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Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: A Case-Control Study.
Breastfeed Med. 2018 09; 13(7):493-499.BM

Abstract

INTRODUCTION

Iron deficiency anemia (IDA) is common in children aged 0-35 months in Lithuania. Nevertheless, there are no studies investigating IDA in this age group. We aimed to identify the major risk factors for disease development focusing on medical history and dietary habits.

METHODS

A prospective case-control study was conducted in a university hospital. The enrolled cohort was divided into three groups: IDA infants (IDA-In; n = 36, aged 3-11 months), IDA children (IDA-Ch; n = 23, aged 12-32 months), and healthy controls (HCs; n = 32, aged 6-34 months).

RESULTS

There was a higher number of premature, low birth weight (LBW), and faster gaining weight infants in the IDA-In group. Their diet diversity was lower than IDA-Ch and HC. In contrast, the IDA-Ch group had no signs of impaired iron stores at birth or higher iron need for fast growth; their diet diversity was similar to that of HC, but meat was introduced later as compared with those in the IDA-In and HC groups. Consumption of cow's milk was rather low among all study participants, but consumption of sugar-added products was found to be a new emerging problem. Exclusive breastfeeding did not differ in duration and prevalence; the age for introduction of complementary foods was similar in all groups.

CONCLUSIONS

Low compliance with World Health Organization (WHO) recommendations on breastfeeding and complementary feeding suggests an urgent need for nutritional counseling in early childhood, especially in premature, LBW, and fast gaining weight infants.

Authors+Show Affiliations

1 Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University , Vilnius, Lithuania .2 Centre for Pediatric Oncology and Hematology, Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos , Vilnius, Lithuania .2 Centre for Pediatric Oncology and Hematology, Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos , Vilnius, Lithuania .3 Lithuanian Lactation and Breastfeeding Consultants Association , Vilnius, Lithuania .4 Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University , Vilnius, Lithuania .1 Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University , Vilnius, Lithuania .1 Clinic of Children's Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University , Vilnius, Lithuania .

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30095285

Citation

Muleviciene, Audrone, et al. "Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: a Case-Control Study." Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, vol. 13, no. 7, 2018, pp. 493-499.
Muleviciene A, Sestel N, Stankeviciene S, et al. Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: A Case-Control Study. Breastfeed Med. 2018;13(7):493-499.
Muleviciene, A., Sestel, N., Stankeviciene, S., Sniukaite-Adner, D., Bartkeviciute, R., Rascon, J., & Jankauskiene, A. (2018). Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: A Case-Control Study. Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine, 13(7), 493-499. https://doi.org/10.1089/bfm.2018.0083
Muleviciene A, et al. Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: a Case-Control Study. Breastfeed Med. 2018;13(7):493-499. PubMed PMID: 30095285.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessment of Risk Factors for Iron Deficiency Anemia in Infants and Young Children: A Case-Control Study. AU - Muleviciene,Audrone, AU - Sestel,Natalija, AU - Stankeviciene,Sigita, AU - Sniukaite-Adner,Daiva, AU - Bartkeviciute,Roma, AU - Rascon,Jelena, AU - Jankauskiene,Augustina, Y1 - 2018/08/10/ PY - 2018/8/11/pubmed PY - 2019/4/5/medline PY - 2018/8/11/entrez KW - complementary feeding KW - exclusive breastfeeding KW - iron deficiency KW - nutritional anemia SP - 493 EP - 499 JF - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JO - Breastfeed Med VL - 13 IS - 7 N2 - INTRODUCTION: Iron deficiency anemia (IDA) is common in children aged 0-35 months in Lithuania. Nevertheless, there are no studies investigating IDA in this age group. We aimed to identify the major risk factors for disease development focusing on medical history and dietary habits. METHODS: A prospective case-control study was conducted in a university hospital. The enrolled cohort was divided into three groups: IDA infants (IDA-In; n = 36, aged 3-11 months), IDA children (IDA-Ch; n = 23, aged 12-32 months), and healthy controls (HCs; n = 32, aged 6-34 months). RESULTS: There was a higher number of premature, low birth weight (LBW), and faster gaining weight infants in the IDA-In group. Their diet diversity was lower than IDA-Ch and HC. In contrast, the IDA-Ch group had no signs of impaired iron stores at birth or higher iron need for fast growth; their diet diversity was similar to that of HC, but meat was introduced later as compared with those in the IDA-In and HC groups. Consumption of cow's milk was rather low among all study participants, but consumption of sugar-added products was found to be a new emerging problem. Exclusive breastfeeding did not differ in duration and prevalence; the age for introduction of complementary foods was similar in all groups. CONCLUSIONS: Low compliance with World Health Organization (WHO) recommendations on breastfeeding and complementary feeding suggests an urgent need for nutritional counseling in early childhood, especially in premature, LBW, and fast gaining weight infants. SN - 1556-8342 UR - https://www.unboundmedicine.com/medline/citation/30095285/Assessment_of_Risk_Factors_for_Iron_Deficiency_Anemia_in_Infants_and_Young_Children:_A_Case_Control_Study_ L2 - https://www.liebertpub.com/doi/10.1089/bfm.2018.0083?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -