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Iron and Vitamin B12 Levels in School-Age Children
Isıl Culha Hosceylan1, Tunç Kallemoglu2, Mine Basibuyuk3
1Department of Social Pediatrics, Division of Pediatrics, Istanbul Medipol University.
Insights
Anemia is more prevalent in school-age girls, while vitamin B12 deficiency affects adolescent boys more frequently. Monitoring iron and vitamin B12 is crucial for children's health.
Area of Science:
- Pediatric Nutrition
- Hematology
- Public Health
Background:
- Micronutrient deficiencies, including iron and vitamin B12, are prevalent in school-aged children.
- These deficiencies can impede growth and cognitive development.
Purpose of the Study:
- To assess iron and vitamin B12 levels in school-aged children.
- To identify prevalence and risk factors for deficiencies.
Main Methods:
- Retrospective cross-sectional study of 234 children (ages 6-18) at a Family Medicine Unit.
- Evaluated hemogram, serum iron, total iron-binding capacity, ferritin, and vitamin B12 levels.
Main Results:
- Anemia prevalence was 9.4% (higher in girls).
- Iron deficiency anemia found in 3.4% of children.
- 56.3% had low ferritin levels.
- Vitamin B12 deficiency affected 40.6%, particularly adolescent boys (ages 12-18).
Conclusions:
- Anemia is more common in school-age girls.
- Vitamin B12 deficiency is more prevalent in adolescent boys.
- Regular monitoring of iron and vitamin B12 is essential for child health.
Objective:
Iron and vitamin B12 deficiencies remain widespread among school-age children, contributing to growth and developmental issues. This study aimed to investigate iron and vitamin B12 levels in school-age children.
Materials And Methods:
A cross-sectional study was conducted at a Family Medicine Unit in Istanbul. Hemogram, serum iron, total iron-binding capacity, ferritin, and vitamin B12 levels of 6 to 18-year-old children under regular follow-up were retrospectively evaluated.
Results:
The study included 234 children (115 boys, 119 girls; mean age: 9.9±3.2 y). Anemia prevalence was 9.4%, significantly higher in girls (13.4%) than boys (5.2%). Iron deficiency anemia was detected in 3.4% without significant gender or age variation. Ferritin levels were below 12 ng/mL in 56.3% of cases, with a significant difference between genders. Mean vitamin B12 level was 261.5±162.9 pg/mL (boys: 217.3±173.9; girls: 275.2±151.1). Vitamin B12 deficiency affected 40.6% of children, particularly boys and those age 12 to 18 years of age (P<0.05). No correlation was found between vitamin B12 levels and other parameters except hemoglobin.
Conclusion:
While anemia is more common in school-age girls, vitamin B12 deficiency has been found to be more common in adolescent boys. Regular monitoring of anemia, iron and vitamin B12 levels in school-age children is critical for a healthy future.
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