Iron Deficiency Anemia and Vitamin D Deficiency in Breastfed Infants.
10.5223/kjpgn.2010.13.2.164
- Author:
Eun Hye CHOI
1
;
Soo Ho JUNG
;
Yong Hoon JUN
;
Yoo Jin LEE
;
Ji Yeon PARK
;
Jeong Soon YOU
;
Kyung Ja CHANG
;
Soon Ki KIM
Author Information
1. Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea. pedkim@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Iron deficiency anemia;
Vitamin D deficiency;
Weaning food;
Breastfed
- MeSH:
Anemia;
Anemia, Iron-Deficiency;
Child;
Diet;
Hematologic Tests;
Humans;
Infant;
Iron;
Mass Screening;
Nutritional Status;
Risk Factors;
Vitamin D;
Vitamin D Deficiency;
Vitamins;
Weaning
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2010;13(2):164-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Iron deficiency anemia (IDA) is one of the most common nutritional problems, despite a recent improvement of nutritional status of infants and children. We assessed the risk factors for IDA in infants and vitamin D deficiency and IDA by nutrition analysis. METHODS: We analyzed blood tests and evaluated 103 children with IDA and 123 children without IDA, 6-36 months of age, who were cared for in our hospital between March 2006 and July 2010. Nutritional analysis using Canpro was performed among breastfed infants 6~12 months of age who had been diagnosed with IDA and had detailed diet histories. RESULTS: Breastfed infants accounted for 87.4% and 40.7% of the IDA and comparison groups, respectively. The IDA and comparison groups began weaning food at 6.4+/-1.8 and 5.9+/-1.3 months, respectively. In the IDA and comparison groups, 46.4% and 53.5% began to adapt to weaning food within 4 weeks, respectively. The most common reason for hospital care of the IDA group was respiratory symptoms constituting 36.2%. Only 18.6% visited the hospital for palloror anemia. The Canpro analysis, performed on 11 infants with IDA, showed that iron and vitamin D were <40% and 30% of recommended intakes, respectively. CONCLUSION: Weaning food should be started 4~6 months of age in breastfed infants. In infants at high risk for IDA and vitamin D deficiency, screening tests should be recommended. The high-risk infants may require iron, vitamin D fortified formula, or oral supplements.
