| The Correlation between the Duration of Breast Feeding and Iron Deficiency Anemia(IDA) |
|
Yee Ja Kang, Ha Sin Park, Hae Jin Choeh, Kyuchul Choeh |
|
Department of Pediatrics, Eulji General Hospital, Taejon, Korea |
| 모유 영양의 기간과 철결핍성 변혈과의 관련성 |
|
강의자, 박하신, 최혜진, 최규철 |
|
대전을지병원 소아과 |
|
|
|
|
| Abstract |
Purpose
: Iron deficiency anemia(IDA) is the most common nutritional deficiency. in young infants. This study was designed to determine a correlation between the duration of breast feeding and the severity of IDA, and to determine the recommending start point of iron fortified diet.
Methods
: The correlation between duration of breast feeding, and severity of iron deficiency. and IDA was evaluated among 50 infants who were inpatients diagnosed as IDA. Duration of breast feeding[1. age of exclusively breast-feeding(group A), 2. age that the ratio of breast feeding to weaning diet become 1:1(group B), and 3. age of complete weaning diet(group C)], Hb, Hct, MCV, MCH, RDW, PDW, reticulocyte, serum iron, ferritin, and TIBC were checked.
Results
: 1) The mean age was 14.5 months and male to female ratio was 4.5:1
2) The mean Hb level was 8.76g/dl
3) The mean of duration of group A, B and C was 7 months, 11 months, and 12 months, respectively.
4) Serum Hb showed moderate correlation with(r=0.42, p<0.03) group C. Serum iron showed moderate correlation with(r=0.47, p<0.006) group A. RDW showed high correlation with(r=0.67, p=0.0008) group C.
Conclusion
: Serum hemoglobin decreament occurs about 5 months after iron deficiency. RDW is the most sensitive indicator of IDA. We consider that an iron-fortified diet should be started on less than 7 months of age. |
| Key Words:
Breast feeding, Iron deficiency anemia |
|
PDF Links
Download Citation
