PMID- 36036186 OWN - NLM STAT- MEDLINE DCOM- 20221115 LR - 20230508 IS - 0974-7559 (Electronic) IS - 0019-6061 (Print) IS - 0019-6061 (Linking) VI - 59 IP - 11 DP - 2022 Nov 15 TI - Childhood and Adolescent Anemia Burden in India: The Way Forward. PG - 837-840 LID - S097475591600447 [pii] AB - The burden of anemia in Indian children, based on capillary blood sampling, is believed to be profound and worsening (67.1%) according to the successive National Family Health Surveys (NFHS). This might be an overestimate. The recent Comprehensive National Nutrition Survey of Indian children, that used venous blood sampling, found only less than half (30.7%) the NFHS prevalence, of which only one third was due to iron deficiency (ID). Unfortunately, the apparently worsening NFHS anemia burden estimate has been interpreted as an inadequacy of the present iron supplementation policy. This has led to additional iron supply through mandatory rice fortification. However, the lack of efficacy of iron supplementation appears inevitable, if the true prevalence of iron deficiency anemia is only about 10%. Thus, etiology is a critical consideration when devising appropriate and effective prevention policies. Future policies must focus on precision, thoughtfulness, restraint, and community engagement. FAU - Kurpad, Anura Viswanath AU - Kurpad AV AD - Department of Physiology, St John's Medical College, Bengaluru, Karnataka. FAU - Sachdev, Harshpal Singh AU - Sachdev HS AD - Department of Pediatrics and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, New Delhi. Correspondence to: Prof Harshpal Singh Sachdev, Senior Consultant Pediatrics and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, B-16 Qutab Institutional Area, New Delhi 110 016. hpssachdev@gmail.com. LA - eng GR - IA/CRC/19/1/610006/WTDBT_/DBT-Wellcome Trust India Alliance/India PT - Journal Article DEP - 20220826 PL - India TA - Indian Pediatr JT - Indian pediatrics JID - 2985062R RN - E1UOL152H7 (Iron) SB - IM MH - Child MH - Adolescent MH - Humans MH - *Anemia MH - *Anemia, Iron-Deficiency/epidemiology/prevention & control MH - *Iron Deficiencies MH - Iron MH - Nutritional Status MH - Prevalence MH - India/epidemiology PMC - PMC9748895 COIS- Competing interests: HSS is a member of the WHO Guideline Development Group on Anemia: Use and interpretation of haemoglobin concentrations for assessing anemia status in individuals and populations. AVK and HSS are members of the National Technical Board on Nutrition and of Task Forces and Expert Groups on anemia constituted by the Department of Biotechnology, Ministry of Health and Family Welfare and the Indian Council of Medical Research. EDAT- 2022/08/30 06:00 MHDA- 2022/11/16 06:00 PMCR- 2022/12/14 CRDT- 2022/08/29 05:40 PHST- 2022/08/30 06:00 [pubmed] PHST- 2022/11/16 06:00 [medline] PHST- 2022/08/29 05:40 [entrez] PHST- 2022/12/14 00:00 [pmc-release] AID - S097475591600447 [pii] AID - 2639 [pii] AID - 10.1007/s13312-022-2639-6 [doi] PST - ppublish SO - Indian Pediatr. 2022 Nov 15;59(11):837-840. doi: 10.1007/s13312-022-2639-6. Epub 2022 Aug 26.