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Arch Pediatr Adolesc Med. 1997 Oct;151(10):986-8.

Iron deficiency in 1- to 3-year-old children. A pediatric failure?

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1
Department of Pediatrics, Wyckoff Heights Medical Center, Brooklyn, NY, USA.

Abstract

OBJECTIVE:

To determine the prevalence of iron deficiency and iron deficiency anemia in children aged 1 to 3 years in an urban population.

DESIGN:

Venous blood was measured for levels of hemoglobin, ferritin, free erythrocyte protoporphyrin, and lead in children seen for well-child visits. Children with histories of chronic illness, prematurity, blood dyscrasias, and acute illness were excluded.

SETTING:

The private practice offices of 4 pediatricians in the New York City area.

PATIENTS:

A consecutive sample of 504 children aged 1 to 3 years was included.

RESULTS:

More than one third (35%) of the children demonstrated evidence of iron insufficiency; 7% were iron deficient without anemia, and 10% had iron deficiency anemia.

CONCLUSION:

Because the association of iron deficiency anemia with mental and psychomotor impairment during the first 2 years of life no longer seems to be in doubt, the high prevalence of iron deficiency anemia found in the 1- to 2-year-old children in this study is disturbing. This suggests the need for greater efforts at the prevention of iron deficiency during the second year of life.

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PMID:
9343007
[Indexed for MEDLINE]
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