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KMID : 1130320090520020159
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Korean Journal of Pediatrics
2009 Volume.52 No. 2 p.159 ~ p.166
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Weaning food practice in children with iron deficiency anemia
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Chang Joo-Hee
Kim Soon-Ki
Park Sang-Kyu
Ryu Kyung-Ha
Yoo Eun-Sun
Lim Jae-Young
Lee Kun-Soo
Choi Byung-Kyu
Kim Heung-Sik
Choi Eun-Jin
Jun Yong-Hoon
Lee Kwang-Chul
Choi Du-Young
Cheong Woo-Sik
Lyu Chuhl-Joo
Choi Bong-Soon
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Abstract
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Purpose : Iron deficiency anemia (IDA) is one of the most common nutritional deficiencies in children on a weaning diet. We investigated weaning practices in infants and children, as well as their mothers’ knowledge about weaning.
Methods : We investigated 1 2 9 children with IDA and 1 6 6 without IDA (aged 6 -3 6 months) who had visited 1 0 university hospitals between March 2 0 0 6 and July 2 0 0 7 . We investigated the hematologic values of both groups. A questionnaire on weaning was answered by the mothers of these children.
Results : The hematologic values in the IDA group showed a significant difference from those in the comparison group (P< 0 .0 5 ). Children who were solely breastfed until 6 months of age were 85%, 3 4% (P<0 .0 5 ), and weaning was started by 6 .3 , 6 .4 months, respectively (P>0 .0 5 ). Rice gruel, boiled rice, and fruit juice accounted for approximately 8 0% of the starting foods in both groups (P>0 .0 5 ). Only 40% of the children in the IDA group had a balanced diet within a month, versus 3 8% in the comparison group. In response to questions about the necessity of iron-fortified foods for breast-fed infants, less than 5 0% of mothers in both groups answered correctly. In the IDA group, 4 2% showed serum ferritin less than 1 0 ng/ mL, while 92% showed serum MCV less than 7 2 fL.
Conclusion : In conclusion, collection of information on history should be thorough for feeding and selective examinations for IDA in high-risk groups. Considering the adaptation period, we suggest beginning children on a weaning diet at 45 months. In addition, we need to educate mothers on weaning practice, especially on the necessity of iron-fortified foods for breast-fed infants.
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KEYWORD
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Iron deficiency anemia, Weaning, Nutrition, Knowledge
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