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Published on: January 21, 2018
Iron Deficiency in Preschool Children with Chronic Rhinitis
1Department of Pediatrics, Cheng Hsin General Hospital, Taipei, Taiwan.
Insights
Nearly half of preschool children with chronic rhinitis have iron deficiency (ID). Higher neutrophil and monocyte counts were linked to iron deficiency in these children, suggesting an immune system connection.
Area of Science:
- Pediatric Allergy and Immunology
- Pediatric Hematology
- Pediatric Respiratory Medicine
Background:
- Iron deficiency (ID) is associated with inflammatory conditions.
- Chronic rhinitis is a common respiratory inflammatory disorder in children.
- Understanding ID in pediatric chronic rhinitis is crucial.
Purpose of the Study:
- To determine the prevalence of iron deficiency in preschool children with chronic rhinitis.
- To investigate the association between iron deficiency and chronic rhinitis in this age group.
Main Methods:
- A cross-sectional study included 72 children aged 3-7 years with chronic rhinitis.
- Iron deficiency was defined by transferrin saturation <20% or ferritin <15 ng/mL.
- Logistic regression analysis identified factors associated with ID.
Main Results:
- The prevalence of iron deficiency was 47.2% among children with chronic rhinitis.
- Absolute iron deficiency was found in only 5.9% of affected children.
- Neutrophils (OR=1.205) and monocytes (OR=1.803) were significantly associated with ID.
Conclusions:
- A substantial prevalence of iron deficiency exists in preschool children with chronic rhinitis.
- The association of neutrophils and monocytes with ID suggests innate immunity involvement.
- Further research into the interplay between iron status and pediatric rhinitis is warranted.
Abstract:
Iron deficiency (ID) has been intricately linked with various inflammatory diseases. Chronic rhinitis stands as one of most common respiratory inflammation disorders in children. This study aimed to investigate the prevalence of ID among preschool children with chronic rhinitis and to explore the association between ID and chronic rhinitis in this population. This cross-sectional study included children aged 3 to 7 years diagnosed with chronic rhinitis. ID was defined as transferrin saturation <20%, with absolute ID being defined as ferritin <15 ng/mL. Logistic regression analyses were performed to identify factors associated with ID. A total of 72 children with chronic rhinitis were included, revealing a prevalence of ID of 47.2%. Only 5.9% children with ID exhibited absolute ID. Multivariate analysis revealed that neutrophils (odds ratio [OR] = 1.205, 95% confidence interval [CI] = 1.013-1.433, P = 0.035) and monocytes (OR = 1.803, 95% CI = 1.198-2.713, P = 0.005) were independently and significantly associated with ID. This study revealed a notable prevalence of ID in the preschool children with chronic rhinitis. The significant association between neutrophils and monocytes with ID implied an intricate involvement of innate immunity in the manifestation of ID.
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