Altı Ay - 5 Yaş Arası Çocuklarda Demir Eksikliği ve Beslenme İlişkisinin Değerlendirilmesi

Amaç: Demir eksikliği (DE) ve demir eksikliği anemisi (DEA) en sık besinsel eksiklik olup, çocuklarda fiziksel ve kognitifgelişim üzerinde olumsuz etkiler doğurabilmektedir. Özellikle yaşamın ilk yıllarındaki beslenme DE/DEA ile doğrudanilişkilidir. Bu çalışmadaki amacımız, 6 ay-5 yaş arasındaki sağlıklı çocuklarda beslenme ile DE/DEA arasındaki ilişkiyiaraştırmaktır.Gereç ve Yöntemler: Çalışmamız, Eylül 2014 - Eylül 2016 tarihlerinde, Pediatri Polikliniğine başvuran 6 ay-5 yaştakiçocuklarda gerçekleştirilmiştir. Çocuklar tam kan sayımı, serum demir düzeyi, total demir bağlama kapasitesi, serumferritin düzeyi ölçülerek iki gruba ayrılmıştır. Grup 1; DE/DEA olanlar, Grup 2; sağlıklı çocuklardan oluşmaktadır. Çocuklarınbeslenme özellikleri annelerinden öğrenilmiştir.Bulgular: Çalışmamızda toplam 187 çocuk yer almıştır (Grup 1=88, Grup 2=99). Her iki grupta çocukların cinsiyet veyaş ortalamaları benzerdir (sırasıyla 22.7±14.2 ve 21.8±13.3 ay, p>0.05). Grup 2’deki çocukların doğum ağırlığı dahafazla (sırasıyla 3091.1±487.8 ve 3268.7±509.3 gr, p

The Relationship Between Iron Deficiency and Nutrition in Children Aged 6 Months-5 Years

Objective: Iron deficiency (ID)/iron deficiency anemia (IDA) are the most common nutritional deficiencies and may have negative effects on physical-cognitive development in children. Nutrition, especially in the first years of life, is directly related to ID/IDA. The aim of this study was to investigate the relationship between nutrition and ID/IDA in healthy children aged 6 months-5 years. Material and Methods: Our study was carried out between September 2014-September 2016 in children aged 6 months-5 years who applied Pediatric Outpatient Clinic of Sivas Cumhuriyet University Medical Faculty. Children were divided into two groups by measuring complete blood count, serum iron, ferritin levels and total iron binding capacity. Group1: patients with ID/IDA, Group2: healthy children. Nutritional characteristics of children were learned from their mothers. Results: The study included totally 187 children (Group1=88, Group2=99). The sex and mean age of the children were similar (respectively, 22.7±14.2 vs. 21.8±13.3 months, p>0.05). In Group2, mean birth weight was higher (respectively, 3091.1±487.8 vs. 3268.7±509.3 gr, p

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  • 1. FAO/WHO: Human vitamin and mineral requirements in human nutrition. Second edition. Geneva: World Health Organization and Food and Agriculture Organization of the United Nations, 2004.
  • 2. Soliman AT, De Sanctis V, Kalra S. Anemia and growth. Indian J Endocrinol Metab 2014; 18 (Suppl 1): 1–5.
  • 3. World Health Organization, 10 facts on nutrition. Erişim tarihi: 12 Haziran 2019. Available from; https://www.who.int/features/ factfiles/nutrition/en/
  • 4. Aydın A, Gur E, Erener Ercan T, Can G, Arvas A. Comparison of different iron preparations in the prophylaxis of iron deficiency anemia. J Ped Hematol Oncol 2017; 39:495-9.
  • 5. Dewey KG. The challenge of meeting nutrient needs of infants and young children during the period of complementary feeding: an evolutionary perspective. J Nutr 2013;143: 2050-4.
  • 6. World Health Organization. Infant and young child nutrition. Global strategy on infant and young child feeding. Fifty-fifth World Health Assembly. A55/15. Geneva, World Health Organization; 2002.
  • 7. Özdemir N. Iron deficiency anemia from diagnosis to treatment in children. Türk Pediatri Arşivi 2015; 50: 11-9.
  • 8. Akman M, Cebeci D, Okur V, Angin H, Abali O, Akman AC. The effects of iron deficiency on infants’ developmental test performance. Acta Paediatr 2004; 93: 1391–6.
  • 9. WHO/UNICEF/UNU: Iron Deficiency Anaemia – Assessment, Prevention, and Control. A Guide for Programme Managers. Geneva, World Health Organization, 2001.
  • 10. Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F, ve ark. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2008;51:1-14.
  • 11. Lanzkowsky P. Iron deficiency anemia. In Lanzkowsky P, Lipton J, Fish J (eds). Lanzkowsky´s Manual of Pediatric Hematology and Oncology. 6th ed. San Diego, CA: Elsevier 2016: 69-83.
  • 12. Demir Gibi Türkiye Projesi 2004/21-TC Sağlık Bakanlığı. Erişim tarihi: 12 Haziran 2019. Available from; https://www.saglik.gov.tr/ TR,11068/demir-gibi-turkiye-projesi--genelgesi-2004--21.html.
  • 13. World Health Organization, Worldwide Prevalence of Anaemia 1993-2005. WHO Global Database on Anaemia. Benoist B, McLean E, Egli I, Cogswell M (eds).
  • 14. Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for women during pregnancy. Cochrane Database Syst Rev 2017;4:CD004905.
  • 15. Iqbal S, Ekmekcioglu C. Maternal and neonatal outcomes related to iron supplementation or iron status: a summary of meta-analyses. J Matern Fetal Neonatal Med 2019;32:1528-40.
  • 16. De-Regil LM, Suchdev PS, Vist GE, Walleser S, Peña-Rosas JP. Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age. Evid Based Child Health 2013; 8: 112–201.
  • 17. Yurdakök K, İnce OT. Çocuklarda demir eksikliği anemisini önleme yaklaşımları. Çocuk Sağlığı ve Hastalıkları Dergisi 2009; 52: 224- 31.
  • 18. Burke RM, Leon JS, Suchdev PS. Identification, Prevention and Treatment of Iron Deficiency during the First 1000 Days. Nutrients 2014; 6: 4093-114.
  • 19. Monterrosa EC, Frongillo EA, Vasquez-Garibay EM, RomeroVelarde E, Casey LM, Willows ND. Predominant Breast-Feeding from Birth to Six Months Is Associated with Fewer Gastrointestinal Infections and Increased Risk for Iron Deficiency among Infants. J Nutr 2008;138:1499-504.
  • 20. Dube K, Schwartz J, Mueller, MJ, Kalhoff, H, Kersting M. Iron intake and iron status in breastfed infants during the first year of life. Clin Nutr 2010;29:773–8.
  • 21. Marques RFSV, Taddei JAAC, Lopez FA, Braga JAP. Breastfeeding exclusively and iron deficiency anemia during the first 6 months of age. Rev Assoc Med Bras 2014; 60:18-22.
  • 22. Dalili H, Baghersalimi A, Dalili S, Pakdaman F, Hassanzadeh Rad A, Abbasi Kakroodi M, et al. Is there any relation between Duration of breastfeeding and anemia? Iran J Ped Hematol Oncol 2015;5:218- 26.
  • 23. Maguire JL, Salehi L, Birken CS, Carsley S, Mamdani M, Thorpe KE, et al. Association Between Total Duration of Breastfeeding and Iron Deficiency. Pediatrics 2013;131:1530-7.
  • 24. Thorisdottir AV, Thorsdottir I, Palsson GI. Nutrition and Iron Status of 1-Year Olds following a Revision in Infant Dietary Recommendations. Anemia 2011;20199:986303.
  • 25. Sultan AN, Zuberi RW. Late weaning: the most significant risk factor in the development of iron deficiency anaemia at 1–2 years of age. J Ayub Med Coll Abbottabad 2003;15:3–7.
  • 26. Jonsdottir OH, Thorsdottir I, Hibberd PL, Fewtrell MS, Wells JC, Palsson GI, et al. Timing of the introduction of complementary foods in infancy: a randomized controlled trial. Pediatrics 2012;130:1038-45.
  • 27. 27. Ghorashi Z, Nezami N, Behbahan AG, Ghorashi S. Supplemental food may not prevent iron-deficiency anemia in infants. Indian J Pediatr 2008;75:1121-4.
  • 28. Morton RE, Nysenbaum A, Price K. Iron status in the first year of life. J Pediatr Gastroenterol Nutr 1988;7:707-12.
  • 29. Eussen S, Alles M, Uijterschout L, Brus F, Horst-Graat JVD. Iron Intake and Status of Children Aged 6–36 Months in Europe: A Systematic Review. Ann Nutr Metab 2015;66:80–92.
  • 30. Tympa-Psirropoulou E, Vagenas C, Psirropoulos D, Dafni O, Matala A, Skopouli F. Nutritional risk factors for iron-deficiency anaemia in children 12–24 months old in the area of Thessalia in Greece. Int J Food Sci Nutr 2005;56:1–12.
  • 31. Olaya GA, Lawson M, Fewtrell MS. Efficacy and safety of new complementary feeding guidelines with an emphasis on red meat consumption: a randomized trial in Bogota, Colombia. Am J Clin Nutr 2013;98:983–93.
  • 32. Obbagy JE, English LK, Psota TL, Wong YP, Butte NF, Dewey KG, et al. Complementary feeding and micronutrient status: a systematic review. Am J Clin Nutr 2019;109:852-71.
  • 33. Male C, Persson LA, Freeman V, Guerra A, van’t Hof MA, Haschke F. Euro-Growth Iron Study Group. Prevalence of iron deficiency in 12-mo-old infants from 11 European areas and influence of dietary factors on iron status (Euro-Growth Study). Acta Paediatr 2001;90: 492-8.
  • 34. Michaelsen KF, Milman N, Samuelson G. A longitudinal study of iron status in healthy Danish infants: effects of early iron status, growth velocity and dietary factors. Acta Paediatr 1995;84:1035–44.
  • 35. Thorsdottir I, Gunnarsson BS, Atladottir H, Michaelsen KF, Palsson G. Iron status at 12 months of age—effects of body size, growth and diet in a population with high birth weight. Eur J Clin Nutr 2003;57:505-13.
  • 36. Makrides M, Hawkes JS, Neumann MA, Gibson RA. Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. AmJ Clin Nutr 2002;75:1084-92.
  • 37. Engelmann MD, Sandstrom B, Michaelsen KF. Meat intake and iron status in late infancy: an intervention study. J Pediatr Gastroenterol Nutr 1998;26:26-33.
  • 38. Lawson MS, Thomas M, Hardiman A. Iron status of Asian children aged 2 years living in England. Arch. Dis. Child 1998;78:420-6.
  • 39. Wu AC, Lesperance L, Bernstein H.Screening for iron deficiency. Pediatrics in Review 2002;23:171-7.
  • 40. Thane CW, Walmsley CM, Bates CJ, Prentice A, Cole TJ. Risk factors for poor iron status in British toddlers: further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5 years. Public Health Nutrition 2000;3:433-40.
  • 41. Jackson LS, Lee K. The effect of dairy products on iron availability. Crit Rev Food Sci Nutr 1992;31: 2559-70.
Türkiye Çocuk Hastalıkları Dergisi-Cover
  • ISSN: 1307-4490
  • Başlangıç: 2007
  • Yayıncı: -
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