| Milk Feeding Methods and the Changes of Serum Lactate Level in Infants with Iron Deficiency Anemia |
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Du Young Choi, Jong Duck Kim |
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Department of Pediatrics, School of Medicine, Wonkwang University, Iksan, Korea |
| 영유아기 철결핍성 빈혈 환아에서 수유방법과 혈청유산치 변화 |
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최두영, 김종덕 |
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원광대학교 의과대학 소아과학교실 |
Correspondence:
Du Young Choi, Email: 1
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| Abstract |
Purpose
: Infants undergo critical and rapid stages of growth. Optimal nutrition during this period
is therefore essential. Iron deficiency is especially impotant and common. The aim of this study
was to determine the present status and problems of milk feeding methods in infants with iron
deficiency anemia and, futhermore, to develop appropriate feeding guidelines for adequate iron
nutrition. Latate is the end product of the anaerobic metabolism of glucose. Also we studied the
changes of serum lactate level in this patients and calculated correlations between serum lactate
level and diagnostic parameters of iron deficiency anemia.
Methods
: We studied 42 children with iron deficiency anemia who visited Wonkwang university
hospital from February 1995 to July 1996. We analyzed the type and duration of milk feeding
method
. And we measured serum lacate level and diagnostic parameters of iron deficiency anemia.
Results
: The mean age was 17.0 months and male to female ratio was 7:1. On the analysis of
milk feeding methods the breast feeding, the cow' s milk, the mixed feeding were 73.8%, 11.9%,
14.3% respectively. The breast feeding group distributed mainly from 6 month to 18 month and 1
patient showed prolonged breast feeding until 48 month. We checked serum lactate level in 22
subjects. The mean serum lactate level was increased than normal adult level but there were no
significant correlation between serum lactate level and diagnostic parameters of iron deficiency
anemia(Hb, Hct, MCV, MCH, MCHC, serum iron, TIBC, ferritin).
Conclusion
: The most common problem of milk feeding method in infants with iron deficiency
anemia was prolonged breast feeding and some infants fed excessive cow' s milk. We need correct
and proper education about merits and disadvantages of breast and cow' s milk feeding to mothers.
The mean serum lactate level in children with iron deficiency anemia was increased but serum
lacate level can' t use a diagnostic parameter of iron deficiency anemia. |
| Key Words:
Iron deficiency anemia, Milk feeding method, Serum lactate level |
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