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Published on: January 2, 2013
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.
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.
Abstract:
Free erythrocyte protoporphyrin (FEP) and hemoglobin (Hgb) concentrations were tested in 790 children in a private pediatric office; results were compared to those obtained in 1984. Only 16 children (2%) had abnormal FEPs in 1990 compared to 76 children (9.6%) in the earlier study. The mean FEP in the normal group also decreased significantly in each age group studied. The hemoglobin concentrations were not significantly different in most of the age groups studied. Screening for iron deficiency in our pediatric practice by determining hemoglobin and FEP concentrations had a much lower yield in 1990 than in 1984.
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