NUTRIIONAL ANEMIA is the most common nutritional disorder caused by lack of Iron, protein, vitamin B12, folic acid deficiency that are essential for hemoglobin formation. Discuss in comment section what can be the following measures to prevent anemia. #Reviews
The factors leading to anemia- Demographic factor, dietary factor, social, physical factor and pregnancy related anemia has been explained in this slide.
2. INTRODUCTION
• Nutritional anemia is a disease syndrome caused
by malnutrition in its widest sense.
• Nutritional anemia is caused by lack of iron,
protein, B12, and other vitamins and minerals
that needed for the formation of hemoglobin.
• Folic acid deficiency is a common association of
nutritional anemia and iron deficiency anemia.
• Folic acid deficiency is less widespread and is
often observed with iron deficiency.
3. • The term ‘nutritional anemia’ encompasses all
pathological conditions in which the blood
hemoglobin concentration drops to an
abnormally low level, due to deficiency in one or
several nutrients.
• In public health term, iron deficiency is far the
first cause of nutritional anemia worldwide.
• Anemia is established if the hemoglobin is below
the cut off points recommended by WHO.
4. DEFINITION
• According to WHO nutritional anemia is
defined as ‘ A condition in which the
hemoglobin content of blood is lower than
normal as a result of a deficiency of one or
more essential nutrients , regardless of the
cause of such deficiency.’
5. THE PROBLEM
WORLD
Highest prevalence is in developing
countries.
Its especially among women of child bearing
age, young children and during pregnancy
and lactation.
A percentage of women of child bearing age
estimated between 4 –12 percent suffers
from anemia.
7. CLASSIFICATION OF ANEMIA
• Classification on the basis of mild , moderate
and severe grading of anemia.
• WHO GRADING OF ANEMIA
Mild 10gm/dl
Moderate 7-10 gm/dl
Severe <7gm/dl
8. • ANEMIA IN PREGNANCY : WHO
• Mild anemia 9-10.9 gm/dl
• Moderate anemia 7-8.9gm/dl
• Severe anemia 4-6.9gm/dl
• Very severe anemia <4gm/dl
9. DETRIMENTAL EFFECTS
• The detrimental effects of anemia can be seen in
three important areas:
• a) PREGNANCY
Anemia increases the risk of maternal and fetal
mortality and morbidity.
In India, 19 percent of maternal death were found
to be due to anemia.
Abortion, premature births, postpartum
hemorrhage and low birth weight were
associated with low hemoglobin levels in
pregnancy.
10. • INFECTION
• Anemia can be caused or aggravated by
parasitic disease, e.g, malaria, intestinal
parasites.
• Iron deficiency may immune functions and
increases susceptibility to infection.
11. • WORK CAPACITY
• Anemia (even when mild) causes a significant
impairment of maximal work capacity.
• The more severe the anemia , the greater the
reduction in work performance and thereby
productivity.
12. NATIONAL NUTRITIONAL ANEMIA
PROPHYLAXIS PROGRAM
• Nutritional anemia is a major public health
problem in India.
• The NNAPP was started in 1970.
• Anemia affect women in the reproductive age
group and young children.
• Over 50% of pregnant women suffers from
anemia.
• Nutritional anemia, due to iron and folic acid
deficiency is directly or indirectly responsibility
for about 20% of maternal deaths.
13. • Anemia is also a major contributory cause of
high incidence of premature births, low births
weight and perinatal mortality.
• Presently 22 million adult and 30 million child
beneficiaries are being covered under the
programme.
14. OBJECTIVE
• The programme aims at significantly
decreasing the prevalence and incidence of
anemia in women in reproductive age group,
especially pregnant and lactating women and
preschool children.
15. ACTIVITIES
• Promotion of regular consumption of foods
rich in iron.
• Supply of iron and folate supplements in the
form of tablets to the target group.
• Identification and treatment of severly anemic
cases. The recommended daily dosage of iron
and folic acid tablets is as follows:
16. • Adult women : 60 mg elemental iron + 0.5 mg
folic acid.
• Children (1-5 years) : 20 mg elemental iron +
0.1 folic acid.