Population prevalence and risk factors for iron deficiency in Auckland, New Zealand

Cameron C Grant1, Clare R Wall, Deborah Brunt

  • 1Department of Paediatrics, University of Auckland, Auckland, New Zealand. cc.grant@auckland.ac.nz

Insights

Iron deficiency (ID) affects 14% of young children in New Zealand, with prevalence varying by ethnicity. Factors like higher body mass index and not receiving infant formula increase the risk of iron deficiency.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Hematology

Background:

  • Previous iron deficiency (ID) prevalence estimates in young New Zealand children were limited by sampling bias and imprecise definitions.
  • Accurate data is crucial for understanding and addressing nutritional deficiencies in vulnerable populations.

Purpose of the Study:

  • To accurately estimate the prevalence of iron deficiency (ID) in children aged 6-23 months in New Zealand.
  • To identify factors associated with ID in this age group.

Main Methods:

  • An ethnically stratified random sample of 324 children aged 6-23 months in Auckland, New Zealand, enrolled between 1999-2002.
  • Exclusion of children with elevated C-reactive protein (>4 mg/L).
  • ID defined by two or more abnormal values for serum ferritin, iron saturation, and mean cell volume; analyses adjusted for clustering and weighted for ethnic stratification.

Main Results:

  • The prevalence of iron deficiency (ID) was 14% (95% CI 9-17%).
  • ID prevalence varied significantly by ethnicity (Maori 20%, Pacific 17%, other 27%, NZ European 7%; P = 0.005) but not social deprivation.
  • Increased risk of ID was associated with a body mass index ≥18.5 kg/m² (RR = 4.34) and receiving no infant or follow-on formula (RR = 3.60).

Conclusions:

  • Iron deficiency (ID) is prevalent in young New Zealand children, highlighting a significant public health concern.
  • Ethnic variations in ID prevalence suggest cultural practices influence iron status.
  • Rapid growth and consumption of non-modified milk increase the risk of ID in young children.
Abstract

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