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Nutritional status of young children with inherited blood disorders in western Kenya.
[alpha-thalassemia]
To
determine
the
association
between
a
range
of
inherited
blood
disorders
and
indicators
of
poor
nutrition
,
we
analyzed
data
from
a
population-based
,
cross-sectional
survey
of
882
children
6
-
35
months
of
age
in
western
Kenya
.
Of
children
with
valid
measurements
,
71
.
7
%
were
anemic
(
hemoglobin
<
11
g
/
dL
)
,
19
.
1
%
had
ferritin
levels
<
12
μg
/
L
,
and
30
.
9
%
had
retinol
binding
protein
(
RBP
)
levels
<
0
.
7
μmol
/
L
.
Unadjusted
analyses
showed
that
compared
with
normal
children
,
homozygous
α
(
+
)
-
thalassemia
individuals
had
a
higher
prevalence
of
anemia
(
82
.
3
%
versus
66
.
8
%
,
P
=
0
.
001
)
,
but
a
lower
prevalence
of
low
RBP
(
20
.
5
%
versus
31
.
4
%
,
P
=
0
.
024
)
.
In
multivariable
analysis
,
homozygous
α
(
+
)
-
thalassemia
remained
associated
with
anemia
(
adjusted
odds
ratio
[
aOR
]
=
1
.
8
,
P
=
0
.
004
)
but
not
with
low
RBP
(
aOR
=
0
.
6
,
P
=
0
.
065
)
.
Among
young
Kenyan
children
,
α
(
+
)
-
thalassemia
is
associated
with
anemia
,
whereas
G
6
PD
deficiency
,
haptoglobin
2
-
2
,
and
HbS
are
not
;
none
of
these
blood
disorders
are
associated
with
iron
deficiency
,
vitamin
A
deficiency
,
or
poor
growth
.
Diseases
Validation
Diseases presenting
"adjusted odds ratio [aor"
symptom
alpha-thalassemia
dracunculiasis
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