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Early childhood anaemia more than doubles the risk of developmental vulnerability at school-age among Aboriginal and Torres Strait Islander children of remote Far North Queensland: Findings of a retrospective cohort study

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dc.contributor.authorLeonard, D.
dc.contributor.authorBuettner, P.
dc.contributor.authorThompson, F.
dc.contributor.authorMakrides, M.
dc.contributor.authorMcDermott, R.
dc.date.issued2020
dc.description.abstractAIMS:Early childhood anaemia, usually attributed to iron deficiency, is associated with persistent detrimental effects on child development. This study investigates the association of anaemia between age six and 23 months with indicators of childhood development at school-age among children of remote Aboriginal and Torres Strait Islander communities of Far North Queensland. METHODS:The triennial Australian Early Development Census (AEDC) encompasses five domains of early childhood development-physical health and wellbeing, social competence, emotional maturity, language and cognitive skills (school-based), communication skills and general knowledge. AEDC 2012 and 2015 assessments were linked with health information for children and their mothers from remote Aboriginal and Torres Strait Islander communities of Far North Queensland. RESULTS:AEDC assessments were available for 250 children who had measurements of haemoglobin recorded at age 6 to 23 months. More children who had had early childhood anaemia (n = 66/143, 46.2%, [37.9%, 54.4%]) were developmentally vulnerable on two or more domains compared to those who had not been anaemic (n = 25/107, 23.4% [15.2%, 31.5%], P < .001). Multivariable analysis confirmed that early childhood anaemia more than doubled the risk of developmental vulnerability (OR 2.2 [1.1, 4.3] P = .020) at school age. CONCLUSIONS:Early childhood anaemia is a risk factor for developmental vulnerability at school-age in this setting. Interventions combining nutrition promotion and multi-micronutrient food fortification, are effective in prevention of early childhood anaemia. Such interventions could also improve early childhood development and subsequent educational achievement.
dc.description.statementofresponsibilityDympna Leonard, Petra Buettner, Fintan Thompson, Maria Makrides, Robyn McDermott
dc.identifier.citationNutrition and Dietetics, 2020; 77(3):298-309
dc.identifier.doi10.1111/1747-0080.12602
dc.identifier.issn1446-6368
dc.identifier.issn1747-0080
dc.identifier.orcidMakrides, M. [0000-0003-3832-541X]
dc.identifier.urihttp://hdl.handle.net/2440/124028
dc.language.isoen
dc.publisherWiley
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1092732
dc.rights© 2020 The Authors. Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Association of Australia This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
dc.source.urihttps://doi.org/10.1111/1747-0080.12602
dc.subjectHumans
dc.subjectAnemia, Iron-Deficiency
dc.subjectData Collection
dc.subjectRetrospective Studies
dc.subjectChild Development
dc.subjectInfant
dc.subjectAustralia
dc.subjectFemale
dc.subjectMale
dc.subjectInfant Nutritional Physiological Phenomena
dc.subjectAustralian Aboriginal and Torres Strait Islander Peoples
dc.titleEarly childhood anaemia more than doubles the risk of developmental vulnerability at school-age among Aboriginal and Torres Strait Islander children of remote Far North Queensland: Findings of a retrospective cohort study
dc.typeJournal article
pubs.publication-statusPublished

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