Iron deficiency as a risk factor for simple febrile seizures--a case control study

P Leela Kumari1, M K C Nair, S M Nair

  • 1Clinical Epidemiology Resource and Training Centre (CERTC), Medical College, Thiruvananthapuram, Kerala, India. leela_suresh2005@yahoo.co.in

Indian Pediatrics
|July 2, 2011
PubMed

Insights

Iron deficiency significantly increases the risk of simple febrile seizures in children aged 6 months to 3 years. This study highlights iron deficiency as a key risk factor for febrile seizures in young children.

Area of Science:

  • Pediatric Neurology
  • Nutritional Science
  • Epidemiology

Background:

  • Simple febrile seizures are common in children aged 6 months to 3 years.
  • The role of iron deficiency as a risk factor for febrile seizures requires further investigation.

Purpose of the Study:

  • To investigate the association between iron deficiency and simple febrile seizures in children.
  • To determine if iron deficiency is a significant risk factor for simple febrile seizures.

Main Methods:

  • A case-control study was conducted with 154 children diagnosed with simple febrile seizures and 154 age-matched controls.
  • Iron deficiency was diagnosed using WHO criteria, including hemoglobin, red cell distribution width, and serum ferritin levels.
  • Statistical analysis, including univariate and multivariate logistic regression, was performed to assess the association and adjust for confounders.

Main Results:

  • A highly significant association was found between iron deficiency and simple febrile seizures.
  • The crude odds ratio for iron deficiency was 5.34, and the adjusted odds ratio was 4.5, indicating a substantially increased risk.
  • These findings remained significant in both univariate and multivariate analyses.

Conclusions:

  • Iron deficiency is confirmed as a significant risk factor for simple febrile seizures in children aged 6 months to 3 years.
  • Early diagnosis and management of iron deficiency may play a role in preventing febrile seizures in susceptible children.
Abstract

Related Concept Videos

Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Seizures: Classification01:13

Seizures: Classification

Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures l: Introduction01:20

Seizures l: Introduction

Understanding seizures and epilepsy relies on key definitions that help in recognizing, classifying, and managing these disorders. These definitions provide a framework for recognizing, classifying, and managing seizure disorders.DefinitionsA seizure is a sudden, abnormal burst of electrical activity in the brain that can cause changes in awareness, movement, sensation, or behavior, depending on the area involved. Epilepsy is a chronic condition characterized by recurrent, unprovoked seizures,...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.