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Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States.
Matern Child Health J. 2006 Mar; 10(2):177-85.MC

Abstract

OBJECTIVE

Examine the association between child-level food insecurity and iron status in young children utilizing community-based data from the Children's Sentinel Nutrition Assessment Program (C-SNAP).

METHODS

A cross-sectional sample of caregivers of children < or =36 months of age utilizing emergency department (ED) services were interviewed between 6/96-5/01. Caregiver interviews, which included questions on child-level food security, were linked to a primary clinic database containing hemoglobin, red blood cell distribution width, mean corpuscular volume, free erythrocyte protoporphyrin and lead values. Children a priori at-risk for anemia: birthweight < or =2500 g, with HIV/AIDS, sickle cell disease, or lead values > or =10.0 ug/dL, and children < or =6 months of age were excluded from the analysis. Only laboratory tests 365 days prior or 90 days after interview were examined. Iron status was classified in four mutually exclusive categories: 1) Iron Sufficient-No Anemia (ISNA), 2) Anemia (without iron deficiency), 3) Iron Deficient-No Anemia (IDNA), 4) Iron Deficient with Anemia (IDA).

RESULTS

626 ED interviews linked to laboratory data met the inclusion criteria. Food insecure children were significantly more likely to have IDA compared to food secure children [Adjusted Odds Ratio = 2.4, 95% CI (1.1-5.2), p = 0.02]. There was no association between child food insecurity and anemia without iron deficiency or iron deficiency without anemia.

CONCLUSION

These findings suggest an association between child level food insecurity and iron deficiency anemia, a clinically important health indicator with known negative cognitive, behavioral and health consequences. Cuts in spending on food assistance programs that address children's food insecurity may lead to adverse health consequences.

Authors+Show Affiliations

Boston University School of Public Health, Massachusetts 02118, USA. skalicky@bu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16328705

Citation

Skalicky, Anne, et al. "Child Food Insecurity and Iron Deficiency Anemia in Low-income Infants and Toddlers in the United States." Maternal and Child Health Journal, vol. 10, no. 2, 2006, pp. 177-85.
Skalicky A, Meyers AF, Adams WG, et al. Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States. Matern Child Health J. 2006;10(2):177-85.
Skalicky, A., Meyers, A. F., Adams, W. G., Yang, Z., Cook, J. T., & Frank, D. A. (2006). Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States. Maternal and Child Health Journal, 10(2), 177-85.
Skalicky A, et al. Child Food Insecurity and Iron Deficiency Anemia in Low-income Infants and Toddlers in the United States. Matern Child Health J. 2006;10(2):177-85. PubMed PMID: 16328705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Child food insecurity and iron deficiency anemia in low-income infants and toddlers in the United States. AU - Skalicky,Anne, AU - Meyers,Alan F, AU - Adams,William G, AU - Yang,Zhaoyan, AU - Cook,John T, AU - Frank,Deborah A, PY - 2005/12/6/pubmed PY - 2006/12/13/medline PY - 2005/12/6/entrez SP - 177 EP - 85 JF - Maternal and child health journal JO - Matern Child Health J VL - 10 IS - 2 N2 - OBJECTIVE: Examine the association between child-level food insecurity and iron status in young children utilizing community-based data from the Children's Sentinel Nutrition Assessment Program (C-SNAP). METHODS: A cross-sectional sample of caregivers of children < or =36 months of age utilizing emergency department (ED) services were interviewed between 6/96-5/01. Caregiver interviews, which included questions on child-level food security, were linked to a primary clinic database containing hemoglobin, red blood cell distribution width, mean corpuscular volume, free erythrocyte protoporphyrin and lead values. Children a priori at-risk for anemia: birthweight < or =2500 g, with HIV/AIDS, sickle cell disease, or lead values > or =10.0 ug/dL, and children < or =6 months of age were excluded from the analysis. Only laboratory tests 365 days prior or 90 days after interview were examined. Iron status was classified in four mutually exclusive categories: 1) Iron Sufficient-No Anemia (ISNA), 2) Anemia (without iron deficiency), 3) Iron Deficient-No Anemia (IDNA), 4) Iron Deficient with Anemia (IDA). RESULTS: 626 ED interviews linked to laboratory data met the inclusion criteria. Food insecure children were significantly more likely to have IDA compared to food secure children [Adjusted Odds Ratio = 2.4, 95% CI (1.1-5.2), p = 0.02]. There was no association between child food insecurity and anemia without iron deficiency or iron deficiency without anemia. CONCLUSION: These findings suggest an association between child level food insecurity and iron deficiency anemia, a clinically important health indicator with known negative cognitive, behavioral and health consequences. Cuts in spending on food assistance programs that address children's food insecurity may lead to adverse health consequences. SN - 1092-7875 UR - https://www.unboundmedicine.com/medline/citation/16328705/Child_food_insecurity_and_iron_deficiency_anemia_in_low_income_infants_and_toddlers_in_the_United_States_ L2 - https://doi.org/10.1007/s10995-005-0036-0 DB - PRIME DP - Unbound Medicine ER -