Korean J Pediatr Gastroenterol Nutr.  2010 Sep;13(2):164-171. 10.5223/kjpgn.2010.13.2.164.

Iron Deficiency Anemia and Vitamin D Deficiency in Breastfed Infants

• Choi EH
• Jung SH
• Jun YH
• Lee YJ
• Park JY
• You JS
• Chang KJ
• Kim SK

• KMID: 1459432
• DOI: http://doi.org/10.5223/kjpgn.2010.13.2.164

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.

Keyword

Iron deficiency anemia; Vitamin D deficiency; Weaning food; Breastfed

MeSH Terms

Anemia
Anemia, Iron-Deficiency
Child
Diet
Hematologic Tests
Humans
Infant
Iron
Mass Screening
Nutritional Status
Risk Factors
Vitamin D
Vitamin D Deficiency
Vitamins
Weaning
Iron
Vitamin D
Vitamins

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