Evidence map›Paper›PMID 40603351›Full record

ArticleScientific reports2025

Prevalence and associated factors of at risk of anemia among children under five in Northeast Thailand using noninvasive hemoglobin screening in a cross sectional study.

Suchaorn Saengnipanthkul, Prapassara Sirikarn, Sasupang Musikaboonleart, Ly Cong Tran, Maneerat Puwanant

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Suchaorn SaengnipanthkulDivision of Nutrition, Department of Pediatrics, Faculty of Medicine, Khon Kaen University, 123 Moo 16, Mittraphap Rd., Muang District, Khon Kaen, Khon Kaen Province, 40002, Thailand. suchsa@kku.ac.th.ORCID http://orcid.org/0000-0003-1368-9508
Prapassara SirikarnDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, Khon Kaen Province, 40002, Thailand.ORCID http://orcid.org/0000-0001-5887-6716
Sasupang MusikaboonleartDepartment of Nutrition, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon, Thailand.
Ly Cong TranDoctor of Philosophy Program in Clinical Sciences, Khon Kaen University, Khon Kaen, Khon Kaen Province, 40002, Thailand.ORCID http://orcid.org/0000-0003-0090-7289
Maneerat PuwanantDepartment of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai District, Songkhla, Songkhla Province, 90110, Thailand.ORCID http://orcid.org/0000-0003-3665-2468

Funding

Danone Specialized Nutrition N/A
6 · The paper itself

Abstract

Pediatric anemia remains a significant public health challenge in Northeast Thailand, where hemoglobinopathies and nutritional deficiencies coexist. Early identification of children at risk of anemia is crucial to prevent developmental and health consequences. This study assessed the prevalence of children under five being at risk of anemia using Masimo Rad-67® with Rainbow DCI-mini Sensor, while evaluating the association between caregivers' knowledge, attitudes, and practices on complementary feeding and childhood anemia. A clustered randomized cross-sectional study was conducted involving 2,000 child-caregiver pairs (aged 6 months to 5 years) in Northeast Thailand from September 2022 to March 2023. Non-invasive hemoglobin measurement was used, with anemia risk defined as spectrophotometry hemoglobin (SpHb) < 13.0 g/dL. Data collection included demographic characteristics, natal history, and feeding practices. Additionally, a survey was conducted to assess associated factors of anemia and caregivers' attitudes, knowledge, and practices regarding complementary feeding. The study found a 36.9% prevalence of at-risk anemia. Key predictors included age under 24 months (adjusted OR 2.1, 95%CI 1.7-2.6), maternal thalassemia trait (adjusted OR 1.8, 95%CI 1.4-2.3), and wasting (adjusted OR 1.6, 95%CI 1.2-2.1). Iron supplementation was a protective factor. Despite 48.2% of children receiving iron supplementation per government policy, only 24.6% met the daily iron intake according to the Thai dietary reference intake. Gap in caregiver knowledge persisted, with 68.1% of caregivers having received education on iron deficiency anemia, and only 32% able to name iron-rich foods. Public health strategies should combine nutritional education targeting iron-rich complementary feeding, implementation of a thalassemia-integrated screening protocol, and proactive community surveillance programs to improve iron intake. Thai clinical trial registration: TCTR20221024002.

Indexed as

AnemiaHemoglobinsAdultCaregiversChild, PreschoolCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleMass ScreeningPrevalenceRisk FactorsThailandHemoglobinsAnemiaHealth knowledge, attitudes, practiceNon-invasive hemoglobinNutritional statusRisk factorsUnder-five children

Identifiers

PMID40603351
PMCPMC12223185

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.