Normative data of hemoglobin concentration and free erythrocyte protoporphyrin in a private pediatric practice: a

J T Benjamin1, M D Dickens, R F Ford

  • 1Pediatric Associates, Charlottesville, VA 22901.

Clinical Pediatrics
|February 1, 1991
PubMed

Insights

Iron deficiency screening in children using free erythrocyte protoporphyrin (FEP) and hemoglobin (Hgb) showed a significant decrease in abnormal FEP levels from 1984 to 1990. This suggests improved iron status or reduced screening effectiveness in pediatric practices.

Area of Science:

  • Pediatric Medicine
  • Hematology
  • Nutritional Science

Background:

  • Iron deficiency remains a significant public health concern in children.
  • Screening methods like hemoglobin (Hgb) and free erythrocyte protoporphyrin (FEP) are used to detect iron deficiency.
  • Changes in prevalence or screening practices may impact detection rates.

Purpose of the Study:

  • To compare the prevalence of abnormal free erythrocyte protoporphyrin (FEP) and hemoglobin (Hgb) concentrations in children between 1984 and 1990.
  • To evaluate the effectiveness of iron deficiency screening in a pediatric practice over time.

Main Methods:

  • Cross-sectional study analyzing FEP and Hgb levels in 790 children in a private pediatric office.
  • Comparison of data from 1990 with a previous study conducted in 1984.
  • Analysis of abnormal FEP and Hgb concentrations across different age groups.

Main Results:

  • A significant decrease in abnormal FEP levels was observed, from 9.6% in 1984 to 2% in 1990.
  • The mean FEP in the normal group also decreased significantly across all studied age groups.
  • Hemoglobin concentrations did not show significant differences in most age groups between the two study periods.

Conclusions:

  • The yield of iron deficiency screening using Hgb and FEP concentrations was substantially lower in 1990 compared to 1984.
  • The findings may indicate improved iron status in the pediatric population or a need to re-evaluate current screening strategies.

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