Prevalence of anemia and iron deficiency anemia amongelementary school children in Turkey
Prevalence of anemia and iron deficiency anemia amongelementary school children in Turkey
Aim: The purpose of our study was to determine the rate of anemia and iron store status in Turkish elementary school children. Materials and Methods: We included 1296 children applied to pediatrics department of a large teaching hospital and evaluated the hemoglobin, iron, unsaturated iron binding capacity and ferritin levels. Results: The results showed that 9.88% of the children had anemia and 1.62% had iron-deficiency anemia. Despite the normal Hemoglobin (Hb) levels, the ratio of children with low ferritin levels was found to be 36.49%, suggesting that children with normal Hb levels might not be having adequate level of iron stored. The Hb levels were found to be significantly lower in the group of 6- and 7-year old children when compared to other ages. Conclusion: Being an elementary issue for normal growth and academic success in school, iron status should be closely monitored in school children. Additionally, different age groups have different needs for iron supplementation; therefore contemporary guidelines for the management of anemia in children should be established by authorities.
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- 1. WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization 2015.
- 2. Subramaniam G, Girish M. iron deficiency anemia in children. Indian J Pediatr 2015;82:558-64.
- 3. Stevens GA, Finucane MM, De-Regil LM, et al. Nutrition Impact Model Study Group (Anaemia). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. The Lancet Global health 2013;1:16-25.
- 4. WHO. Serum ferritin concentrations for the assessment of iron status and iron deficiency in populations. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011 (WHO/ NMH/NHD/MNM/11.2 (http://www.who.int/ vmnis/indicators/serum_ferritin. pdf, accessed [18/12/2018]).
- 5. WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011 (WHO/NMH/NHD/ MNM/11.1) (http://www.who.int/vmnis/indicators/ haemoglobin. pdf, accessed [02/12/2018]).
- 6. Pasricha SR. Anemia: a comprehensive global estimate. Blood 2014;123:611-2.
- 7. Stelle I, Kalea A, Pereira D. Iron deficiency anaemia: Experiences and challenges. Proceedings of the Nutrition Society 2018;1-8.
- 8. Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr 2001;131:649S666S.
- 9. Worldwide prevalence of anaemia 1993–2005 : WHO global database on anaemia / Edited by Bruno de Benoist, Erin McLean, Ines Egli and Mary Cogswell. https://apps.who.int/iris/handle/10665/43894
- 10. Yavuz T Korkut S, Yavuz O, et al. Prevalence of anemia and iron deficiency anemia among adolescents in the western black sea region. Türkiye Klinikleri J Pediatr 2004;13:71-5.
- 11. Gungor O, Albayrak D. Prevalance of iron deficiency and iron deficiency anemia among 7-14 years old children in Samsun. Izmir Dr. Behcet Uz Çocuk Hast Dergisi 2018;8:122-6.
- 12. Akin F, Solak ES, Kilicaslan C, et al. iron Deficiency Anemia among Hospitalized Children in Konya, Turkey. Anemia 2013; Article ID 514801, http://dx.doi. org/10.1155/2013/514801.
- 13. Campbell RK, Aguayo VM, Kang Y, et al. Epidemiology of anaemia in children, adolescent girls, and women in Bhutan. Matern Child Nutr 2018;14:e12740. 14.
- 14. Parkin PC, Borkhoff CM. Practical tips for paediatricians: Assessment and management of young children with iron deficiency. Paediatr Child Health 2018;23:433-4.
- 15. Pfeiffer CM, Looker AC. Laboratory methodologies for indicators of iron status: strengths, limitations, and analytical challenges. Am J Clin Nutr 2017;106:1606- 14.
- 16. Tiwari AK, Mahdi AA, Chandyan S,et al. Oral iron supplementation leads to oxidative imbalance in anemic women: a prospective study. Clin Nutr 2011;30:188-93.
- 17. Mimić-Oka J, Savić-Radojević A, Pljesa-Ercegovac M, et al. Evaluation of Oxidative Stress after Repeated Intravenous iron Supplementation Ren Fail 2005;27:345-51.