Iron Status of the Pakistani Population-current Issues and Strategies

巴基斯坦人的鐵營養狀況－目前的議題及策略

Saeed Akhtar ； Anwaar Ahmed ； Asif Ahmad ； Zulfiqar Ali ； Muhammad Riaz ； Tariq Ismail

《Asia Pacific Journal of Clinical Nutrition》 22卷3期 (2013/08) Pp. 340-347

https://doi.org/10.6133/apjcn.2013.22.3.17

摘要

此篇文章回顧巴基斯坦族群鐵營養狀況幅度的重點及可能的補救方針，以解決那些弱勢族群的鐵缺乏。從電腦網站－PubMed、Google Search及Sciencedirect.com檢索近20年刊登的相關科學文獻。共搜尋出193篇文章，再從中挑選出64篇，進一步篩選是根據弱勢族群、年齡、性別及懷孕狀態。透過對現今文獻的詳盡回顧，發現鐵缺乏（ID）及鐵缺乏貧血（IDA）普遍存在巴基斯坦，且必須立即採取補救措施。大部分鐵缺乏貧血影響的族群為生育年齡女性及5歲以下的兒童。麵粉強化已經被建議為最可實行及最適合巴基斯坦對抗IDA的對策。本次回顧更進一步強調需要全球的高規格努力，減輕鐵缺乏及鐵缺乏貧血狀況，以達到千禧年發展目標（MDGs）的根本，在2015年前改善發展中經濟體族群的營養安適。

關鍵字

營養不良 ； 鐵缺乏 ； 鐵缺乏貧血 ； 巴基斯坦

並列摘要

The present review aims to highlight the magnitude of iron status of Pakistani population and possible remedies to address iron deficiency among vulnerable groups. A computer-based search was carried out on ”PubMed”, ”Google Search” and ”Sciencedirect.com” to retrieve relevant scientific literature published in the last two decades. The search yielded 193 articles, of which 64 were culled and further screening was performed based on the type of vulnerable population groups, age, sex and pregnancy. A thorough review of current literature reveals that iron deficiency (ID) and iron deficiency anemia (IDA) widely persist in Pakistan and necessitate immediate remedial actions. Females of reproductive age and children under 5 years have been shown to be the most IDA affected population segment. Fortification of wheat flour has been suggested as the most viable approach aptly matching Pakistan's needs for combating IDA. The present review further stresses the need for global involvement to scale up efforts for mitigating ID and IDA to achieve Millennium Development Goals (MDGs) that are fundamentally based upon improving nutritional wellbeing of populations in developing economies by 2015.

並列關鍵字

malnutrition ； iron deficiency ； iron deficiency anemia ； Pakistan

參考文獻

Viteri FE. Iron supplementation for the control of ID in population on risk. Nutr Rev. 1997;55:165-209.

Noronha JA, Al Khasawneh E, Seshan V, Ramasubramaniam S, Raman S. Anemia in pregnancyconsequences and challenges: A review of literature. J S Asian Fed Obstet Gynecol. 2012;4:64-70. doi: 10.5005/jpjournals- 10006-1177

Allen LH. Anemia and iron deficiency: Effects on pregnancy outcome. Am J Clin Nutr. 2000;7:1280-4.

Steer PJ. Maternal hemoglobin concentration and birth weight. Am J Clin Nutr. 2000;71:1285-7.

WHO (World Health Organization). Global database on child growth and malnutrition. Geneva: WHO; 2001. [Cited 2013/3/25]; Available from: http://www.who.int/nutgrowth db/en/