KMID : 0816120100130020164
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Korean Journal of Pediatric Gastroenterolology and Nutrition 2010 Volume.13 No. 2 p.164 ~ p.171
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Iron Deficiency Anemia and Vitamin D Deficiency in Breastfed Infants
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Choi Eun-Hye
Jung Soo-Ho Jun Yong-Hoon Lee Yoo-Jin Park Ji-Yeon You Jeong-Soon Chang Kyung-Ja Kim Soon-Ki
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Abstract
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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¡¾1.8 and 5.9¡¾1.3 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 £¼40% 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.
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KEYWORD
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Iron deficiency anemia, Vitamin D deficiency, Weaning food, Breastfed
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