Author(s): Lin, JD (Lin, Jin-Ding); Lin, PY (Lin, Pei-Ying); Lin, LP (Lin, Lan-Ping); Hsu, SW (Hsu, Shang-Wei); Loh, CH (Loh, Ching-Hui); Yen, CF (Yen, Chia-Feng); Fang, WH (Fang, Wen-Hui); Chien, WC (Chien, Wu-Chien); Tang, CC (Tang, Chi-Chieh); Wu, CL (Wu, Chia- Ling)
Title: Prevalence and associated risk factors of anemia in children and adolescents with intellectual disabilities
Source: RESEARCH IN DEVELOPMENTAL DISABILITIES, 31 (1): 25-32 JAN-FEB 2010 Language: English
Document Type: Article
Author Keywords: Anemia; Hemoglobin (Hb); Intellectual disability
KeyWords Plus: IRON-DEFICIENCY ANEMIA; CARE UTILIZATION; PEOPLE; TAIWAN;
HEALTH; DETERMINANTS; TAIPEI
Abstract: Anemia is known to be a significant public health problem in many countries. Most of the available information is incomplete or limited to special groups such as people with intellectual disability. The present study aims to provide the information of anemia prevalence and associated risk factors of children and adolescents with intellectual disability in Taiwan.
We analyzed physical examination charts of 937 children and adolescents with intellectual disability at the age of 6-18 years from three special schools. We collected information on their demographic characteristics (age and gender), disability condition (type and level), BMI (weight and height) and measured blood hemoglobin concentration (Hb). There were 11.6% of children and adolescents with intellectual disability with anemia (boy <13g/dl, girl <12g/dl), and the factors of gender, age, disability level and BMI are significantly correlated to anemia in bivariant analyses in the study. In the logistic regression analysis, the model revealed that the factors of gender (OR=0.63, 95% CI=0.41-0.95), and age (OR=3.21, 95% CI=1.77-5.82) were variables that could significantly predict the anemia occurrence of the participants. The Study highlights the anemia prevalence in children and adolescents with ID is a mild public health problem among people with intellectual disabilities, but to prevent the problems become worst:
the health authority should include providing children and adolescents with adequate nutrition and appropriate health protections during early childhood. (C) 2009 Elsevier Ltd. All rights reserved.
Addresses: [Lin, Jin-Ding; Lin, Pei-Ying; Chien, Wu-Chien] Natl Def Med Ctr, Sch Publ Hlth, Taipei 114, Taiwan; [Lin, Lan-Ping; Yen, Chia-Feng] Natl Def Med Ctr, Grad Inst Life Sci, Taipei 114, Taiwan; [Hsu, Shang-Wei] Asia Univ, Grad Inst Healthcare Adm, Taichung, Taiwan; [Loh, Ching-Hui; Fang, Wen-Hui] Triserv Gen Hosp, Dept Family & Community Med, Taipei, Taiwan; [Tang, Chi-Chieh] Pingtung Educ Univ, Dept Early Childhood Care & Educ, Pingtung, Taiwan; [Wu, Chia-Ling] Chung Hua Fdn Persons Intellectual Disabil, Res Ctr Intellectual Disabil Taiwan, Taipei, Taiwan
Reprint Address: Lin, JD, Natl Def Med Ctr, Sch Publ Hlth, 161 Min Chun E Rd,Sect 6, Taipei 114, Taiwan.
E-mail Address: a530706@ndmctsgh.edu.tw Cited References: *WHO, 2001, WHO SER.
BEUTLER E, 2006, BLOOD, V107, P1747, DOI 10.1182/blood-2005-07-3046.
BLANC B, 1968, WHO TECH REP SER, V405, P1.
DALLMAN PR, 1984, AM J CLIN NUTR, V39, P437.
DEBENOIST B, 2008, WORLDWIDE PREVALENCE.
HOLLOWELL JG, 2005, VITAL HLTH STAT, V11, P1.
HSU SW, 2009, RES DEV DISABIL, V30, P774, DOI 10.1016/j.ridd.2008.10.011.
HURTADO EK, 1999, AM J CLIN NUTR, V69, P115.
LIN JD, 2004, J INTELL DISABIL R 7, V48, P655.
LIN JD, 2005, J INTELL DISABIL R 1, V49, P86.
LIN JD, 2006, RES DEV DISABIL, V27, P657, DOI 10.1016/j.ridd.2005.09.001.
LIN JD, 2007, RES DEV DISABIL, V28, P84, DOI 10.1016/j.ridd.2005.12.003.
LIN JD, 2009, RES DEV DISABIL, V30, P275, DOI 10.1016/j.ridd.2008.04.004.
LIN JD, 2009, RES DEV DISABIL, V30, P538, DOI 10.1016/j.ridd.2008.08.002.
LIU HW, 1994, KAO HSIUNG I HSUEH K, V10, P683.
LOZOFF B, 1987, PEDIATRICS, V79, P981.
LOZOFF B, 1989, AM J CLIN NUTR, V50, P641.
LOZOFF B, 1991, NEW ENGL J MED, V325, P687.
MUTHAYYA S, 2007, EUR J CLIN NUTR, V61, P865, DOI 10.1038/sj.ejcn.1602613.
OHWADA H, 2006, BMC PUBLIC HEALTH, V6, ARTN 85.
PAVITHRAN K, 2003, AM J HEMATOL, V73, P213, DOI 10.1002/ajh.10352.
SHAOU NS, 1998, TAIWAN NUTR HLTH SUR.
WANG RL, 2006, NATL NUTR HLTH PRIMA.
WANG Z, 2003, J HYGIENE RES, V32, P144.
WEN CP, 2008, LANCET, V371, P2173.
YEN CF, 2009, RES DEV DISABIL, V30, P1354, DOI 10.1016/j.ridd.2009.06.002.
Cited Reference Count: 26 Times Cited: 1
Publisher: PERGAMON-ELSEVIER SCIENCE LTD
Publisher Address: THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD OX5 1GB, ENGLAND
ISSN: 0891-4222
DOI: 10.1016/j.ridd.2009.07.017
29-char Source Abbrev.: RES DEVELOP DISABIL
ISO Source Abbrev.: Res. Dev. Disabil.
Source Item Page Count: 8
Subject Category: Education, Special; Rehabilitation ISI Document Delivery No.: 526FG
