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• W2469685704 abstract "Background: Iron-deficiency anemia is the most common nutritional disorder in the world. Subgroups of immigrants and refugees have higher prevalence of iron-deficiency anemia than the Canadian-born population has. Growing children and women of reproductive age are at highest risk for iron deficiency and related morbidity. We conducted an evidence review to identify actions to be taken by primary care practitioners to prevent morbidity from iron-deficiency anemia among newly arriving immigrants and refugees. Methods: We systematically assessed evidence on the screening and treatment of iron-deficiency anemia including benefits and harms, applicability, clinical considerations, and implementation issues. The quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: Prevalence of anemia is high in subgroups of newly arriving immigrants and refugees (women >15% and children >20%). Screening and treating iron-deficiency anemia in children can improve cognitive development to a modest degree. Screening and treating female patients of reproductive age can improve hemoglobin and function (work productivity). Iron-deficiency anemia in children is often a combination of inadequate diet, low iron stores at birth, and frequent infections leading to anorexia and poor food intake. High parity, malaria, and hemoglobinopathies increase the risk of anemia. Interpretation: Immigrant and refugee children and women of reproductive age are vulnerable to iron-deficiency anemia. Key interventions to detect, treat and prevent reoccurrences include measuring hemoglobin levels and recommending iron supplements and other dietary modifications. A culturally responsive nutrition assessment and counseling, when available, can identify specific nutritional issues and support appropriate diet modifications." @default.
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• W2469685704 date "2011-01-01" @default.
• W2469685704 modified "2023-09-24" @default.
• W2469685704 title "Appendix 15: Iron-deficiency anemia: evidence review for newly a rriving immigrants and refugees" @default.
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