scholarly journals 116 Association between family income, risk for food insecurity and iron deficiency in healthy young Canadian children

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e48-e48
Author(s):  
Imaan Bayoumi ◽  
Patricia C Parkin ◽  
Catherine S Birken ◽  
Jonathon L Maguire ◽  
Cornelia M Borkhoff
Keyword(s):  
At Risk ◽  
Logistic Regression ◽  
Iron Deficiency ◽  
Young Children ◽  
Food Insecurity ◽  
Serum Ferritin ◽  
Family Income ◽  
Iron Status ◽  
Household Food Security ◽  
Family Risk

Abstract Background Iron deficiency peaks in prevalence (12% or higher) in early childhood and has been associated with poor developmental outcomes. Previous research examining associations between income and food insecurity (FI) with iron deficiency has been inconsistent and most did not measure iron status directly using serum ferritin or control for potential confounding variables. Objectives To examine the independent effects of family income and family risk for FI on iron status in healthy young children attending primary care. Design/Methods Healthy children ages 12–29 months were included in a cross-sectional analysis. Family income and risk for FI were collected from parents through self-reported questionnaires. Children with an affirmative response to the 1-item FI screen on the NutriSTEP (a validated screening tool of nutritional risk) or to at least one of the 2 items on the 2-item FI screen based on the 18-item Household Food Security Survey were categorized as a family at risk for FI. Iron status was assessed by serum ferritin. Children with C-reactive protein (CRP) >5 mg/L were excluded. Multivariable logistic regression analyses were used to examine the associations between both family income and family risk for FI with iron deficiency (serum ferritin <12µg/L) and IDA (serum ferritin <12 µg/L and hemoglobin <110 g/L), adjusting for age, sex, birthweight, zBMI, CRP, breastfeeding duration, bottle use, cow’s milk intake, formula feeding in the first year. Results Of 1245 children included, 131 (10.5%) of children were from households with a family income of <$40,000, 77 (6.2%) children were from families at risk for FI, 15% had iron deficiency, and 5% had IDA. The odds of children with a family income of <$40,000 having iron deficiency was 3 times (95% CI: 1.75, 5.26; P<0.0001) and having IDA was 4 times (95% CI: 1.71, 9.25; P=0.001) that for children in the highest family income group. Fully adjusted logistic regression showed weak evidence of a decreased odds of iron deficiency among children in families at risk for FI (OR 0.44, 95% CI: 0.19, 1.04; P=0.06) than all other children, and no association with IDA (OR 0.18, 95% CI: 0.02, 1.38; P=0.10). Conclusion A low family income of <$40,000 was associated with an increased risk for iron deficiency and IDA in young children. Risk for FI was not a risk factor for iron deficiency or IDA. Targeting income security may be more effective than targeting access to food to reduce health inequities in iron deficiency.

scholarly journals Association of Household Food Security with Anaemia among Children of a Selected Rural Area of Bangladesh

2020 ◽  
Vol 14 (2) ◽  
pp. 130-133
Author(s):  
Md Nazrul Islam Khan ◽  
Nasim Jahan ◽  
Md Abdul Wahab ◽  
Farzana Zafreen
Keyword(s):  
Food Security ◽  
Iron Deficiency ◽  
Food Insecurity ◽  
Rural Area ◽  
Family Income ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Age And Gender ◽  
Household Food ◽  
And Gender

Introduction: Food insecurity refers to a household’s having “limited or uncertain availability of food, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways”. Iron deficiency and iron deficiency anaemia, are the most prevalent nutritional deficiencies worldwide and related to household food insecurity. Objectives: To find out the association between household food security and anaemia in children of a selected rural area of Bangladesh. Materials and Methods: This descriptive cross-sectional study was conducted among children ranging age from 12 to 60 months during the period ofJanuary 2009 to June 2009in Chandpur district. Mothers of the children were the respondents. A total of 192 children selected by simple random sampling were included in the study. Data were collected by face-to-face interview of the respondents and by estimation of haemoglobin of the children. Results: The mean age of the children was 34.5 ± 16.8 months. Male children were more than the female children with male to female ratio being 3:2. The average monthly family income was taka 7500. More than 60% of the mother had secondary level education. Farming was the prime occupation (36.4 %) of the father followed by business (25.5%) and service (22.4%). About 36% of the household did not have food security and nearly 45% of the children wereanaemic (Hb<11 g/dl). About two-thirds (65.2%) children with household food insecurity was anaemic (Hb 11g/dl). Estimation of odds ratio demonstrates that food insecured children were nearly 3 times as likely to develop anaemia as the children having household food security. The present study revealed a significant association (P<0.001) between household food security and anaemia in children. Household food security was not influenced by age and gender of the children. Low family income and mother’ illiteracy was significantly associated with household food insecurity. Conclusion: The present study revealed a significant association between household food insecurity and anaemia in children. Household food security was not influenced by age and gender of the children. However, low family income and mothers’ illiteracy play significant role in household food security. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 130-133

scholarly journals Association of Family Income and Risk of Food Insecurity With Iron Status in Young Children

2020 ◽  
Vol 3 (7) ◽  
pp. e208603
Author(s):  
Imaan Bayoumi ◽  
Patricia C. Parkin ◽  
Catherine S. Birken ◽  
Jonathon L. Maguire ◽  
Cornelia M. Borkhoff ◽  
...  
Keyword(s):  
Young Children ◽  
Food Insecurity ◽  
Family Income ◽  
Iron Status

Iron and Hematological Status among Adolescent Athletes Tracked through Puberty

1995 ◽  
Vol 7 (3) ◽  
pp. 253-262
Author(s):  
Noreen D. Willows ◽  
Susan K. Grimston ◽  
David J. Smith ◽  
David A. Hanley
Keyword(s):  
Adverse Effect ◽  
Iron Deficiency ◽  
Serum Ferritin ◽  
Direct Evidence ◽  
Iron Status ◽  
Normal Range ◽  
Pubertal Stage ◽  
Physically Active ◽  
Pubertal Stages ◽  
Prepubertal Boys

This study assessed change in hematological status among physically active children as they progressed through puberty. Values for serum ferritin, hemoglobin, and hematocrit at all stages of puberty were within the normal range of reference values. Significant changes in serum ferritin were not detected in the different pubertal stages, although serum ferritin was highest in prepubertal boys and girls. There were no significant differences in marginal or deficient iron stores between the sexes at any pubertal stage, suggesting that gender was not predisposing for iron deficiency; however, girls had a greater overall incidence for both measures. With more children under consideration, these trends may have reached significance. Boys in TS4 and TS5 had higher hemoglobin and hematocrit compared with earlier stages of puberty, and compared with girls at the same stages of puberty. This can be explained by testosterone production in boys. Among girls, pubertal progression had no significant effect on hemoglobin or hematocrit. In the absence of controls, there was no direct evidence that involvement in sports had an adverse effect on iron status.

scholarly journals Prevalence of Iron Deficiency Anemia in Anemic Patients: A Hospital Based Study

2018 ◽  
Vol 6 (2) ◽  
pp. 41-45 ◽  
Author(s):  
Satyendra Kumar Mishra ◽  
Surendra Marasini ◽  
Badri Kumar Gupta ◽  
Krishna Kumar Agrawal ◽  
Narayan Gautam
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Serum Ferritin ◽  
Iron Status ◽  
Macrocytic Anemia ◽  
High Rate ◽  
Deficiency Anemia ◽  
Peripheral Smear ◽  
Significant Difference ◽  
Detailed Medical History

Introduction: In developing countries like Nepal, iron deficiency anemia (IDA) is one of the major concern. The high rate incidence has been related to insufficient  iron  intake, accompanied  by chronic  intestinal  blood  loss  due  to parasitic  and  malarial infections. Therefore, a study was conducted to evaluate the prevalence of IDA in anemic patients of Universal College of Medical Sciences-Teaching Hospital (UCMS-TH), South Western region, Nepal. Material and Method It was a hospital based cross sectional study comprised of 100 anemic patients. Their detailed medical history and lab investigations, focusing on hematological parameters were documented. Peripheral smear examination and serum ferritin estimation were done to observe red cell morphology and iron status respectively.  Results: This study revealed that out of 100 anemic patients, 35% were that of IDA. The most affected age group was 21-40 years with frequency 42.55%. IDA was more common in females (42.85%) than in male (21.62%). Out of 100 anemic patients, microcytic hypochromic anemia was predominant in 47% followed by macrocytic anemia (31%) and then normocytic normochromic anemia (22%). Out of 47 microcytic hypochromic anemic patients, 12 had normal serum ferritin. There was a statistical significant difference in Hb (p=0.011), MCV (p=0.0001), MCH (p=0.0001), MCHC (p=0.0001) and serum ferritin (p=0.0001) among all types of anemia. There was a statistical significant positive correlation of ferritin with Hemoglobin (0.257, p= 0.01), MCV (0.772, p= 0.0001), MCH (0.741, p=0.0001) and MCHC (0.494, p=0.0001).  Conclusion: The peripheral smear in conjunction with serum ferritin estimation needs to be included for susceptible individuals to screen the IDA and other types of anemia. 

scholarly journals Prevalence and pattern of Iron deficiency in patient with heart failure with reduced ejection fraction

2019 ◽  
Vol 7 (2) ◽  
pp. 10-16
Author(s):  
Aditya Mahaseth ◽  
Jay Narayan Shah ◽  
Bikash Nepal ◽  
Biplave Karki ◽  
Jeet Ghimire ◽  
...  
Keyword(s):  
Heart Failure ◽  
Iron Deficiency ◽  
Ejection Fraction ◽  
Serum Ferritin ◽  
Iron Status ◽  
Transferrin Saturation ◽  
Functional Iron Deficiency ◽  
Reduced Ejection Fraction ◽  
Patients With Heart Failure ◽  
Absolute Iron Deficiency

Background and Objectives: Iron Deficiency is the commonest nutritional deficiency worldwide, affecting more than one-third of the population, its association with Heart Failure with or without anemia is of growing interest. As iron supplementation improves prognosis in patients with Heart Failure, Iron Deficiency is an attractive therapeutic target – a hypothesis that has recently been tested in clinical studies. This study is designed to estimate the prevalence and pattern of iron deficiency (ID) in heart failure (HF) with reduced ejection fraction patients with or without anemia. Material and methods: It was a single center hospital based cross sectional observational study. A total of 60 male and female patients with diagnosis of heart failure based on the Framingham Criteria, who gave consent for the study were included. They underwent laboratory evaluation including hemoglobin concentration, serum iron, transferrin saturation percentage, serum ferritin, total iron binding capacity. Serum ferritin <100 μg/l was used to diagnose absolute ID. Functional ID was defined as a serum ferritin level of 100–300 μg/l and a transferrin saturation of <20 %. Anemia was defined as hemoglobin (Hb) <13 g/dl for males and <12 g/dl for females, based on World Health Organization definition. Results: Using the above definitions iron deficiency was found in 28 (46.67%) patients. 36.67% patients had absolute iron deficiency and 10% patients had functional iron deficiency. Females had a higher non statistically significant iron deficiency than males 63.16% vs 39.02%. 15 patients (48.38%) with iron deficiency did not have anemia, and 11 (35.5%) of those patients had absolute iron deficiency. Conclusion: Iron deficiency is prevalent in patients with heart failure and reduced ejection fraction irrespective of anemia and hemoglobin levels. Many of those patients can have functional iron deficiency. Measurement of iron status should be a routine during workup of heart failure patients and further studies are needed to determine the prognostic value of iron status measurement and the influences of treatment of iron deficiency in heart failure patients. Many such trials are now underway.  

scholarly journals Iron Status in Hypogammaglobulinemia

1985 ◽  
Vol 78 (10) ◽  
pp. 838-841
Author(s):  
Hasan I Atrah
Keyword(s):  
Iron Deficiency ◽  
General Population ◽  
Intravenous Immunoglobulin ◽  
Serum Ferritin ◽  
Iron Status ◽  
Transferrin Saturation ◽  
The State ◽  
Serum Samples ◽  
Serum Igg

Iron, transferrin and ferritin were measured in serum samples from 16 patients with primary hypogammaglobulinemia. Transferrin saturation was low in 12 patients (75%) and serum ferritin was low in 9 patients (56.25%). Both parameters were low, confirming the state of iron deficiency, in 6 patients (37.5%). These figures are highly significant ( P < 0.01) when compared with the prevalence of iron deficiency in the general population. Eight patients were maintained on intravenous immunoglobulin infusions and the rest on intramuscular immunoglobulin injections, their mean serum IgG being 4.4 g/l and 2.6 g/l respectively. There was no difference in the prevalence of iron deficiency between the two groups.

scholarly journals Evaluation of the iron status of a population

Blood ◽  
1976 ◽  
Vol 48 (3) ◽  
pp. 449-455 ◽  
Author(s):  
JD Cook ◽  
CA Finch ◽  
NJ Smith
Keyword(s):  
Iron Deficiency ◽  
Serum Ferritin ◽  
Iron Status ◽  
Transferrin Saturation ◽  
Red Cell ◽  
Adult Males ◽  
Packed Red Blood Cells ◽  
Iron Deficient ◽  
Menstruating Women ◽  
Prevalence Of Anemia

Abstract The iron status of a population of 1564 subjects living in the northwestern United States was evaluated by measurements of transferrin saturation, red cell protoporphyrin, and serum ferritin. The frequency distribution of these parameters showed no distinct separation between normal and iron-deficient subjects. When only one of these three parameters was abnormal (transferrin saturation below 15%, red cell protoporphyrin above 100 mug/ml packed red blood cells, serum ferritin below 12 ng/ml), the prevalence of anemia was only slightly greater (10.9%) than in the entire sample (8.3%). The prevalence of anemia was increased to 28% in individuals with two or more abnormal parameters, and to 63% when all three parameters were abnormal. As defined by the presence of at least two abnormal parameters, the prevalence of iron deficiency in various populations separated on the basis of age and sex ranged from 3% in adolescent and adult males to 20% in menstruating women. It is concluded that the accuracy of detecting iron deficiency in population surveys can be substantially improved by employing a battery of laboratory measurements of the iron status.

scholarly journals CHARACTERISTICS OF ANEMIA AND IRON STATUS AND THEIR ASSOCIATIONS WITH BLOOD MANGANESE AND LEAD AMONG CHILDREN AGED FROM 3 TO 19 YEARS OLD FROM FOUR NORTHERN FIRST NATION COMMUNITIES IN QUEBEC

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e40-e40
Author(s):  
Emad Tahir
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Serum Ferritin ◽  
Iron Status ◽  
Multiple Logistic Regression Analysis ◽  
The Body ◽  
First Nation ◽  
Deficiency Anemia ◽  
Elevated Blood ◽  
Prevalence Of Anemia

Abstract BACKGROUND Prevalence of anemia and iron deficiency (ID) are higher among indigenous children in Canada, although few data are available in Quebec. Iron is metal that interact with the absorption of manganese (Mn) and Lead (Pb) cobalt (Co). ID is known to upregulate these metals, thereby increasing their absorption, concentration inside the body and their toxicity. OBJECTIVES The objectives of the present study are to: (i) Characterize ID and anemia prevalence and their protective/risk factors; and (ii) Study associations between blood Mn, Pb and iron status biomarkers. DESIGN/METHODS Data from The 2015 First Nation Youth Health and Environment Pilot Study was conducted among children (3 to 19 y, n = 198) from four First Nations communities in Quebec will be used in these study where, blood samples and anthropometric measures were collected, hemoglobin was measured on site using an Hemocue analyser. Protective/risk factors including education, food security, housing conditions and lifestyle and dietary habits were documented using interview-administered questionnaire to children’ parents. Serum ferritin and blood Pb, Mn, Co, Zn and Ca were measured by Modular P analyser and ICPMS. Descriptive and multiple regression statistical analyses adjusting for relevant co-variables were used. RESULTS Results showed ID and anemia prevalence of 20.7% and 17.6% respectively, among which 8.8% presented iron deficiency anemia. Moreover, up to 11.9% had elevated blood Mn (median = 15.9 µg/L, range 7.1 to 31.9 µg/L) of which 27.5% presented ID. However, blood Pb was low (median = 5.4 µg/L, range 1.8 to 50.8 µg/L). Multiple logistic regression analysis showed that crystal juice intake was associated with lower ID and anemia (OR (95%): 0.50 (0.30 - 0.82) and 0.47 (0.26 - 0.87) respectively) in girls. Likewise, the presence of hunter in the household was associated with lower anemia in girls (0.09 (0.02 - 0.53)). No factors were associated with ID in boys, and for anemia, lower serum ferritin and older age was associated with higher prevalence of anemia (1.08 (1.01 - 1.14) and 1.23 (1.02 - 1.48) respectively). In adjusted models, blood Mn was negatively associated with serum ferritin concentrations (ß = -0.05; p < 0.02) in girls and positively associated with blood Co (ß = 8.50; p < 0.01) in boys. CONCLUSION Findings on high prevalence of ID, anemia and elevated blood Mn among children form these First Nation communities support that, community and family activities increasing traditional foods consumption improve nutritional status and suggest that foods and beverages naturally rich in vitamin C - but lower in added sugar than crystal juice - would improve iron intake in girls, which would contribute to improve their iron status, decrease anemia and restore normal Mn blood levels.

scholarly journals Maternal resources and household food security: evidence from Nicaragua

2015 ◽  
Vol 18 (16) ◽  
pp. 2915-2924 ◽  
Author(s):  
Kammi K Schmeer ◽  
Barbara A Piperata ◽  
Andrés Herrera Rodríguez ◽  
Virgilio Mariano Salazar Torres ◽  
Francisco José Centeno Cárdenas
Keyword(s):  
Social Support ◽  
Young Children ◽  
Food Insecurity ◽  
Economic Status ◽  
Social Resources ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Household Food ◽  
Maternal Resources ◽  
Specific Food

AbstractObjectiveWomen (especially mothers) are theorized as critical to reducing household food insecurity through their work and caregiver roles. The present study tests these assumptions, assessing how maternal economic and social resources are associated with food insecurity in households with young children.DesignData from a population-based sample of households was collected in León, Nicaragua (n 443). Data include a newly validated measure of household food insecurity (ELCSA), maternal resource measures, and household economic status and demographics. Regression analysis tests the statistical associations (P<0·05) of maternal resources with household, adult-specific and child-specific food insecurity.SettingMunicipality of León, Nicaragua.SubjectsHouseholds with children aged 3–11 years in rural and urban León.ResultsOnly 25 % of households with young children were food secure, with 50 % mildly food insecure and 25 % moderately/severely food insecure. When mothers contributed substantially to household income, the odds of moderate/severe household food insecurity were 34 % lower than when their spouse/partner was the main provider. The odds of food insecurity were 60 % lower when mothers managed household money, 48 % lower when mothers had a secondary (v. primary) education, 65 % higher among single mothers and 16 % lower with each indicator of social support. Results were similar for adult- and child-specific food insecurity.ConclusionsThis research provides new evidence that maternal economic and social resources are important for reducing household food insecurity and adult- and child-specific food insecurity. Women’s social status, social support and access to economic resources need to be enhanced as a part of policies aimed to reduce food insecurity in high-poverty settings.

scholarly journals Latent iron deficiency at birth influences auditory neural maturation in late preterm and term infants

2015 ◽  
Vol 102 (5) ◽  
pp. 1030-1034 ◽  
Author(s):  
Vivek Choudhury ◽  
Sanjiv B Amin ◽  
Asha Agarwal ◽  
LM Srivastava ◽  
Arun Soni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Serum Ferritin ◽  
Gestational Age ◽  
Iron Status ◽  
In Utero ◽  
Late Preterm ◽  
Term Infants ◽  
Latent Iron Deficiency ◽  
Neural Maturation

ABSTRACT Background: In utero latent iron deficiency has been associated with abnormal neurodevelopmental outcomes during childhood. Its concomitant effect on auditory neural maturation has not been well studied in late preterm and term infants. Objective: The objective was to determine whether in utero iron status is associated with auditory neural maturation in late preterm and term infants. Design: This prospective cohort study was performed at Sir Ganga Ram Hospital, New Delhi, India. Infants with a gestational age ≥34 wk were eligible unless they met the exclusion criteria: craniofacial anomalies, chromosomal disorders, hemolytic disease, multiple gestation, third-trimester maternal infection, chorioamnionitis, toxoplasmosis, other infections, rubella, cytomegalovirus infection, and herpes simplex virus infections (TORCH), Apgar score <5 at 5 min, sepsis, cord blood not collected, or auditory evaluation unable to be performed. Sixty consecutive infants with risk factors for iron deficiency, such as small for gestational age and maternal diabetes, and 30 without risk factors for iron deficiency were enrolled. Absolute wave latencies and interpeak latencies, evaluated by auditory brainstem response within 48 h after birth, were measured and compared between infants with latent iron deficiency (serum ferritin ≤75 ng/mL) and infants with normal iron status (serum ferritin >75 ng/mL) at birth. Results: Twenty-three infants had latent iron deficiency. Infants with latent iron deficiency had significantly prolonged wave V latencies (7.10 ± 0.68 compared with 6.60 ± 0.66), III–V interpeak latencies (2.37 ± 0.64 compared with 2.07 ± 0.33), and I–V interpeak latencies (5.10 ± 0.57 compared with 4.72 ± 0.56) compared with infants with normal iron status (P < 0.05). This difference remained significant on regression analyses after control for confounders. No difference was noted between latencies I and III and interpeak latencies I–III. Conclusion: Latent iron deficiency is associated with abnormal auditory neural maturation in infants at ≥34 wk gestational age. This trial was registered at clinicaltrials.gov as NCT02503397.

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