Abstract
Iron deficiency in children has been associated with behavioural disorder and developmental delay. Screening for iron deficiency was offered to all 527 children aged between one and four years in an inner city practice. Half the children belong to an ethnic minority group, and there is widespread social deprivation in the area. Capillary haemoglobin concentration and mean corpuscular volume were estimated in 365 children (69%). Dietary history, birth weight and current weight were also recorded. Fifty-eight (16%) of the children were iron deficient as defined by a mean corpuscular volume of less than 75 fl and/or a haemoglobin concentration of less than 10.5 g dl-1. All were hypochromic and among 23 tested all had serum ferritin levels below 10µg I-1. Twenty-one children (5.8%) were anaemic (haemoglobin concentration less than 10.5 g dl-1). Anaemia was significantly more common among children who were currently underweight but was not related to weight at birth. Iron deficiency was significantly more prevalent in non-Caucasian children – 25.0% compared with 7.8% of Caucasian children. There was also a significant linear decrease in iron deficiency with increasing age. Sex, weight at birth, current weight, whether breast fed, age weaned or whether on a vegetarian diet were not significant factors in iron deficiency. Iron supplements were given to all the children with iron deficiency.
In view of the high prevalence of iron deficiency, all children in the practice are now routinely offered screening for iron deficiency at the age of 14 months. The programme has been welcomed by all parents. It is suggested that screening for iron deficiency should be part of routine child surveillance.
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- Addy D. P. Happiness is: iron. Br Med J (Clin Res Ed) 1986 Apr 12;292(6526):969–970. doi: 10.1136/bmj.292.6526.969. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Aukett M. A., Parks Y. A., Scott P. H., Wharton B. A. Treatment with iron increases weight gain and psychomotor development. Arch Dis Child. 1986 Sep;61(9):849–857. doi: 10.1136/adc.61.9.849. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ehrhardt P. Iron deficiency in young Bradford children from different ethnic groups. Br Med J (Clin Res Ed) 1986 Jan 11;292(6513):90–93. doi: 10.1136/bmj.292.6513.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harris R. J., Armstrong D., Ali R., Loynes A. Nutritional survey of Bangladeshi children aged under 5 years in the London borough of Tower Hamlets. Arch Dis Child. 1983 Jun;58(6):428–432. doi: 10.1136/adc.58.6.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Illingworth R. S. Anaemia and child health surveillance. Arch Dis Child. 1986 Dec;61(12):1151–1152. doi: 10.1136/adc.61.12.1151. [DOI] [PMC free article] [PubMed] [Google Scholar]
- James J. A., Clark C., Ward P. S. Screening Rastafarian children for nutritional rickets. Br Med J (Clin Res Ed) 1985 Mar 23;290(6472):899–900. doi: 10.1136/bmj.290.6472.899. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oski F. A., Honig A. S., Helu B., Howanitz P. Effect of iron therapy on behavior performance in nonanemic, iron-deficient infants. Pediatrics. 1983 Jun;71(6):877–880. [PubMed] [Google Scholar]
- Oski F. A., Honig A. S. The effects of therapy on the developmental scores of iron-deficient infants. J Pediatr. 1978 Jan;92(1):21–25. doi: 10.1016/s0022-3476(78)80063-8. [DOI] [PubMed] [Google Scholar]
- Pollitt E., Soemantri A. G., Yunis F., Scrimshaw N. S. Cognitive effects of iron-deficiency anaemia. Lancet. 1985 Jan 19;1(8421):158–158. doi: 10.1016/s0140-6736(85)91921-x. [DOI] [PubMed] [Google Scholar]
- Walter T., Kovalskys J., Stekel A. Effect of mild iron deficiency on infant mental development scores. J Pediatr. 1983 Apr;102(4):519–522. doi: 10.1016/s0022-3476(83)80177-2. [DOI] [PubMed] [Google Scholar]