol Diabetes Metab. 19 (3) 106-110.

  • 4. Xu S Xue Y. (2016). Pediatric obesity: Causes symptoms prevention and treatment (Review). Experimental and therapeutic medicine. 11 15-20.

  • 5. Folić N Marković S Janković S Folić M. (2011). The Metabolic syndrome present in children and adolescents. Rational behaviour therapy 3(2) 23-31.

  • 6. Pinhas–Hamiel O Newfield RS Koren I Arnon A Lilos P Phillip M. (2003). Greater prevalence of iron deficiency in overweight and obese children and adolescents. International Journal of Obesity. 27 416–418.

  • 7. Aeberli I Kaspar M Zimmermann B M. (2007). Dietary intake and physical activity of normal weight and overweight 6- to 14-year-old Swiss children. Swiss Med Wkly. 137 424-430.

  • 8. Gauthier BM Hickner JM Ornstein S. (2000). High Prevalence of Overweight Children and Adolescents in the Practice Partner Research Network. Archives of Pediatrics and Adolescent Medicine. 154(6) 625-628.

  • 9. Zafon C Lecube A Simó R. (2010). Iron in obesity. An ancient micronutrient for a modern disease. Obes Rev. 11(4) 322-328.

  • 10. Aigner E Feldman A Datz Ch. (2014). Obesity as an Emerging Risk Factor for Iron Deficiency. Nutrients. 6 3587-3600.

  • 11. Sarafidis P Rumjon A MacLaughlin HL Macdougall IC. (2011). Obesity and iron deficiency in chronic kidney disease: the putative role of hepcidin. Nephrology Dialysis Transplantation. 27(1) 50-57.

  • 12. De Benoist B McLean E Egli I Cogswell M. (2008). Worldwide prevalence of anaemia 1993–2005. WHO Global Database on Anaemia. Geneva. World Health Organization.

  • 13. Jovanović R Nikolovski D Radulović O Novak S. (2010). Physical activity influence on nutritional status of preschool children. Acta Medica Medianae. 49(1) 17-21.

  • 14. WHO Expert Committee. (1995). Physical status: The use and interpretation of antropometry. Report of WHO Expert committee World Health Organisation Tech Rep. 854 1-452.

  • 15. Schroth RJ et all. (2013). Association between iron status iron deficiency anaemia and severe early childhood caries: a case–control study. BMC Pediatr. 13 22.

  • 16. Weker H. (2006). Simple obesity in children: A study on the role of nutritional factors. Med Wieku Rozwoj. 10 3–19.

  • 17. Dehghan M Akhtar-Danesh N and Merchant AT. (2005). Childhood obesity:prevalence and prevention. Nutr J. 4 24.

  • 18. Sjöberg A Moraeus L Yngve A Poortvliet E Al-Ansariu U Lissner L. (2011). Overweight and obesity in a representative sample of schoolchildren – exploring the urban-rural gradient in Sweden. Obes Rev. 2 305–314.

  • 19. French SA Story M Jeffery RW. (2001). Environmental influences on eating and physical activity. Annu Rev Public Health. 22 309–335.

  • 20. Assefa S Mossie A Hamza L. (2014). Prevalence and severity of anemia among school children in Jimma Town Southwest Ethiopia. BMC Hematol. 14 3.

  • 21. Augusto RA Cobayashi F Cardoso MA. (2015). ACTION Study Team. Associations between low consumption of fruits and vegetables and nutritional deficiencies in Brazilian schoolchildren. Public Health Nutr. 1 927–335.

  • 22. Abalkhail B Shawky S. (2002). Prevalence of daily breakfast intake iron deficiency anaemia and awareness of being anaemic among Saudi school students. Int J Food Sci Nutr. 53 519–528.

  • 23. Arora M Nazar GP Gupta VK Perry CL Reddy KS Stigler MH. (2012). Association of breakfast intake with obesity dietary and physical activity behavior among urban school-aged adolescents in Delhi India. BMC Public Health. 12 881.

  • 24. Ayranci U Erenoglu N Son O. (2010). Eating habits lifestyle factors and body weight status among Turkish private educational institution students. Nutrition. 26(7-8) 772-778.

  • 25. Pereira MA Kartashov AI Ebbeling CB et al. (2005). Fast-food habits weight gain and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. 365(9453) 36-42.

  • 26. Petrović O et al. (2003). Life philosophies on maternalchild health care: A Manual for Health Workers and Parents. III edition. Belgrade: UNICEF.

  • 27. Mebonia N Trapaidze D Kvanchakhadze R Zhizhilashvili S Kasradze N. (2015). Dietary habits of school-age children in Tbilisi. Georgian Med News. (248) 68-73.

  • 28. O’Neil CE Fulgoni VL Nicklas TA. (2015). Tree Nut consumption is associated with better adiposity measures and cardiovascular and metabolic syndrome health risk factors in U.S. Adults: Nutr J. 14 64.

  • 29. Panagiotou JP Douros K. (2004). Clinicolaboratory findings and treatment of iron deficiency anemia in childhood. Ped Hematol Oncol. 21 519–532.

  • 30. Crnčević–Radović Lj. (2013). Incidence and predictors of anemia in children. Doctoral dissertation. The Faculty of Medical Sciences in Kragujevac the University of Kragujevac.

  • 31. Payab M Kelishadi R Qorbani M et al. (2015). Association of junk food consumption with high blood pressure and obesity in Iranian children and adolescents: the Caspian-IV Study. J Pediatr (Rio J). 91(2) 196-205.

  • 32. Despotovic M Alexopoulos C. (2013). Nutritional status of preschool children. Med J (Krag). 47 62–68.

  • 33. Janssen I Katzmarzyk PT Boyce WF King MA Pickett W. (2004). Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns. J Adolesc Health. 35(5) 360-367.

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