Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

Hong, Jeana; Chang, Ju Young; Shin, Sue; Oh, Sohee

doi:10.3346/jkms.2017.32.6.974

Cited by 14 publications

(19 citation statements)

References 36 publications

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“…In Saudi Arabia, out of the 274 infants aged 6-24 months studied, 126 (51%) were diagnosed as having IDA [25]. Among 619 Korean infants aged 8-15 months old, ID and IDA were diagnosed in 174 (28.1%) and 87 infants (14.0%), respectively [26]. The prevalence of ID and IDA in two cohorts of infants aged nine months old in China was 2.8% and 20.7% and 12.0% and 31.2%, respectively [27].…”

Section: Discussionmentioning

confidence: 99%

Iron Status of Infants in the First Year of Life in Northern Taiwan

Chen

Shih

et al. 2020

Nutrients

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Iron deficiency (ID) and iron deficiency anemia (IDA) typically occur in developing countries. Notably, ID and IDA can affect an infant’s emotion, cognition, and development. Breast milk is considered the best food for infants. However, recent studies have indicated that breastfeeding for more than six months increases the risk of ID. This study investigated the prevalence of ID and IDA, as well as the association between feeding type and iron nutritional status in northern Taiwan. A cross-sectional study was conducted on infants who returned to the well-baby clinic for routine examination from October 2012 to January 2014. Overall, 509 infants aged 1–12 months completed the iron nutritional status analysis, anthropometric measurement, and dietary intake assessment, including milk and complementary foods. The results revealed that 49 (10%) and 21 (4%) infants in their first year of life had ID and IDA, respectively, based on the World Health Organization criteria. Breastfed infants had a higher prevalence rate of ID and IDA than mixed-fed and formula-fed infants (p < 0.001). Regarding biomarkers of iron status, plasma hemoglobin (Hb), ferritin, and transferrin saturation (%) levels were significantly lower in ID and IDA groups. The prevalence of ID and IDA were 3.7% and 2.7%, respectively, in infants under six months of age, but increased to 20.4% and 6.6%, respectively, in infants above six months of age. The healthy group had a higher total iron intake than ID and IDA groups, mainly derived from infant formula. The total dietary iron intake was positively correlated with infants’ Hb levels. Compared with formula-fed infants, the logistic regression revealed that the odds ratio for ID was 2.157 (95% confidence interval [CI]: 1.369–3.399) and that for IDA was 4.196 (95% CI: 1.780–9.887) among breastfed infants (p < 0.001) after adjusted for all confounding factors (including gestational week, birthweight, sex, body weight percentile, body length percentile, age of infants, mothers’ BMI, gestational weight gain, education level, and hemoglobin level before delivery). In conclusion, our results determined that breastfeeding was associated with an increased the prevalence of ID and/or IDA, especially in infants above six months. This suggests that mothers who prolonged breastfeed after six months could provide high-quality iron-rich foods to reduce the prevalence of ID and IDA.

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Section: Discussionmentioning

confidence: 99%

Iron Status of Infants in the First Year of Life in Northern Taiwan

Chen

Shih

et al. 2020

Nutrients

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“…This finding is consistent with literature. 22 In Turkey; the Ministry of Health recommends exclusively breastfeeding for 6 months, in accordance with WHO guidelines, and then starting iron rich complementary foods in addition to breastfeeding. In our study, another interesting finding is that the maternal age was younger in Group 1 than in Group 2 and the mothers of Group 1 had more children than the mothers of Group 2.…”

Section: Discussionmentioning

confidence: 99%

Is there an association between vitamin D level and iron deficiency in children?

Cihan

Korğalı

2018

Arch Argent Pediatr

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Introduction. Vitamin D (VitD) affects the erythropoiesis. The aim of this study was to evaluate the association between maternal/ child 25-OH VitD (25-OHD) levels and iron deficiency (ID) and anemia (IDA) in children aged 6 months-5 years. Population and methods. Between September 2014 and January 2016 children who were admitted to outpatient clinic were included to study. We excluded the children with acute or chronic infection, malnutrition, chronic disease and preterm birth history. Complete blood count, serum iron, total iron binding capacity, ferritin, 25-OHD levels were examined from children and their mothers. Iron and VitD supplementation during infancy and pregnancy and breastfeeding history were questioned. Results. The study included totally 117 children. There were 67 children with ID/IDA [Group 1, mean age (years):2.05±1.24 (0.5-5)] and 50 normal children [Group 2, mean age (years): 1.87±1.12 (0.58-5)]. There were more VitD deficient children and mothers in Group 1 than in Group 2 (respectively, children 49.3 % vs. 20 % p=0.002; mothers 94 % vs.64 %, p=<0.001). There was a positive correlation between hemoglobin levels of children and maternal/child 25-OHD.The independent risk factors for IDA in children were longer exclusively breastfeeding time (odds ratio [OR], 0.35; 95 % confidence interval [CI], 0.155-0.789; p=0.011), shorter duration of regular iron supplementation during infancy and pregnancy

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“…Este hallazgo coincide con la bibliografía. 22 En Turquía, el Ministerio de Salud recomienda alimentar a los lactantes exclusivamente con leche materna durante 6 meses, según las pautas de la OMS, y luego incorporar a la alimentación con leche materna alimentos complementarios ricos en hierro.…”

Section: Discussionunclassified

¿Existe alguna asociación entre la concentración de vitamina D y la ferropenia en los niños?

Cihan

Korğalı

2018

Arch Argent Pediatr

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RESUMEN Introducción. La vitamina D afecta la eritropoyesis. Objetivo: evaluar, en niños de 6 meses a 5 años, la asociación entre concentraciones de 25-hidroxi vitamina D (25-OHD) en la madre/ niño, ferropenia y anemia ferropénica (AF). Población y métodos. Se incluyeron los niños que asistieron a la consulta entre septiembre de 2014 y enero de 2016. Se excluyeron aquellos con infección aguda/crónica, desnutrición, enfermedades crónicas y prematuros. Se realizó hemograma, hierro sérico, capacidad fijación del hierro, ferritina y 25-OHD. Se investigó suplemento con hierro y vitamina D durante lactancia y embarazo. Resultados. Se incluyeron 117 niños: 67 tenían ferropenia/AF [Grupo 1, edad (años): 2,05 ± 1,24 (0,5-5)] y 50 niños sanos [Grupo 2, edad (años): 1,87 ± 1,12 (0,58-5)]. Más niños y madres tuvieron deficiencia de vitamina D en Grupo 1 que en Grupo 2 (niños, 49,3 % vs 20 %, p = 0,002, y madres: 94 % vs 64 %; p= < 0,001, respectivamente). Hubo correlación positiva entre la hemoglobina en niños y la 25-OHD en madres/niños. Factores independientes de riesgo de AF fueron más tiempo de lactancia (OR: 0,35; IC 95 % [0,155-0,789]; p = 0,011), más breve suplementación con hierro durante la lactancia (OR: 1,69; IC 95 % [1,148-2,508]; p = 0,008) y embarazo (OR: 1,39; IC 95 % [1,070-1,820]; p = 0,014) y concentraciones < 25-OHD en madres (OR: 1,16; IC del 95 % [1,034-1,292]; p = 0,011). Conclusiones. La deficiencia de vitamina D en madres/niños está asociada con ferropenia/ AF en los niños.

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Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

Cited by 14 publications

References 36 publications

Iron Status of Infants in the First Year of Life in Northern Taiwan

Iron Status of Infants in the First Year of Life in Northern Taiwan

Is there an association between vitamin D level and iron deficiency in children?

¿Existe alguna asociación entre la concentración de vitamina D y la ferropenia en los niños?

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