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Is there an association between vitamin D level and iron deficiency in children?
Meriç Kaymak Cihan1,2, Elif Ünver Korğalı3
1Division of Pediatric Hematology and Oncology, Department of Pediatrics, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
Insights
Maternal and child vitamin D (VitD) deficiency is linked to iron deficiency and anemia (IDA) in young children. Ensuring adequate VitD levels in mothers and children is crucial for preventing pediatric IDA.
Area of Science:
- Pediatric Hematology
- Nutritional Science
- Public Health
Background:
- Vitamin D plays a role in erythropoiesis, the process of red blood cell formation.
- Iron deficiency anemia (IDA) is a prevalent nutritional disorder in young children globally.
- Understanding the interplay between vitamin D and iron status is essential for effective prevention strategies.
Purpose of the Study:
- To investigate the association between maternal and child 25-hydroxyvitamin D (25-OHD) levels and the prevalence of iron deficiency (ID) and IDA.
- To identify risk factors for IDA in children aged 6 months to 5 years, considering both vitamin D and iron status.
Main Methods:
- A cross-sectional study involving 117 children aged 6 months to 5 years and their mothers.
- Measurements included complete blood count, serum iron, total iron-binding capacity, ferritin, and 25-OHD levels.
- Data on infant and maternal supplementation, breastfeeding, and medical history were collected.
Main Results:
- Children and mothers in the iron deficiency/anemia group exhibited significantly higher rates of vitamin D deficiency compared to the control group.
- Lower maternal 25-OHD levels were identified as an independent risk factor for IDA in children.
- Positive correlation observed between hemoglobin levels and maternal/child 25-OHD.
Conclusions:
- Maternal and child vitamin D deficiency is significantly associated with iron deficiency and anemia in children aged 6 months to 5 years.
- This highlights the importance of monitoring and ensuring adequate vitamin D status in both mothers and young children to prevent pediatric IDA.
Introduction:
Vitamin D (VitD) affects the erythropoiesis. The aim of this study was to evaluate the association between maternal/child 25-OH VitD (25-OHD) levels and iron deficiency (ID) and anemia (IDA) in children aged 6 months-5 years.
Population And Methods:
Between September 2014 and January 2016 children who were admitted to outpatient clinic were included to study. We excluded the children with acute or chronic infection, malnutrition, chronic disease and preterm birth history. Complete blood count, serum iron, total iron binding capacity, ferritin, 25-OHD levels were examined from children and their mothers. Iron and VitD supplementation during infancy and pregnancy and breastfeeding history were questioned.
Results:
The study included totally 117 children. There were 67 children with ID/IDA [Group 1, mean age (years):2.05±1.24 (0.5-5)] and 50 normal children [Group 2, mean age (years): 1.87±1.12 (0.58-5)]. There were more VitD deficient children and mothers in Group 1 than in Group 2 (respectively, children 49.3 % vs. 20 % p=0.002; mothers 94 % vs.64 %, p=<0.001). There was a positive correlation between hemoglobin levels of children and maternal/child 25-OHD.The independent risk factors for IDA in children were longer exclusively breastfeeding time (odds ratio [OR], 0.35; 95 % confidence interval [CI], 0.1550.789; p=0.011), shorter duration of regular iron supplementation during infancy and pregnancy (infancy: OR,1.69; 95 % CI 1.148-2.508; p=0.008. pregnancy: OR,1.39; 95 % 0,1.070-1.820; p=0.014) and lower maternal 25-OHD level (OR,1.16; 95 % 0,1.034-1.292; p=0.011).
Conclusions:
Maternal/child VitD deficiency is associated with ID/IDA in children aged 6 months-5 years.
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