Multiple micronutrient deficiencies persist during early childhood in Mongolia

Lander, Rebecca L.; Enkhjargal, Tserennadmid; Batjargal, Jamiyan; Bailey, Karl B.; Diouf, Sarah; Green, Timothy J.; Skeaff, C. Murray; Gibson, Rosalind S.
September 2008
Asia Pacific Journal of Clinical Nutrition;Sep2008, Vol. 17 Issue 3, p429
Academic Journal
Data on the prevalence of micronutrient deficiencies in children in Mongolia is limited. We therefore determined the prevalence of anaemia, iron deficiency anaemia (IDA), and deficiencies of iron, folate, vitamin A, zinc, selenium, and vitamin D among young Mongolian children. Anthropometry and non-fasting morning blood samples were collected from 243 children aged 6--36 months from 4 districts in Ulaanbaatar and 4 rural capitols for haemoglobin (Hb), serum ferritin, folate, retinol, zinc, selenium, and 25-hydroxyvitamin D (25-OHD) assays. Children with α-1-glycoprotein ≥1.2mg/L (n=27) indicative of chronic infection were excluded, except for folate, selenium, and 25-hydroxyvitamin D assays. Of the children 14.5% were stunted and none were wasted. Zn deficiency (serum Zn<9.9 µmol/L) had the highest prevalence (74%), followed by vitamin D deficiency 61% (serum 25-OHD<25 nmol/L). The prevalence of anaemia (24%) and iron deficiency anaemia (IDA) (16%) was lower, with the oldest children (24-36 mos) at lowest risk. Twenty one percent of the children had low iron stores, and 33% had vitamin A deficiencies (serum retinol < 0.70 µmol/L), even though two thirds had received vitamin A supplements. Serum selenium values were low, perhaps associated with low soil selenium concentrations. In contrast, no children in Ulaanbaatar and only 4% in the provincial capitols had low serum folate values (<6.8 nmol/L). Regional differences (p<0.05) existed for anaemia, deficiencies of vitamin A, folate, and selenium, but not for zinc or IDA. Of the children, 78% were at risk of ≥ two coexisting micronutrient deficiencies emphasizing the need for multimicronutrient interventions in Mongolia.


Related Articles

  • Impact of a multiple-micronutrient food supplement on the nutritional status of schoolchildren. Kumar, Malavika Vinod; Rajagopalan, S. // Food & Nutrition Bulletin;Sep2006, Vol. 27 Issue 3, p203 

    Background. Multiple-micronutrient deficiencies exist in many developing nations. A system to deliver multiple micronutrients effectively would be of value in these countries. Objective. To evaluate the delivery of multiple micronutrients through the food route. The goal was to test the...

  • A field survey of iodine supplementation of primary school children and their parents in a rural village in the endemic area of iodine deficiency disorder, northeastern Thailand. V.Wiwanitkit // Rural & Remote Health;Apr2007, Vol. 7 Issue 2, p1 

    Iodine deficiency disorder (IDD) is an important health problem in Thailand. Due to the geographical limitation of marine salt distribution, the Northern and Northeastern regions of Thailand are endemic areas of this disorder. In this study, a cross-sectional survey on the domestic use of...

  • Micronutrients and Infection: Interactions and Implications with Enteric and Other Infections... Guerrant, Richard L.; Lima, Aldo A.M.; Davidson, Frances // Journal of Infectious Diseases;9/15/2000 Supplement 1, Vol. 182, pS134 

    Discusses research on the complex effects of key micronutrients on host cellular/molecular immunomodulatory responses to infectious agents. Findings on the long-term impact (LTI) of disability-adjusted life year figures on intestinal helminths in school-age children; Findings on the potential...

  • Dietary intake of macro and micronutrients in children: does recurrent illness reduce intake? De Silva, A.; Atukorala, S.; Ahluwalia, N. // Asia Pacific Journal of Clinical Nutrition;2004 Supplement, Vol. 13, pS119 

    Introduction: Approximately one third of children in Sri Lanka suffer from undernutrition. Recurrent infections that may lead to reduce dietary intake are thought to be an important cause of undernutrition in children. Objectives: To compare dietary intakes of macro and micronutrients in...

  • Candidate Noninfectious Disease Conditions. Alnwick, D. // MMWR: Morbidity & Mortality Weekly Report;12/30/1999, Vol. 48, p67 

    Important micronutrient deficiencies in at-risk populations can be addressed simultaneously with programmatically cost-effective results. Because of the interaction between many micronutrients, this would also be biologically effective. With adequate investment and political support, the chances...

  • Iron Fortification and Malaria Risk in Children. Prentice, Andrew M.; Verhoef, Hans; Cerami, Carla // JAMA: Journal of the American Medical Association;9/4/2013, Vol. 310 Issue 9, p914 

    The authors discuss the results of a study of the iron fortification intervention trial among Ghanaian children. They note that iron deficiency affects immune function, cognitive development and physical capacity, making it one of the most prevalent nutritional problems worldwide. The study...

  • Chapter 24: Neuropsychological Development. Black, Maureen M.; Ackerman, John P. // Nutrition in Pediatrics: Basic Science & Clinical Applications;2008, p273 

    Chapter 24 of the book "Nutrition in Pediatrics: Basic Science & Clinical Applications" is presented. It examines the relationship between nutritional deficiencies and neuropsychological development in children. The history of research linking nutrition and children's development, methods used...

  • Nutritional status, body composition and health conditions of the Karen hill tribe children aged 1-6 years in Northern Thailand. Tienboon, Prasong; Wangpakapattanawong, Prasit // Asia Pacific Journal of Clinical Nutrition;Jun2007, Vol. 16 Issue 2, p279 

    Introduction: In Thailand, according to the national nutrition survey of the Thai population who live in the cities by the Ministry of Public Health, about 12% of preschool children aged 1-6 years were malnourished. The rate of malnutrition is much higher among mountain minority ('hill tribe')...

  • BRAC's experience in scaling-up MNP in Bangladesh. Afsana, Kaosar; Haque, Mohammad Raisul; Sobhan, Shafinaz; Shahin, Shaima Arjuman // Asia Pacific Journal of Clinical Nutrition;Sep2014, Vol. 23 Issue 3, p377 

    Despite progress in health status and achievements in Millennium Development Indicators, Bangladesh presents a gloomy scenario for nutrition. In 2009, BRAC (formerly known as Bangladesh Rural Advancement Committee) has begun to implement a community-based approach of Alive & Thrive with Family...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics