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Association between total duration of breastfeeding and iron deficiency
Jonathon L Maguire1, Leila Salehi, Catherine S Birken
1Department of Pediatrics, St Michael's Hospital, Toronto ON M5B 1W8 Canada. jonathon.maguire@utoronto.ca
Insights
Longer breastfeeding duration is linked to lower iron stores in children. Each extra month of breastfeeding increased the risk of iron deficiency, highlighting a need for further research into infant iron health.
Area of Science:
- Pediatric Nutrition
- Hematology
- Public Health
Background:
- Iron deficiency remains a significant global health concern in young children.
- Breastfeeding is widely recommended, but its long-term impact on infant iron status requires ongoing evaluation.
Purpose of the Study:
- To investigate the association between the duration of breastfeeding and iron stores, iron deficiency, and iron deficiency anemia in healthy urban children.
- To quantify the risk of iron deficiency with increasing duration of breastfeeding.
Main Methods:
- A cross-sectional study involving 1647 healthy children aged 1 to 6 years.
- Utilized univariate and adjusted regression analyses to assess the relationship between total breastfeeding duration and iron biomarkers.
- Collected survey, anthropometric, and laboratory data.
Main Results:
- Increased breastfeeding duration correlated with lower serum ferritin levels (P = .0015).
- Each additional month of breastfeeding was associated with a 4.8% increased odds of iron deficiency.
- Children breastfed for over 12 months had a significantly higher odds of iron deficiency (OR = 1.71).
Conclusions:
- Prolonged breastfeeding duration is associated with diminished iron stores in children.
- The findings suggest a clinically relevant link between extended breastfeeding and reduced iron status, necessitating further investigation and potential interventions.
Objective:
To determine whether there is an association between the total breastfeeding duration and iron stores, iron deficiency, and iron deficiency anemia in healthy urban children.
Methods:
A cross-sectional study of healthy children, aged 1 to 6 years, seen for primary health care between December 2008 and July 2011 was conducted through the TARGet Kids! practice-based research network. Univariate and adjusted regression analyses were used to evaluate an association between total breastfeeding duration and serum ferritin, iron deficiency, and iron deficiency anemia.
Results:
Included were 1647 healthy children (median age 36 months) with survey, anthropometric, and laboratory data. An association was found between increasing duration of breastfeeding and lower serum ferritin (P = .0015). Adjusted logistic regression analysis revealed the odds of iron deficiency increased by 4.8% (95% confidence interval: 2%-8%) for each additional month of breastfeeding. Exploratory analysis suggested an increasing cumulative probability of iron deficiency with longer total breastfeeding duration with an adjusted odds ratio of 1.71 (95% confidence interval: 1.05-2.79) for iron deficiency in children breastfed over versus under 12 months of age. The relationship between total breastfeeding duration and iron deficiency anemia did not meet statistical significance.
Conclusions:
Increased total breastfeeding duration is associated with decreased iron stores, a clinically important association warranting additional investigation.
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