Anemia in James Bay Cree infants of northern Quebec
The objectives of this research were to determine the prevalence of anemia, and identify risk factors for anemia, in 9-month-old Cree infants living in northern Quebec. The prevalence of anemia (hemoglobin <110 g/L) was 25--32%, depending on the study sample. Iron deficiency was present in 28.2%...
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ftcanadathes:oai:collectionscanada.gc.ca:QMM.36731 2023-05-15T15:59:24+02:00 Anemia in James Bay Cree infants of northern Quebec Willows, Noreen D. Gray-Donald, Katherine (advisor) Doctor of Philosophy (School of Dietetics and Human Nutrition.) 2000 application/pdf http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36731 en eng McGill University alephsysno: 001778475 proquestno: NQ64693 Theses scanned by UMI/ProQuest. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36731 All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. Iron deficiency anemia -- James Bay Region Iron deficiency diseases in infants -- James Bay Region Infants -- Nutrition -- James Bay Region Cree Indians -- James Bay Region -- Food Electronic Thesis or Dissertation 2000 ftcanadathes 2014-02-16T00:48:00Z The objectives of this research were to determine the prevalence of anemia, and identify risk factors for anemia, in 9-month-old Cree infants living in northern Quebec. The prevalence of anemia (hemoglobin <110 g/L) was 25--32%, depending on the study sample. Iron deficiency was present in 28.2% of infants who could be classified and 14.4% had iron deficiency anemia. Fewer than 2% of infants had low birth weight (<2500 g) so most infants should have been born with adequate iron stores. One cause of anemia that was identified was a diet that was low in iron. Only 15.1% of infants were reported by guardians to eat meat daily and 28.5% were reported to never eat meat. Infants who were breastfed or cow's milk fed did not obtain sufficient iron for effective erythropoiesis. Compared with formula that was predominantly iron fortified, the odds ratio (OR) for anemia was 7.9 (95% CI 3.4--18.2) for breast milk and 5.0 (95% CI 2.0--12.7) for cow's milk. When milk type was controlled for, weight gain since birth was significantly associated with microcytic erythrocytes (OR comparing the highest tertile of weight gain to the lowest tertile 2.9, 95% CI 1.2--6.6). This indicates that fast-growing infants were not meeting their iron needs for growth. Another risk factor for anemia that was identified was common childhood infections. The prevalence of anemia among infants reported as recently unwell with an infection was higher than among infants reported as recently well (31.1% vs. 19.0%, chi2 = 4.27, p = 0.039). The prevalence of elevated blood lead was 2.7% and is not a major public health problem. No evidence for vitamin A deficiency was found. Serum retinol was positively associated with all iron status indicators. Cree infants who were given supplements containing vitamin A had a lower prevalence of anemia (hemoglobin <105 g/L) (10.8% vs 23.2%, chi2 = 5.97, p = 0.015). These results suggest a role for vitamin A in iron metabolism. To prevent anemia in aboriginal i Thesis Cree indians James Bay Theses Canada/Thèses Canada (Library and Archives Canada) |
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Theses Canada/Thèses Canada (Library and Archives Canada) |
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ftcanadathes |
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English |
topic |
Iron deficiency anemia -- James Bay Region Iron deficiency diseases in infants -- James Bay Region Infants -- Nutrition -- James Bay Region Cree Indians -- James Bay Region -- Food |
spellingShingle |
Iron deficiency anemia -- James Bay Region Iron deficiency diseases in infants -- James Bay Region Infants -- Nutrition -- James Bay Region Cree Indians -- James Bay Region -- Food Willows, Noreen D. Anemia in James Bay Cree infants of northern Quebec |
topic_facet |
Iron deficiency anemia -- James Bay Region Iron deficiency diseases in infants -- James Bay Region Infants -- Nutrition -- James Bay Region Cree Indians -- James Bay Region -- Food |
description |
The objectives of this research were to determine the prevalence of anemia, and identify risk factors for anemia, in 9-month-old Cree infants living in northern Quebec. The prevalence of anemia (hemoglobin <110 g/L) was 25--32%, depending on the study sample. Iron deficiency was present in 28.2% of infants who could be classified and 14.4% had iron deficiency anemia. Fewer than 2% of infants had low birth weight (<2500 g) so most infants should have been born with adequate iron stores. One cause of anemia that was identified was a diet that was low in iron. Only 15.1% of infants were reported by guardians to eat meat daily and 28.5% were reported to never eat meat. Infants who were breastfed or cow's milk fed did not obtain sufficient iron for effective erythropoiesis. Compared with formula that was predominantly iron fortified, the odds ratio (OR) for anemia was 7.9 (95% CI 3.4--18.2) for breast milk and 5.0 (95% CI 2.0--12.7) for cow's milk. When milk type was controlled for, weight gain since birth was significantly associated with microcytic erythrocytes (OR comparing the highest tertile of weight gain to the lowest tertile 2.9, 95% CI 1.2--6.6). This indicates that fast-growing infants were not meeting their iron needs for growth. Another risk factor for anemia that was identified was common childhood infections. The prevalence of anemia among infants reported as recently unwell with an infection was higher than among infants reported as recently well (31.1% vs. 19.0%, chi2 = 4.27, p = 0.039). The prevalence of elevated blood lead was 2.7% and is not a major public health problem. No evidence for vitamin A deficiency was found. Serum retinol was positively associated with all iron status indicators. Cree infants who were given supplements containing vitamin A had a lower prevalence of anemia (hemoglobin <105 g/L) (10.8% vs 23.2%, chi2 = 5.97, p = 0.015). These results suggest a role for vitamin A in iron metabolism. To prevent anemia in aboriginal i |
author2 |
Gray-Donald, Katherine (advisor) |
format |
Thesis |
author |
Willows, Noreen D. |
author_facet |
Willows, Noreen D. |
author_sort |
Willows, Noreen D. |
title |
Anemia in James Bay Cree infants of northern Quebec |
title_short |
Anemia in James Bay Cree infants of northern Quebec |
title_full |
Anemia in James Bay Cree infants of northern Quebec |
title_fullStr |
Anemia in James Bay Cree infants of northern Quebec |
title_full_unstemmed |
Anemia in James Bay Cree infants of northern Quebec |
title_sort |
anemia in james bay cree infants of northern quebec |
publisher |
McGill University |
publishDate |
2000 |
url |
http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36731 |
op_coverage |
Doctor of Philosophy (School of Dietetics and Human Nutrition.) |
genre |
Cree indians James Bay |
genre_facet |
Cree indians James Bay |
op_relation |
alephsysno: 001778475 proquestno: NQ64693 Theses scanned by UMI/ProQuest. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=36731 |
op_rights |
All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
_version_ |
1766395360805126144 |