{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:40:01Z","timestamp":1792888801979,"version":"4.5.0"},"reference-count":75,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T00:00:00Z","timestamp":1674000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The prevalence of anemia is high among children and adolescents in low- and middle-income countries because of undernutrition resulting from their poor socioeconomic status and lack of knowledge on proper nutrition. We conducted a systematic review and meta-analysis to determine the prevalence of anemia among children and adolescents aged between 6 months and 19 years in Bangladesh. Databases such as PubMed, Scopus, and Google Scholar were searched to identify the studies that reported the prevalence of anemia among children and adolescents. A total of 24 studies, including the data of 14,062 cases, were included in the systematic review and meta-analysis of the time period between 1997 and 2019. The random-effects model was used to calculate the summary estimates. The protocol was registered with PROSPERO (CRD42021246960). The pooled prevalence of anemia, iron deficiency anemia (IDA), and non-severe and severe anemia were 46.8% [95% CI: 36.0\u201357.6], 13.6% [95% CI: 8.0\u201319.2], 56.4% [95% CI: 39.6\u201373.1] and 0.7% [95% CI: 0.1\u20131.4], respectively. Prevalence of anemia exhibited the highest among the children aged \u22642 years. Briefly, 91.67% of the studies were of high quality. No significant publication bias was found; however, two outlier studies were detected. The prevalence of anemia among children and adolescents was estimated as high in Bangladesh.<\/jats:p>","DOI":"10.3390\/ijerph20031786","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T02:04:35Z","timestamp":1674093875000},"page":"1786","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Prevalence of Anemia among Children and Adolescents of Bangladesh: A Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6795-1391","authenticated-orcid":false,"given":"Shoumik","family":"Kundu","sequence":"first","affiliation":[{"name":"Department of Biochemistry and Molecular Biology, Faculty of Biological Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayeda Sadia","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Molecular Biology, Faculty of Biological Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Al-Tareq","family":"Mia","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Molecular Biology, Faculty of Biological Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tareq","family":"Hossan","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Molecular Biology, Faculty of Biological Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh"},{"name":"Department of Bone Marrow Transplant, Washington University School of Medicine in St. Louis, St. Louis, MO 63110, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Hider","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Otago, Christchurch 8140, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-0252","authenticated-orcid":false,"given":"Md. Ibrahim","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Molecular Biology, Faculty of Biological Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3708-0628","authenticated-orcid":false,"given":"Kamarul Imran","family":"Musa","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5937-6473","authenticated-orcid":false,"given":"Md Asiful","family":"Islam","sequence":"additional","affiliation":[{"name":"Department of Haematology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia"},{"name":"Institute of Metabolism and Systems Research, University of Birmingham, Birmingham B15 2TT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Tvedten, H. (2022). Classification and laboratory evaluation of anemia. Schalm\u2019s Vet. Hematol., 198\u2013208.","DOI":"10.1002\/9781119500537.ch25"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Kumar, S.B., Arnipalli, S.R., Mehta, P., Carrau, S., and Ziouzenkova, O. (2022). Iron Deficiency Anemia: Efficacy and Limitations of Nutritional and Comprehensive Mitigation Strategies. Nutrients, 14.","DOI":"10.3390\/nu14142976"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Moscheo, C., Licciardello, M., Samperi, P., La Spina, M., Di Cataldo, A., and Russo, G. (2022). New Insights into Iron Deficiency Anemia in Children: A Practical Review. Metabolites, 12.","DOI":"10.3390\/metabo12040289"},{"key":"ref_4","unstructured":"WHO (2015). The Global Prevalence of Anaemia in 2011."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1080\/17474086.2017.1354696","article-title":"Anemia in children: Prevalence, causes, diagnostic work-up, and long-term consequences","volume":"10","author":"Allali","year":"2017","journal-title":"Expert Rev. Hematol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/nyas.14092","article-title":"Anemia epidemiology, pathophysiology, and etiology in low-and middle-income countries","volume":"1450","author":"Chaparro","year":"2019","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1056\/NEJMra041809","article-title":"Anemia of chronic disease","volume":"352","author":"Weiss","year":"2005","journal-title":"N. Engl. J. Med."},{"key":"ref_8","first-page":"e182899","article-title":"Trends in socioeconomic inequalities and prevalence of anemia among children and nonpregnant women in low-and middle-income countries","volume":"1","author":"Yang","year":"2018","journal-title":"JAMA"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.1016\/S0140-6736(10)62304-5","article-title":"Anaemia in low-income and middle-income countries","volume":"378","author":"Balarajan","year":"2011","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"196","DOI":"10.3389\/fpubh.2014.00196","article-title":"Association of household environment and prevalence of anemia among children under-5 in India","volume":"2","author":"Baranwal","year":"2014","journal-title":"Front. Public Health"},{"key":"ref_11","first-page":"1240","article-title":"Iron deficiency anemia in adolescents; a literature review","volume":"29","author":"Silva","year":"2014","journal-title":"Nutr. Hosp."},{"key":"ref_12","first-page":"77","article-title":"Prevalence and risk factors of anemia among adolescents in Denizli, Turkey","volume":"22","author":"Karabulut","year":"2012","journal-title":"Iran. J. Pediatr."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Le, C.H.H. (2016). The prevalence of anemia and moderate-severe anemia in the US population (NHANES 2003\u20132012). PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0166635"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/s00277-010-1144-5","article-title":"Anemia\u2014Still a major health problem in many parts of the world!","volume":"90","author":"Milman","year":"2011","journal-title":"Ann. Hematol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1080\/10245332.2016.1240933","article-title":"Estimation of iron deficiency anemia in Iranian children and adolescents: A systematic review and meta-analysis","volume":"22","author":"Akbari","year":"2017","journal-title":"Hematology"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Chalise, B., Aryal, K.K., Mehta, R.K., Dhimal, M., Sapkota, F., Mehata, S., Karki, K.B., Madjdian, D., Patton, G., and Sawyer, S. (2018). Prevalence and correlates of anemia among adolescents in Nepal: Findings from a nationally representative cross-sectional survey. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0208878"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"46","DOI":"10.7454\/msk.v22i1.8078","article-title":"Iron status, prevalence and risk factors of iron deficiency anemia among 12-to 15-year-old adolescent girls from different socioeconomic status in Indonesia","volume":"22","author":"Sumarlan","year":"2018","journal-title":"Makara J. Health Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1475-2891-9-40","article-title":"Efficacy of different strategies to treat anemia in children: A randomized clinical trial","volume":"9","author":"Rosado","year":"2010","journal-title":"Nutr. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"35","DOI":"10.33545\/comed.2020.v3.i2a.148","article-title":"Iron-deficiency anemia among adolescents: A global public health concern","volume":"3","author":"Aggarwal","year":"2020","journal-title":"Int. J. Adv. Community Med."},{"key":"ref_20","first-page":"130","article-title":"Prevalence of Iron Deficiency Anemia and its Biochemical Parameters among the Selected School-going Under-priviledged Children in Dhaka City","volume":"14","author":"Hussain","year":"2013","journal-title":"J. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1038\/sj.ejcn.1601073","article-title":"Anaemia and iron deficiency among adolescent schoolgirls in peri-urban Bangladesh","volume":"54","author":"Ahmed","year":"2000","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"562634","DOI":"10.3389\/fneur.2020.562634","article-title":"Prevalence of Headache in Patients With Coronavirus Disease 2019 (COVID-19): A Systematic Review and Meta-Analysis of 14,275 Patients","volume":"11","author":"Islam","year":"2020","journal-title":"Front. Neurol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Hajissa, K., Islam, M.A., Hassan, S.A., Zaidah, A.R., Ismail, N., and Mohamed, Z. (2022). Seroprevalence of SARS-CoV-2 Antibodies in Africa: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19127257"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v036.i03","article-title":"Conducting meta-analyses in R with the metafor package","volume":"36","author":"Viechtbauer","year":"2010","journal-title":"J. Stat. Softw."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Adams, A.M., Ahmed, R., Latif, A.M., Rasheed, S., Das, S.K., Hasib, E., Farzana, F.D., Ferdous, F., Ahmed, S., and Faruque, A. (2017). Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0174673"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1038\/sj.ejcn.1600469","article-title":"Vitamin A deficiency among adolescent female garment factory workers in Bangladesh","volume":"51","author":"Ahmed","year":"1997","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1079\/PHN2006858","article-title":"Anaemia and vitamin A status among adolescent schoolboys in Dhaka City, Bangladesh","volume":"9","author":"Ahmed","year":"2006","journal-title":"Public Health Nutr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1038\/sj.ejcn.1602697","article-title":"The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangladesh","volume":"62","author":"Ahmed","year":"2008","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3329\/bjz.v42i1.23340","article-title":"Relationships between anaemia and parasitic infections in adolescent girls of Bangladesh","volume":"42","author":"Banu","year":"2014","journal-title":"Bangladesh J. Zool."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1002\/ajhb.10141","article-title":"Coliforms in the water and hemoglobin concentration are predictors of gastrointestinal morbidity of Bangladeshi children ages 1\u201310 years","volume":"15","author":"Bhargava","year":"2003","journal-title":"Am. J. Hum. Biol."},{"key":"ref_31","first-page":"771","article-title":"Childhood anemia and vitamin A deficiency in rural Bangladesh","volume":"37","author":"Faruque","year":"2006","journal-title":"Southeast Asian J. Trop. Med. Public Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"3073","DOI":"10.1017\/S1368980019002015","article-title":"The impact of an income-generating activities programme on children and mothers\u2019 undernutrition in extreme poor rural Bangladeshi households","volume":"22","author":"Goto","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3126\/jnps.v35i1.10495","article-title":"Prevalence and Risk Factors of Iron Deficiency Anaemia in Children admitted in a Tertiary Care Hospital of Bangladesh","volume":"35","author":"Hoque","year":"2015","journal-title":"J. Nepal Paediatr. Soc."},{"key":"ref_34","first-page":"633","article-title":"Dietary pattern, nutritional status, anaemia and anaemia-related knowledge in urban adolescent college girls of Bangladesh","volume":"60","author":"Kabir","year":"2010","journal-title":"J. Pak. Med. Assoc."},{"key":"ref_35","first-page":"103","article-title":"Evaluation of clinical signs to diagnose anaemia in Uganda and Bangladesh, in areas with and without malaria","volume":"75","author":"Kalter","year":"1997","journal-title":"Bull. WHO"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Mahfuz, M., Murray-Kolb, L.E., Hasan, S., Das, S., Fahim, S.M., Alam, M.A., Caulfield, L., and Ahmed, T. (2019). Why do children in slums suffer from anemia, iron, zinc, and vitamin A deficiency? Results from a birth cohort study in Dhaka. Nutrients, 11.","DOI":"10.3390\/nu11123025"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Mannan, T., Ahmed, S., Akhtar, E., Roy, A.K., Haq, M.A., Roy, A., Kippler, M., Ekstr\u00f6m, E.-C., Wagatsuma, Y., and Raqib, R. (2016). Maternal micronutrient supplementation and long term health impact in children in rural Bangladesh. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0161294"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"613","DOI":"10.15623\/ijret.2014.0306114","article-title":"Prevalence of iron deficiency anemia among adolescent girls and its risk factors in tangail region of Bangladesh","volume":"3","author":"Miah","year":"2014","journal-title":"Int. J. Res. Eng. Technol."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mistry, S.K., Jhohura, F.T., Khanam, F., Akter, F., Khan, S., Yunus, F.M., Hossain, M.B., Afsana, K., Haque, M.R., and Rahman, M. (2017). An outline of anemia among adolescent girls in Bangladesh: Findings from a cross-sectional study. BMC Hematol., 17.","DOI":"10.1186\/s12878-017-0084-x"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1017\/S1368980000000100","article-title":"Relationships between vitamin A, iron status and helminthiasis in Bangladeshi school children","volume":"3","author":"Persson","year":"2000","journal-title":"Public Health Nutr."},{"key":"ref_41","first-page":"39","article-title":"Iron and iodine deficiencies among under-2 children, adolescent girls, and pregnant women of Bangladesh: Association with common diseases","volume":"71","author":"Khatun","year":"2009","journal-title":"Nagoya J. Med. Sci."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4103\/2349-0578.209403","article-title":"Dietary pattern and anaemia among female adolescent garment workers in Bangladesh","volume":"1","author":"Saha","year":"2014","journal-title":"Acta Medica Int."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/BF02726173","article-title":"Adolescent nutrition in a rural community in Bangladesh","volume":"67","author":"Shahabuddin","year":"2000","journal-title":"Indian J. Pediatr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1017\/S1368980009005886","article-title":"Unexpectedly high early prevalence of anaemia in 6-month-old breast-fed infants in rural Bangladesh","volume":"13","author":"Shakur","year":"2010","journal-title":"Public Health Nutr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"126","DOI":"10.3329\/jdmc.v19i2.7084","article-title":"Prevalence of anaemia in children of 6 months to 59 months in Narayanganj, Bangladesh","volume":"19","author":"Uddin","year":"2010","journal-title":"J. Dhaka Med. Coll."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"nzz093","DOI":"10.1093\/cdn\/nzz093","article-title":"Dietary factors moderate the relation between groundwater iron and anemia in women and children in rural Bangladesh","volume":"3","author":"Wendt","year":"2019","journal-title":"Curr. Dev. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.cegh.2019.06.009","article-title":"Analysis of determinants of severity levels of childhood anemia in Bangladesh using a proportional odds model","volume":"8","author":"Afroja","year":"2020","journal-title":"Clin. Epidemiol. Glob. Health"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Ali, M., Amin, M., Jarl, J., Chisholm, N., and Saha, S. (2021). Maternal health status and household food security on determining childhood anemia in Bangladesh-a nationwide cross-sectional study. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11581-3"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1016\/S2214-109X(13)70001-9","article-title":"Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995\u20132011: A systematic analysis of population-representative data","volume":"1","author":"Stevens","year":"2013","journal-title":"Lancet Glob. Health"},{"key":"ref_50","unstructured":"WHO (2022, July 24). Global Nutrition Targets 2025: Policy Brief Series. Available online: https:\/\/www.who.int\/publications\/i\/item\/WHO-NMH-NHD-14.2."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"16540","DOI":"10.1038\/s41598-019-52793-3","article-title":"Determinants of childhood anemia in India","volume":"9","author":"Onyeneho","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Khan, J.R., Awan, N., and Misu, F. (2016). Determinants of anemia among 6\u201359 months aged children in Bangladesh: Evidence from nationally representative data. BMC Pediatr., 16.","DOI":"10.1186\/s12887-015-0536-z"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.4314\/ahs.v20i4.59","article-title":"A systematic review and meta-analysis of the prevalence and predictors of anemia among children in Ethiopia","volume":"20","author":"Gebrie","year":"2020","journal-title":"Afr. Health Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"928632","DOI":"10.1155\/2015\/928632","article-title":"Factors associated with anemia among children aged 6\u201323 months attending growth monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia","volume":"2015","author":"Woldie","year":"2015","journal-title":"J. Nutr. Metab."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/s13643-018-0741-6","article-title":"Prevalence of anemia among school-age children in Ethiopia: A systematic review and meta-analysis","volume":"7","author":"Tezera","year":"2018","journal-title":"Syst. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Tariku, E.Z., Abebe, G.A., Melketsedik, Z.A., Gutema, B.T., Megersa, N.D., Sorrie, M.B., Weldehawariat, F.G., and Getahun, E.A. (2019). Anemia and its associated factors among school-age children living in different climatic zones of Arba Minch Zuria District, Southern Ethiopia. BMC Hematol., 19.","DOI":"10.1186\/s12878-019-0137-4"},{"key":"ref_57","first-page":"716","article-title":"Anemia and intestinal parasite infection in school children in rural Vietnam","volume":"16","author":"Le","year":"2007","journal-title":"Asia Pac. J. Clin. Nutr."},{"key":"ref_58","first-page":"769","article-title":"Relationship of intestinal parasites, H. pylori infection with anemia or iron status among school age children in rural Bangladesh","volume":"2","author":"Rahman","year":"2013","journal-title":"J. Gastroenterol. Hepatol. Res."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1038\/sj.ejcn.1602613","article-title":"Low anemia prevalence in school-aged children in Bangalore, South India: Possible effect of school health initiatives","volume":"61","author":"Muthayya","year":"2007","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"e2020041","DOI":"10.4084\/mjhid.2020.041","article-title":"Iron deficiency anemia in children residing in high and low-income countries: Risk factors, prevention, diagnosis and therapy","volume":"12","author":"Mantadakis","year":"2020","journal-title":"Mediterr. J. Hematol. Infect. Dis."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0140-6736(13)60937-X","article-title":"Maternal and child undernutrition and overweight in low-income and middle-income countries","volume":"382","author":"Black","year":"2013","journal-title":"Lancet"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1038\/s41390-020-0907-5","article-title":"Prevention of iron deficiency anemia in infants and toddlers","volume":"89","author":"Sundararajan","year":"2021","journal-title":"Pediatr. Res."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Salam, R.A., MacPhail, C., Das, J.K., and Bhutta, Z.A. (2013). Effectiveness of micronutrient powders (MNP) in women and children. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-S3-S22"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1038\/sj.ijo.0802224","article-title":"Greater prevalence of iron deficiency in overweight and obese children and adolescents","volume":"27","author":"Newfield","year":"2003","journal-title":"Int. J. Obes."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"111","DOI":"10.2147\/JBM.S196102","article-title":"Prevalence of iron deficiency anemia in Iranian children under 6 years of age: A systematic review and meta-analysis","volume":"10","author":"Nazari","year":"2019","journal-title":"J. Blood Med."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1080\/10245330600775105","article-title":"Iron deficiency in childhood and adolescence: Retrospective review","volume":"11","author":"Ferrara","year":"2006","journal-title":"Hematology"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0025-7125(16)30339-X","article-title":"Microcytic anemia. Differential diagnosis and management of iron deficiency anemia","volume":"76","author":"Massey","year":"1992","journal-title":"Med. Clin. N. Am."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Chen, M.-H., Su, T.-P., Chen, Y.-S., Hsu, J.-W., Huang, K.-L., Chang, W.-H., Chen, T.-J., and Bai, Y.-M. (2013). Association between psychiatric disorders and iron deficiency anemia among children and adolescents: A nationwide population-based study. BMC Psychiatry, 13.","DOI":"10.1186\/1471-244X-13-161"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/s13312-012-0026-4","article-title":"Factors associated with mortality in under-five children with severe anemia in Ebonyi, Nigeria","volume":"49","author":"Muoneke","year":"2012","journal-title":"Indian Pediatr."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/01.aids.0000200533.56490.b7","article-title":"Increased severe anemia in HIV-1-exposed and HIV-1-positive infants and children during acute malaria","volume":"20","author":"Otieno","year":"2006","journal-title":"AIDS"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jpag.2016.10.010","article-title":"Iron deficiency anemia in adolescents who present with heavy menstrual bleeding","volume":"30","author":"Cooke","year":"2017","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.4103\/jfmpc.jfmpc_140_19","article-title":"Prevalence of anemia among adolescent girls in a rural area of Tamil Nadu, India","volume":"8","author":"Chandrakumari","year":"2019","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1628357","DOI":"10.1155\/2020\/1628357","article-title":"An analysis of societal determinant of anemia among adolescent girls in Azad Jammu and Kashmir, Pakistan","volume":"2020","author":"Habib","year":"2020","journal-title":"Anemia"},{"key":"ref_74","first-page":"830","article-title":"Global, regional, and national prevalence of anemia and its causes in 204 countries and territories, 1990\u20132019","volume":"4","author":"Gardner","year":"2020","journal-title":"Curr. Dev. Nutr."},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Habtegiorgis, S.D., Petrucka, P., Telayneh, A.T., Getahun, D.S., Getacher, L., Alemu, S., and Birhanu, M.Y. (2022). Prevalence and associated factors of anemia among adolescent girls in Ethiopia: A systematic review and meta-analysis. 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