Nutritional anemia among school adolescents in Alexandria

ABSTRACT

This study was performed using across sectional approach aiming at estimating the prevalence and some determinants of nutritional anemia among school adolescents in Alexandria. The study included 983 adolescents selected using a multistage stratified random sample of students enrolled in preparatory and secondary schools in Alexandria. The sociodemographic characteristics and personal habits of the students were collected through an interviewing questionnaire. Hemoglobin and hematocrit were estimated. Stool analysis was also performed for the study sample. Weight and height of students were recorded and the dietary intake was assessed on a subsample of 202 students. The results revealed that the overall prevalence of anemia was 52.7% with a significant gender difference between boys and girls. Anemia has prevailed more among those who lived in rural areas [70.8%]. The mean intake of all nutrients [except protein and B2] was below the RDA for adolescents. Also, the mean dietary intake of anemic adolescents was much less than non- anemic. Anemic adolescents were found to be more stunted than the non-anemic. The logistic regression model revealed that girls, drinking tea, parasitic infestation and low socioeconomic status were the most significant determinants of anemia. A school based nutritional education program and iron supplementation are recommended