Document Detail

Infant nutrition program effectively prevents iron-deficiency anemia in a First Nations community.
MedLine Citation:
PMID:  10093271     Owner:  NLM     Status:  MEDLINE    
Iron-deficiency anemia (IDA) has received relatively little attention in Canada, with no national public health initiatives even among high-risk infants. IDA has a high prevalence in First Nations children and has been shown to cause developmental delay. This study is a before/after prevalence survey studying the effect of a public health intervention, conducted on a First Nations reserve off the central coast of British Columbia (BC). We screened for IDA one cohort of infants born January 1993 to August 1994 and between the ages of 6 and 24 months. Twenty-five of a possible 37 infants were screened. We found 13 (52%) of the 25 had anemia, with a hemoglobin less than 100 g/L. The average hemoglobin was 98.9 +/- 19.2 g/L. The subsequent implementation of an infant nutrition program focused on educating parents and encouraging the use of iron-fortified formula for nonbreast-fed infants. In the year following program implementation, the cohort of infants born between September 1994 and September 1995 were screened for IDA when they were between the ages of 6 and 15 months. Twenty-four of 27 infants participated. Only one infant was anemic with a hemoglobin less than 100 g/L. The average hemoglobin was 116.6 +/- 11.6 g/L. The increase in the average hemoglobin and the decrease in the prevalence of anemia were both highly significant (p < .01). We judged our intervention to be very effective and would recommend similar programs for other First Nations communities.
P Sawchuk; M Rauliuk; A Kotaska; S Townsend; E Wilson; M Starr
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International journal of circumpolar health     Volume:  57 Suppl 1     ISSN:  1239-9736     ISO Abbreviation:  Int J Circumpolar Health     Publication Date:  1998  
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9713056     Medline TA:  Int J Circumpolar Health     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  189-93     Citation Subset:  IM    
United Church Health Services, Bella Bella, British Columbia, Canada.
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MeSH Terms
Anemia, Iron-Deficiency / epidemiology,  prevention & control*
British Columbia / epidemiology
Cohort Studies
Ethnic Groups
Health Planning / organization & administration*
Hemoglobins / analysis
Infant Nutritional Physiological Phenomena*
Infant, Newborn
Preventive Health Services / organization & administration*
Reg. No./Substance:

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