| Autor: |
Belay A; Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia.; Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Gulele Sub City, Addis Ababa, Ethiopia., Gashu D; Center for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia., Joy EJM; Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK., Lark MR; School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK., Chagumaira C; School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK., Zerfu D; Food Science and Nutrition Research Directorate, Ethiopian Public Health Institute, Gulele Sub City, Addis Ababa, Ethiopia., Ander LE; Inorganic Geochemistry, Centre for Environmental Geochemistry, British Geological Survey, Nottingham, UK., Young SD; School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK., Bailey EH; School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK., Broadley MR; School of Biosciences, University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, UK.; Rothamsted Research, West Common, Harpenden, Hertfordshire, UK. |
| Abstrakt: |
Multiple micronutrient deficiencies are widespread in Ethiopia. However, the distribution of Se and Zn deficiency risks has previously shown evidence of spatially dependent variability, warranting the need to explore this aspect for wider micronutrients. Here, blood serum concentrations for Ca, Mg, Co, Cu and Mo were measured ( n 3102) on samples from the Ethiopian National Micronutrient Survey. Geostatistical modelling was used to test spatial variation of these micronutrients for women of reproductive age, who represent the largest demographic group surveyed ( n 1290). Median serum concentrations were 8·6 mg dl -1 for Ca, 1·9 mg dl -1 for Mg, 0·4 µg l -1 for Co, 98·8 µg dl -1 for Cu and 0·2 µg dl -1 for Mo. The prevalence of Ca, Mg and Co deficiency was 41·6 %, 29·2 % and 15·9 %, respectively; Cu and Mo deficiency prevalence was 7·6 % and 0·3 %, respectively. A higher prevalence of Ca, Cu and Mo deficiency was observed in north western, Co deficiency in central and Mg deficiency in north eastern parts of Ethiopia. Serum Ca, Mg and Mo concentrations show spatial dependencies up to 140-500 km; however, there was no evidence of spatial correlations for serum Co and Cu concentrations. These new data indicate the scale of multiple mineral micronutrient deficiency in Ethiopia and the geographical differences in the prevalence of deficiencies suggesting the need to consider targeted responses during the planning of nutrition intervention programmes. |
