Latent iron deficiency in non-anemic children under five years of age

Background: The most common nutritional deficiency in world is iron deficiency. The iron deficiency is the most common cause of anemia due to nutritional deficiency and is seen most commonly in children under five years of age. Objective: To determine the frequency of iron deficiency in non-anemi...

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Main Authors: Qurat ul Ain Riaz, Saima Ahsan, Tanveer Hussain Chaudhary, Abdul Hafeez Soomro, Muhammad Sabir Khan, Shanza Nazish
Format: Article
Language:English
Published: Rawalpindi Medical University 2023-01-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1916
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author Qurat ul Ain Riaz
Saima Ahsan
Tanveer Hussain Chaudhary
Abdul Hafeez Soomro
Muhammad Sabir Khan
Shanza Nazish
author_facet Qurat ul Ain Riaz
Saima Ahsan
Tanveer Hussain Chaudhary
Abdul Hafeez Soomro
Muhammad Sabir Khan
Shanza Nazish
author_sort Qurat ul Ain Riaz
collection DOAJ
description Background: The most common nutritional deficiency in world is iron deficiency. The iron deficiency is the most common cause of anemia due to nutritional deficiency and is seen most commonly in children under five years of age. Objective: To determine the frequency of iron deficiency in non-anemic children under five years of age. Methods: A descriptive cross-sectional survey was conducted in pediatrics department of –removed for blind review---from August 2020 to February 2021. A total of 145 non-anemic children, ages 2-59 months were enrolled through non-probability consecutive sampling in this study. The complete blood count and C-reactive protein were sent for laboratory tests to rule out infection/inflammation. In children with normal hematocrit (30-40%) and CRP (≤ 6), serum ferritin levels were sent. Those children in whom serum ferritin levels were ≤12ng/ml was regarded as cases of latent iron deficiency. SPSS version 23 was used for data entry and analysis. Age and gender for effect modifiers were controlled by stratification. The chi square test was used for post stratification. The value of p ≤ 0.05 was considered significant. Results: The mean age of the patients was 3.20±5.41 years. Among all children, 69 (47.6%) were boys and remaining 76 (52.4%) were girls. Out of 145 children, 62 (42.8%) were iron deficient whereas 83 (57.2%) were non-iron deficient. The male to female ratio of iron deficiency was 1:1.3. The prevalence of iron deficiency among infants was 46%, followed by toddlers 42% and preschoolers 41%. The mean serum ferritin level was 22.96±2.21 ng/ml. The mean hematocrit was 33.84±2.68. The statistical analysis showed that there was an insignificant association between iron deficiency and age groups of children (p ≥ 0.5). Conclusion: The study concluded that the iron deficiency in children is very common, especially in infants. Screening of iron deficiency in children under five years of age seems to be a very important task for better child care. Key words: Anemia, Iron-Deficiency; Child, Preschool; Malnutrition.
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spelling doaj-art-1bc9db7e1adc4ed6ba27e52d4f4486d02025-02-06T08:45:17ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702023-01-0126410.37939/jrmc.v26i4.1916Latent iron deficiency in non-anemic children under five years of ageQurat ul Ain RiazSaima AhsanTanveer Hussain ChaudharyAbdul Hafeez SoomroMuhammad Sabir KhanShanza Nazish Background: The most common nutritional deficiency in world is iron deficiency. The iron deficiency is the most common cause of anemia due to nutritional deficiency and is seen most commonly in children under five years of age. Objective: To determine the frequency of iron deficiency in non-anemic children under five years of age. Methods: A descriptive cross-sectional survey was conducted in pediatrics department of –removed for blind review---from August 2020 to February 2021. A total of 145 non-anemic children, ages 2-59 months were enrolled through non-probability consecutive sampling in this study. The complete blood count and C-reactive protein were sent for laboratory tests to rule out infection/inflammation. In children with normal hematocrit (30-40%) and CRP (≤ 6), serum ferritin levels were sent. Those children in whom serum ferritin levels were ≤12ng/ml was regarded as cases of latent iron deficiency. SPSS version 23 was used for data entry and analysis. Age and gender for effect modifiers were controlled by stratification. The chi square test was used for post stratification. The value of p ≤ 0.05 was considered significant. Results: The mean age of the patients was 3.20±5.41 years. Among all children, 69 (47.6%) were boys and remaining 76 (52.4%) were girls. Out of 145 children, 62 (42.8%) were iron deficient whereas 83 (57.2%) were non-iron deficient. The male to female ratio of iron deficiency was 1:1.3. The prevalence of iron deficiency among infants was 46%, followed by toddlers 42% and preschoolers 41%. The mean serum ferritin level was 22.96±2.21 ng/ml. The mean hematocrit was 33.84±2.68. The statistical analysis showed that there was an insignificant association between iron deficiency and age groups of children (p ≥ 0.5). Conclusion: The study concluded that the iron deficiency in children is very common, especially in infants. Screening of iron deficiency in children under five years of age seems to be a very important task for better child care. Key words: Anemia, Iron-Deficiency; Child, Preschool; Malnutrition. https://www.journalrmc.com/index.php/JRMC/article/view/1916
spellingShingle Qurat ul Ain Riaz
Saima Ahsan
Tanveer Hussain Chaudhary
Abdul Hafeez Soomro
Muhammad Sabir Khan
Shanza Nazish
Latent iron deficiency in non-anemic children under five years of age
Journal of Rawalpindi Medical College
title Latent iron deficiency in non-anemic children under five years of age
title_full Latent iron deficiency in non-anemic children under five years of age
title_fullStr Latent iron deficiency in non-anemic children under five years of age
title_full_unstemmed Latent iron deficiency in non-anemic children under five years of age
title_short Latent iron deficiency in non-anemic children under five years of age
title_sort latent iron deficiency in non anemic children under five years of age
url https://www.journalrmc.com/index.php/JRMC/article/view/1916
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AT abdulhafeezsoomro latentirondeficiencyinnonanemicchildrenunderfiveyearsofage
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