Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan

Background: Severe acute malnutrition (SAM) is one of the most critical forms of childhood malnutrition and remains a major contributor to morbidity and mortality in low-resource settings. Anemia frequently coexists with SAM and further compromises child health by increasing susceptibility to infect...

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Main Authors: Mahar, Benazir, Qader, Saima, Shah, Tazeen, Sadiq, Noman, Mangi, Rozina, Shaikh, Rehnaz, Rai, Dalpat
Format: Article
Language:en
Published: BioMed Central 2026
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Online Access:http://psasir.upm.edu.my/id/eprint/123784/1/123784.pdf
http://psasir.upm.edu.my/id/eprint/123784/
https://link.springer.com/article/10.1186/s12887-026-06559-2
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author Mahar, Benazir
Qader, Saima
Shah, Tazeen
Sadiq, Noman
Mangi, Rozina
Shaikh, Rehnaz
Rai, Dalpat
author_facet Mahar, Benazir
Qader, Saima
Shah, Tazeen
Sadiq, Noman
Mangi, Rozina
Shaikh, Rehnaz
Rai, Dalpat
author_sort Mahar, Benazir
building UPM Library
collection Institutional Repository
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
continent Asia
country Malaysia
description Background: Severe acute malnutrition (SAM) is one of the most critical forms of childhood malnutrition and remains a major contributor to morbidity and mortality in low-resource settings. Anemia frequently coexists with SAM and further compromises child health by increasing susceptibility to infection and delaying recovery. Evidence on the burden of anemia among children with SAM in drought-prone regions of Pakistan remains limited. Methods: A hospital-based cross-sectional study was conducted from March to June 2024 at the outpatient therapeutic program (OTP) of the district headquarters hospital in Tharparkar, Sindh, Pakistan. Children aged 6–59 months diagnosed with SAM were consecutively enrolled. Hemoglobin concentration was measured to assess anemia, while anthropometric indicators were used to confirm SAM. Descriptive statistics were used to estimate the prevalence and severity of anemia. Results: A total of 129 children with SAM were included. The prevalence of anemia among children with SAM was 90.7% (n = 117; 95% CI: 85.6–95.7). The mean (± SD) hemoglobin level was 9.0 ± 1.4 g/dL. Most anemic children had moderate anemia, indicating a substantial compounded health burden. Conclusion: Anemia is highly prevalent among children with severe acute malnutrition in Tharparkar, highlighting the convergence of multiple nutritional deficiencies in this vulnerable population. These findings underscore the need for integrated nutrition and anemia control strategies within SAM management programs, particularly in disaster-prone and underserved regions.
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spelling my.upm.eprints-1237842026-03-18T08:08:41Z http://psasir.upm.edu.my/id/eprint/123784/ Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan Mahar, Benazir Qader, Saima Shah, Tazeen Sadiq, Noman Mangi, Rozina Shaikh, Rehnaz Rai, Dalpat Background: Severe acute malnutrition (SAM) is one of the most critical forms of childhood malnutrition and remains a major contributor to morbidity and mortality in low-resource settings. Anemia frequently coexists with SAM and further compromises child health by increasing susceptibility to infection and delaying recovery. Evidence on the burden of anemia among children with SAM in drought-prone regions of Pakistan remains limited. Methods: A hospital-based cross-sectional study was conducted from March to June 2024 at the outpatient therapeutic program (OTP) of the district headquarters hospital in Tharparkar, Sindh, Pakistan. Children aged 6–59 months diagnosed with SAM were consecutively enrolled. Hemoglobin concentration was measured to assess anemia, while anthropometric indicators were used to confirm SAM. Descriptive statistics were used to estimate the prevalence and severity of anemia. Results: A total of 129 children with SAM were included. The prevalence of anemia among children with SAM was 90.7% (n = 117; 95% CI: 85.6–95.7). The mean (± SD) hemoglobin level was 9.0 ± 1.4 g/dL. Most anemic children had moderate anemia, indicating a substantial compounded health burden. Conclusion: Anemia is highly prevalent among children with severe acute malnutrition in Tharparkar, highlighting the convergence of multiple nutritional deficiencies in this vulnerable population. These findings underscore the need for integrated nutrition and anemia control strategies within SAM management programs, particularly in disaster-prone and underserved regions. BioMed Central 2026-01-30 Article PeerReviewed text en cc_by_nc_nd_4 http://psasir.upm.edu.my/id/eprint/123784/1/123784.pdf Mahar, Benazir and Qader, Saima and Shah, Tazeen and Sadiq, Noman and Mangi, Rozina and Shaikh, Rehnaz and Rai, Dalpat (2026) Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan. BMC Pediatrics, 26 (1). art. no. 151. pp. 1-7. ISSN 1471-2431 https://link.springer.com/article/10.1186/s12887-026-06559-2 Pediatrics, Perinatology and Child Health 10.1186/s12887-026-06559-2
spellingShingle Pediatrics, Perinatology and Child Health
Mahar, Benazir
Qader, Saima
Shah, Tazeen
Sadiq, Noman
Mangi, Rozina
Shaikh, Rehnaz
Rai, Dalpat
Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title_full Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title_fullStr Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title_full_unstemmed Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title_short Double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in Tharparkar, Pakistan
title_sort double burden of malnutrition: prevalence of anemia among children with severe acute malnutrition in tharparkar, pakistan
topic Pediatrics, Perinatology and Child Health
url http://psasir.upm.edu.my/id/eprint/123784/1/123784.pdf
http://psasir.upm.edu.my/id/eprint/123784/
https://link.springer.com/article/10.1186/s12887-026-06559-2
url_provider http://psasir.upm.edu.my/