Document Detail


Association of pica with anemia and gastrointestinal distress among pregnant women in Zanzibar, Tanzania.
MedLine Citation:
PMID:  20595493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The etiology of pica, the purposive consumption of non-food substances, is not understood, despite its ubiquity among gravidae. We examined correlates of pica in a representative obstetric population (n = 2,368) on Pemba Island, Zanzibar, Tanzania to examine proposed etiologies. Cross-sectional data were collected on socioeconomic characteristics, food intake, geophagy (earth consumption), amylophagy (raw starch consumption), anthropometry, iron status, parasitic burden, and gastrointestinal morbidities. Amylophagy was reported by 36.3%, geophagy by 5.2%, and any pica by 40.1%. There was a strong additive relationship of geophagy and amylophagy with lower hemoglobin (Hb) concentration and iron deficiency anemia. By multivariate logistic regression, any pica was associated with Hb level (odds ratio [OR] = 0.76, 95% confidence interval [CI] = 0.72-0.81), nausea (OR = 1.45, 95% CI = 1.20-1.73), and abdominal pain (OR = 1.22, 95% CI = 1.01-1.48). These striking results indicate that the nature of the relationship between pica, pregnancy, gastrointestinal distress, and iron deficiency anemia merits further investigation.
Authors:
Sera L Young; Sabra S Khalfan; Tamer H Farag; Justine A Kavle; Said M Ali; Hamad Hajji; Kathleen M Rasmussen; Gretel H Pelto; James M Tielsch; Rebecca J Stoltzfus
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  83     ISSN:  1476-1645     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-08-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  144-51     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, University of California Davis Medical Center, Sacramento, CA 95817, USA. slyo@ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Anemia / complications*,  metabolism
Anemia, Iron-Deficiency / complications*
Female
Hemoglobins / analysis
Humans
Iron, Dietary*
Pica / blood,  complications*,  metabolism
Pregnancy
Pregnancy Complications, Hematologic / etiology*,  physiopathology
Tanzania / epidemiology
Grant Support
ID/Acronym/Agency:
TG #5 T32 HD007331/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Hemoglobins; 0/Iron, Dietary
Comments/Corrections

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