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Anemia and iron deficiency in children: association with red meat and poultry consumption
Galit Moshe1, Yona Amitai, Gerard Korchia
1*Department of Management, Health Systems Management Program, Bar Ilan University, Ramat Gan †Meuhedet Health Services ‡Hadassah University Mt Scopus, Jerusalem, Israel.
Insights
Low red meat intake significantly increases iron deficiency (ID) risk in young children, with high poultry consumption offering no protection. This dietary shift poses a growing public health concern for iron status in children.
Area of Science:
- Pediatric Nutrition
- Hematology
Background:
- Anemia and iron deficiency (ID) are prevalent in young children globally.
- Dietary iron sources play a critical role in preventing these conditions.
Purpose of the Study:
- To investigate the dietary contribution of iron sources to anemia and ID in children.
- To assess the impact of specific food consumption on iron status.
Main Methods:
- Cross-sectional study of 263 children aged 1.5–6 years in Jerusalem.
- Blood samples analyzed for hemoglobin and ferritin levels.
- Qualitative Food Frequency Questionnaire assessed iron-rich food intake.
Main Results:
- Prevalence of anemia was 11.2%, ID was 22%, and iron-deficiency anemia was 3.7%.
- Anemia rates were higher in toddlers (1.5–3 years) than older children (3–6 years).
- Low red meat consumption (seldom) correlated with a 4-fold increased risk of ID (OR 3.98).
Conclusions:
- High anemia and ID prevalence in young children is linked to reduced red meat intake.
- Poultry consumption, common in Israel, did not mitigate ID risk.
- Dietary shifts towards lower red meat and higher poultry consumption may increase ID risk in developed nations.
Objective:
The aim of this study was to study the relative contribution of dietary sources of iron in children with high prevalence of anemia and iron deficiency (ID).
Methods:
A cross-sectional study in 263 healthy, 1.5- to 6-year-old children in the Jewish sector of Jerusalem, Israel. Venous blood samples and a qualitative Food Frequency Questionnaire on iron-rich foods were obtained. Anemia was defined as hemoglobin <11 g/dL for children younger than 4 years and <11.5 g/dL for children older than 4 years; ID was defined as ferritin <12 μg/L.
Results:
Anemia was found in 11.2%, ID in 22%, and iron-deficiency anemia in 3.7%. The prevalence of anemia was higher in toddlers ages 1.5 to 3 years compared with children ages 3 to 6 years (17.7% vs 7.3%, P = 0.01). Children with extremely low red meat consumption (seldom) had 4-fold higher rates of ID than those who consumed ≥2 times per week (odds ratio 3.98; 95% confidence interval 1.21-13.03; P = 0.023), whereas poultry consumption was not associated with ID. Soy consumption was inversely associated with ferritin (marginally significant, r = -0.134, P = 0.057).
Conclusions:
The high prevalence of anemia and ID found in this study, mainly in children 1.5 to 3 years old, is related to low red meat consumption. The characteristically high poultry consumption in the Israeli population was not protective. The shift toward reduced red meat consumption and higher poultry consumption in developed countries may result in increasing the risk of ID.
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