【Objective】 To observe the anemia incidence and related factors in infants and young children in Shanghai. 【Methods】 Healthy full-term singleton 6 months old infants were recruited and followed.Hemoglobin and red blood cell mass were screened,anthropometric were measured,and feeding information were collected at 6,12,and 24 months old. 【Results】 A total of 189 infants were recruited at 6 months old,149 infants completed the follow-up at 12 months old,and 101 young children completed the follow-up at 24 months old.The incidences of anemia were 18.0%,15.4% and 10.9% at 6,12,24 months old respectively.Most of infants and young children were microcytic anemia.At 6 months old,compared with non-anemia infants,statistically more anemia infants had complementary feeding before 4 months old and without meat at 6 months old (P<0.01). 【Conclusions】 In infants and young children in Shanghai,anemia still existed;the universal hemoglobin screening test might be necessary;iron deficiency,which caused by too early feeding complementary food and too late introduceing meat,is the main reason of anemia.
Key words
anemia /
hemoglobin /
infant /
children
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References
[1] Osendarp SJM,Murray-kolb L,Black MM.Case study on iron in mental development - in memory of John Beard (1947-2009)[J].Nutr Rev,2010,68(S):48-52.
[2] 中国儿童铁缺乏症流行病学调查协作组.中国7个月~7岁儿童铁缺乏症流行病学的调查研究[J].中华儿科杂志,2004,42(12):886-891.
[3] 中华医学会儿科学分会儿童保健学组,《中华儿科杂志》编辑委员会.儿童微量营养素缺乏防治建议[J].中华儿科杂志,2010,48(7):502-509.
[4] Baker RD,Greer FR,The Committee on Nutrition.Clinical report-diagnosis and prevention of iron deficiency and iron-deficiency anemia in infant and young children (0~3 years of age)[J].Pediatrics,2010,126(5):1040-1049.
[5] Brotanek JM,Gosz J,Weltzman M,et al.Iron deficiency in early childhood in the United States:Risk factors and racial/ethnic disparities[J].Pediatrics,2007,120(3):568-575.
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