Iron status in a group of Norwegian children aged 6-24 months

G Hay1, B Sandstad, A Whitelaw

  • 1Institute for Nutrition Research, University of Oslo, Oslo, Norway. hay@waytogo.no

Insights

Mild iron deficiency anemia is present in Norwegian infants and toddlers. Early detection and intervention are crucial for child health services to prioritize iron deficiency prevention and treatment.

Area of Science:

  • Pediatric Nutrition
  • Hematology
  • Public Health

Background:

  • Adequate iron status is crucial for infant and early childhood health and development.
  • Iron deficiency anemia (IDA) is a significant global health concern in young children.
  • Longitudinal data on iron status in Norwegian infants are essential for targeted interventions.

Purpose of the Study:

  • To evaluate the iron status in a cohort of full-term Norwegian children at 6, 12, and 24 months of age.
  • To determine the prevalence of iron deficiency anemia using different diagnostic criteria.
  • To assess the impact of recent fever on iron store measurements.

Main Methods:

  • Longitudinal study of 278 infants at 6 months, 249 at 12 months, and 231 at 24 months.
  • Iron status assessed via hemoglobin (Hb), mean cell volume (MCV), and serum ferritin levels.
  • Iron deficiency anemia defined using established criteria (Hb and ferritin levels).

Main Results:

  • Prevalence of IDA ranged from 3% at 6 months to 12% at 24 months using standard criteria.
  • More restrictive IDA criteria showed a prevalence of 1-5%.
  • Excluding children with recent fever increased the prevalence of depleted iron stores (ferritin <10 microg/l) significantly with age.

Conclusions:

  • Mild iron deficiency anemia is prevalent in otherwise healthy Norwegian infants and toddlers.
  • Iron deficiency prevention and early treatment are a priority for child health services.
  • Further research into factors influencing iron status, such as subclinical infections, is warranted.
Abstract