Characterizing Micronutrient Status and Risk Factors among Late Adolescent and Young Women in Rural Pakistan: A Cross-Sectional Assessment of the MaPPS Trial

Nutrients

Yaqub Wasan¹  SajidB. Soofi¹  Amjad Hussain¹  Imran Ahmed¹  ZulfiqarA. Bhutta²  Jo-AnnaB. Baxter² 

[1] Centre of Excellence in Women and Child Health, Aga Khan University, Karachi 74800, Pakistan;Department of Nutritional Sciences, University of Toronto, Toronto, ON M5S 1A8, Canada;

关键词: micronutrient status;    adolescent nutrition;    iron;    vitamin A;    vitamin D;    anemia;   

DOI  :  10.3390/nu13041237

来源: DOAJ

【 摘 要 】

Nutritional deficiencies are a leading underlying risk factor contributing to the global burden of disease. In Pakistan, late adolescence is considered a nutritionally vulnerable period, as micronutrient requirements are increased to support maturation, and dietary staples are nutrient poor. However, there has been limited evaluation of micronutrient status beyond anemia and its determinants. Using cross-sectional data from late adolescent and young women (15–23 years) at enrolment in the Matiari emPowerment and Preconception Supplementation (MaPPS) Trial, we aimed to describe the prevalence of key micronutrient deficiencies of public health concern, and generate hierarchical models to examine associations with proxies for social determinants of health (SDoH). The prevalence of micronutrient deficiencies was high: 53.6% (95% confidence interval (CI): 53.0–54.3%) had anemia; 38.0% (95% CI: 36.4–39.6%) iron deficiency anemia; 31.8% (95% CI: 30.2–33.3%) vitamin A deficiency; and 81.1% (95% CI: 79.8–82.4%) vitamin D deficiency. At least one deficiency was experienced by 91.0% (95% CI: 90.1–92.0%). Few SDoH were maintained in the final hierarchical models, although those maintained were often related to socioeconomic status (e.g., education, occupation). To improve the micronutrient status of late adolescent and young women in Pakistan, a direct micronutrient intervention is warranted, and should be paired with broader poverty alleviation methods.

【 授权许可】

Unknown