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• W2569313757 abstract "Introduction. La carence martiale est un deficit nutritionnel qui concerne environ 1,2 milliards de personnes dans le monde, issus pour la plupart des pays en voie de developpement. Probleme de sante publique mondial et principale cause d’anemie, elle serait responsable d’environ 0,8 million de deces par an. Sa prevalence est estimee a 47,4% chez les enfants en âge prescolaire et a 25,4% en âge scolaire. Plusieurs facteurs de risque de la carence martiale ont ete repertories, mais peu d’etudes se sont interessees aux nourrissons de moins de 6 mois en Afrique sub-saharienne. Objectifs. Determiner la prevalence et les facteurs associes a la carence martiale chez les nourrissons de 3 mois. Materiel et methodes. Nous avons mene une etude transversale de Janvier a Mai 2016 dans quatre formations sanitaires choisies au hasard dans la ville de Yaounde. Les nourrissons ont ete recrutes consecutivement apres un consentement parental. Les donnees collectees incluaient les variables demographiques, socio-economiques et cliniques. La methode colorimetrique a ete pratiquee pour le dosage du fer serique dont le seuil limite de carence etait < 10 µmol/L. L’analyse statistique a ete effectuee en utilisant les logiciels epi data 3.1 et SPSS 20.0. Le niveau de significativite a ete fixe a 5%. Resultats. 63 nourrissons âges de 3 mois ont ete enroles parmi lesquels 32 filles et 31 garcons. La prevalence de la carence martiale etait de 57,1%. L’analyse univariee a montre une association statistiquement significative entre la carence martiale et le niveau d’etude de la mere (p = 0,004), la profession de la mere (p = 0,036), l’exercice par la mere d’un travail remunere (p = 0,026), la prematurite (p = 0,03) et les mauvaises connaissances des meres sur la carence martiale (p = 0,005). Les determinants de la carence martiale etaient le niveau d’instruction des meres inferieur ou egal au primaire [OR = 9,546 (0,702-129,715) ; p = 0.009] et leurs mauvaises connaissances sur le deficit en fer [OR = 7,388 (1,450-37,35) ; p = 0,016]. Conclusion. Plus de la moitie de notre echantillon a une carence martiale. Le niveau d’instruction des meres au moins egal au primaire et leurs mauvaises connaissances sur le deficit en fer sont des determinants de la carence martiale. Un programme de sensibilisation et de changement de comportement des meres s’avere necessaire pour pallier ce deficit en fer. ABSTRACT Introduction. Iron deficiency is a common nutritional disorder in the world with approximately 1.2 billion people affected, mostly in developing countries. This worldwide public health problem is a main cause of anemia and account for approximately 0.8 million deaths annually. The prevalence of iron deficiency is 47.4% in preschools children and 25.4% schools age. Risk factors of iron deficiency are identified in several studies, but few in sub-Saharan countries are targeting children less than six months. Objectives. To determine the prevalence and factors associated to iron deficiency in infants aged 3 months. Methodology. We conducted a cross-sectional study from January to May 2016 in four health centers, randomly chosen in the city of Yaounde. After an informed consent of the parents, children were consecutively recruited. . Data on Demographic, socioeconomic and clinical characteristics were collected. Blood iron was measured using a colorimetric method and the cutoff point was <10 µmol/L. Statistical analysis was carried out using Epi data 3.1 and S.P.S.S. 20.0 software. The level of significance was set at 5%. Results. A total of 63 infants aged 3 months were included in this study, made of 32 girls and 31 boys. The prevalence of iron deficiency was 57.1 %. Univariate analysis showed a statistically significant association between iron deficiency and mother educational level (p = 0.004), profession of the mother (p = 0.036), mother having a wage (p = 0.026), prematurity (p = 0.03) and poor knowledge on iron deficiency of the mother (p = 0.005). The low level of education [OR = 9.546 (0.702-129.715); p = 0.009] and poor knowledge of mothers on iron deficiency [OR = 7.388 (1.450-37.35); p = 0.016] were independent determinants associated to iron deficiency. Conclusion. More than half of our study population had iron deficiency. The low educational level of mothers and their poor knowledge on iron deficiency are independent determinants associated to iron deficiency. There is a need to build a comprehensive program to boost sensitization and behavioral change for mothers to tackle iron deficiency in children." @default.
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• W2569313757 date "2017-04-03" @default.
• W2569313757 modified "2023-09-23" @default.
• W2569313757 title "Déterminants de la Carence Martiale chez les Nourrissons Âgés de Trois Mois à Yaoundé, Cameroun" @default.
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