アメリカ合衆国における鉄欠乏症の流行
A C Looker1, P R Dallman, M D Carroll
1Division of Health Examination Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Md 20782, USA.
JAMA
|March 26, 1997
まとめ
鉄欠乏症と貧血は,米国の幼児,少女,産卵年齢の女性では依然として一般的です. これらの症状は,全国的に数十万の幼い子供と数百万の女性に影響します.
科学分野:
- 公衆衛生は公衆衛生である.
- 栄養科学とは,栄養科学である.
- エピデミオロジー エピデミオロジー
背景:
- 鉄欠乏症と鉄欠乏性貧血は,世界的な健康上の重大な懸念事項である.
- 米国の人口における有病率データは,標的を絞った介入に不可欠です.
研究 の 目的:
- 米国の人口における鉄欠乏症および鉄欠乏性貧血の有病率を決定する.
- これらの疾患のリスクが高い人口グループを特定する.
主な方法:
- 第3回全国保健栄養調査 (NHANES III) 1988年から1994年のデータを活用した.
- 1歳以上24,894人の全国的に代表的なサンプルを含めた.
- 静脈血の測定で鉄の状態を評価し,検査基準に基づいて鉄欠乏症と貧血を定義しました.
主要な成果:
- 鉄欠乏症の罹患率は,幼児 (1~2歳) で9%,思春期の少女と出産年齢の女性では9~11%であった.
- 鉄欠乏性貧血の罹患率は,幼児の3%で,思春期の少女と出産年齢の女性の2%〜5%でした.
- 少数派,低所得者,および生育年齢の複数組の女性でより高い流行; 高齢者および男性で低い流行.
結論:
- 鉄欠乏症と鉄欠乏性貧血は,米国の特定の人口集団では依然として比較的一般的です.
- 幼児,十代の女の子,そして生育年齢の女性は,公衆衛生の焦点を当てた重要な人口を表しています.
- 調査結果は,鉄欠乏症のモニタリングと予防戦略の継続的な必要性を強調しています.
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