• E-ISSN: 2348-1064
  • Follow us

Journal of Nutrition Research
An official journal of IAPEN India association

Article

Journal of Nutrition Research

Year: 2025, Volume: 13, Issue: 1, Pages: 31-36

Original Article

Iron Deficiency Anemia Screening in Children Across Indian Prominent Cities

Received Date:01 August 2025, Accepted Date:25 August 2025, Published Date:04 September 2025

Abstract

Iron deficiency anemia (IDA) remains a critical public health issue among children under six, adversely impacting growth, cognitive development, and school readiness. This study aimed to estimate the prevalence of anemia among children aged 1–6 years across five major Indian metropolitan cities to generate actionable insights. A cross-sectional screening was conducted between February and May 2025 in Delhi, Kolkata, Mumbai, Hyderabad, and Lucknow. The children aged 1–6 years were screened using the non-invasive Masimo Rad-67™ hemoglobinometer. Anemia was defined as hemoglobin <11 g/dL per WHO standards. A total of 3,395 children were included after obtaining parental consent and applying exclusion criteria. The overall prevalence of anemia was 39.2%, with higher rates in girls (43.5%) and younger children aged 1–4 years (35.2%). The prevalence among children aged 1–6 years was as mentioned, Kolkata (47.1%), Mumbai (42.3%), Delhi (38.1%), Hyderabad (35.5%), and Lucknow (32.7%). Despite better healthcare access in urban settings, city-wise differences were observed, indicating variable risk factors and nutritional environments. Urban childhood anemia prevalence is lower than national averages but still a significant concern, especially in cities like Kolkata. The study emphasizes the need for non invasie anemia screening at point of care to enable localized interventions and improve public health outcomes through more efficient resource allocation and program design.

Keywords

Anemia, Children, Gender disparities, Public health, Hemoglobin Screening

References

  1. Moscheo C, Licciardello M, Samperi P, Spina ML, Cataldo AD, Russo G. New Insights into Iron Deficiency Anemia in Children: A Practical Review. Metabolites. 2022;12(4):289. Available from: https://dx.doi.org/10.3390/metabo12040289
  2. Belwal E, Pandey S, Sarkar S. Anemia Prevalence in India Over Two Decades: Evidence from National Family Health Survey (NFHS) International Journal of Science and Healthcare Research. 2021;6(4):335–340. Available from: https://dx.doi.org/10.52403/ijshr.20211046
  3. Singh SK, Lhungdim H, Shekhar C, Dwivedi LK, Pedgaonkar S, James KS. Key drivers of reversal of trend in childhood anaemia in India: evidence from Indian demographic and health surveys, 2016–21. BMC Public Health. 2023;23(1):1574. Available from: https://dx.doi.org/10.1186/s12889-023-16398-w
  4. Khera S, Singh D, Thergaonkar RW, Dhingra S, Simalti AK, Agarwal R, et al. A multi-centric study to estimate prevalence of anaemia in apparently healthy children between 6 and 59 months of age. Medical Journal Armed Forces India. 2024. Available from: https://dx.doi.org/10.1016/j.mjafi.2023.11.005
  5. Pivina L, Semenova Y, Doşa MD, Dauletyarova M, Bjørklund G. Iron Deficiency, Cognitive Functions, and Neurobehavioral Disorders in Children. Journal of Molecular Neuroscience. 2019;68(1):1–10. Available from: https://dx.doi.org/10.1007/s12031-019-01276-1
  6. Walter T. Effect of Iron-Deficiency Anemia on Cognitive Skills and Neuromaturation in Infancy and Childhood. Food and Nutrition Bulletin. 2003;24(4_suppl2):S104–S110.
  7. Agaoglu L, Torun O, Unuvar E, Sefil Y, Demir D. Effects of Iron Deficiency Anemia on Cognitive Function in Children. Arzneimittelforschung. 2007;57(06):426–430.
  8. Gutema BT, Sorrie MB, Megersa ND, Yesera GE, Yeshitila YG, Pauwels NS, et al. Effects of iron supplementation on cognitive development in school-age children: Systematic review and meta-analysis. PLOS ONE. 2023;18(6):e0287703. Available from: https://dx.doi.org/10.1371/journal.pone.0287703
  9. Grantham-Mcgregor S, Ani C. A Review of Studies on the Effect of Iron Deficiency on Cognitive Development in Children. The Journal of Nutrition. 2001;131(2):649S–668S.
  10. Lozoff B. Iron Deficiency and Child Development. Food and Nutrition Bulletin. 2007;28(4_suppl4):S560–S571. Available from: https://dx.doi.org/10.1177/15648265070284s409
  11. Available from: https://nhm.gov.in
  12. Gallagher PG. Anemia in the pediatric patient. Blood. 2022;140(6):571–593.
  13. Jeevan J, Karun KM, Puranik A, Deepa C, MK L, Barvaliya M. Prevalence of anemia in India: a systematic review, meta-analysis and geospatial analysis. BMC Public Health. 2025;25(1):1270. Available from: https://dx.doi.org/10.1186/s12889-025-22439-3
  14. Kumar SB, Arnipalli SR, Mehta P, Carrau S, Ziouzenkova O. Iron Deficiency Anemia: Efficacy and Limitations of Nutritional and Comprehensive Mitigation Strategies. Nutrients. 2022;14(14):2976. Available from: https://dx.doi.org/10.3390/nu14142976
  15. Natekar P, Deshmukh C, Limaye D, Ramanathan V, Pawar A. A micro review of a nutritional public health challenge: Iron deficiency anemia in India. Clinical Epidemiology and Global Health. 2022;14:100992. Available from: https://dx.doi.org/10.1016/j.cegh.2022.100992
  16. Sharma J, Devanathan S, Sengupta A, Rajeshwari PN. Assessing the prevalence of iron deficiency anemia and risk factors among children and women: A case study of rural Uttar Pradesh. Clinical Epidemiology and Global Health. 2024;26:101545.
  17. Chauhan S, Kumar P, Marbaniang SP, Srivastava S, Patel R. Prevalence and predictors of anaemia among adolescents in Bihar and Uttar Pradesh, India. Scientific Reports. 2022;12(1):8197. Available from: https://dx.doi.org/10.1038/s41598-022-12258-6
  18. Nguyen PH, Scott S, Avula R, Tran LM, Menon P. Trends and drivers of change in the prevalence of anaemia among 1 million women and children in India, 2006 to 2016. BMJ Global Health. 2018;3(5):e001010. Available from: https://dx.doi.org/10.1136/bmjgh-2018-001010
  19. Yadav J, Yadav AK, Srinadh R. Rural-urban disparities in prevalence of anemia among adolescent girls in India. International Journal Of Community Medicine And Public Health. 2017;4(12):4661. doi: 10.18203/2394-6040.ijcmph20175347

Copyright

© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

DON'T MISS OUT!

Subscribe now for latest articles and news.