Comparison of Infants with Low Birth Weight and Normal Weight Regarding Anemia at the Age of 12 Months in Yazd
Mohammad Gholshan Tafti1(M.D.),Farideh Ghahvechi2(M.D.)
1.Assistant Professor,Neonatalogist,Islamic Azad University of Yazd, Yazd,Iran.
Email: mgolshan035@gmail.com Tel:09133529433
2.Medical Student, Islamic Azad University of Yazd, Yazd,Iran.
Abstract
Introduction: Anemia is common in both age groups of 9-24 months and adolescence. Considering the fact that anemia in children is associated with various complications such as stunted growth, activity intolerance, behavioral changes, inattention, irritability and changes in the immune response, the aim of this study was to compare the frequency of anemia in infants with normal birth weight and LBW at 12 months of age.
Methods: This was an analytical study using the historical cohort method with a parallel design from February 2017 to July 2016. The study population was all the infants referred to health centers of Yazd at the age of 12 months for vaccination, who were monitored. 100 infants were selected and divided into two groups of 50 with normal birth weight (more than 2500 g) and the birth weight less than 2500 g by simple random sampling, and CBC and ferritin tests were run for them. In this study, the hemoglobin less than 11 was considered anemia, and finally, the data were analyzed by SPSS software.
Results: The results showed that the two groups of the LBW and the normal weight were not different in terms of sex, but the type of feeding was different, and infants of LBW group used more powdered milk. 22% of LBW infants and 38% of normal weight infants were anemic.
Conclusion: According to the results of the study, it seems that the rate of anemia is due to the use of powdered milk, iron supplements with higher doses for LBW infants early on, and better and constant care compared to infants with normal weight. However, more comprehensive studies with larger sample sizes can be effective in explaining these anemia-related factors in LBW infants.
Keywords: Birth weight, Anemia, Infants, Hemoglobin, LBW
Conflict of interest: The authors declared that there is no conflict of interest.
References
1-Wang M. Iron deficiency and other types of anemia in infants and children. American family physician.2016;93(4):270-8
.
2-Behrman RE, Vaughan III VC. Iron Deficiency Anemia. In: Kilegman RM SB, Schor NF, Geme JWST, Behrman RE. Philadelphia, editor. Nelson textbook of pediatrics. 19 ed: WB Saunders company.2011;1655-9
.
3-Mathers C, Stevens G, Mascarenhas M. Global health risks: mortality and burden of disease attributable to selected major risks: World Health Organization. 2009
.
4-Mahajan G, Sikka M, Rusia U, Bhatia M. Iron profile in children with behavioural disorders: a prospective study in a tertiary care hospital in north India. Indian Journal of Hematology and Blood Transfusion.2011;27(2):75-80
.
5-Carter RC, Jacobson JL, Burden MJ, et al. Iron deficiency anemia and cognitive function in infancy. Pediatrics. 2010;126(2):e427-e34
.
6-Alexander G, Wingate M, Mor J, Boulet S. Birth outcomes of Asian-Indian-Americans. International Journal of Gynecology
& Obstetrics. 2007;97(3):215-20
.
7-Delaram M,Ahmadi A.The Incidence and Related Factors of Low Birth Weight. IJN. 2010; 23 (64) :29-36.
8-
Talebian MH,
Afrooz GA,
Hooman HA,
Aghaei A. The relationship between biological cognitive and psychosocial characteristics of mothers and the weight of infant at the time of birth in isfahan province.2010;1(3):85-100.
9-Moreno-Fernandez J, Ochoa JJ, Latunde-Dada GO, Diaz-Castro J. Iron deficiency and iron homeostasis in low birth weight preterm infants: A systematic review. Nutrients. 2019;11(5):1090
.
10-Karimi M. Iron deficiency anemia in children. The Journal of Shahid Sadoughi University of Medical Sciences.2004;12(1):81-90
.
11-Looker AC, Dallman PR, Carroll MD, Gunter EW, Johnson CL. Prevalence of iron deficiency in the United States. Jama.1997;277(12):973-6
.
12-Khorashady zade F, Armat MR. Prevalence of Iron-Deficiency Anemia and some related factors in hospitalized infants aged 6-24 months in the Pediatric Ward of Imam Reza Hospital, Bojnord –Iran in 2009. Journal of North Khorasan University of Medical Sciences.2011;2(4):19-24
.
13-Derakhshan S, Derakhshan R. The prevalence of iron deficiency anemia in 4-6 years old children of kindergardens at rafsanjan city in 2006. journal of rafsanjan university of medical sciences and health services.2007;62(23):72-65
.
14-Motlagh ME, Mardani M. Anemia and Iron deficiency anemia in Lorestan province. Feyz Journal of Kashan University of Medical Sciences.1999;3(11):24-31
.
15-Honarpisheh A, Soltani A. Prevalence of iron-deficiency anemia in 6-36 months old children. Feyz, Kashan University of medical sciences & health services.1999;2(7):71-4
.
16-Heidarnia A, Jalili Z, Dabiri S, Alizadeh M. The prevalence of Iron deficiency anemia in 1-5 years old children referring to Kerman medical care and health centers in 1998. Journal of Kerman university of medical sciences.1999;6(4):214-21
.
17- Ferreia U. Anemia and iron deficiency in school children. american journal of public health. 2007;97(2):239-7
.
18-Shaabani M, Barkhordari K, Ahmadieh M. Iron-deficiency anemia in infancy. Journal of shaheed sadoughi university of medical science. 2004;12(1):24-33
.
19- Lozoff B, Kaciroti N, Walter T. Iron deficiency in infancy: applying a physiologic framework for prediction. The American journal of clinical nutrition. 2006;84(6):1412-21
.
20- Ferri C, Procianoy RS, Silveira RC. Prevalence and risk factors for iron-deficiency anemia in very-low-birth-weight preterm infants at 1 year of corrected age. Journal of Tropical Pediatrics. 2014;60(1):53-60
.
21-Wang J, Liu Y, Zhao Q, Liu T, Zhou Z. A Retrospective Case-Control Study of the Determinants of Iron Deficiency Anemia in Infants in an Urban Community in Shanghai, China Between 2010–2015. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2020;26:e921463-1
.
22- Uijterschout L, Domellof M, Abbink M, Berglund SK, van Veen I, Vos P, et al. Iron deficiency in the first 6 months of age in infants born between 32 and 37 weeks of gestational age. European Journal of Clinical Nutrition.2015;69(5):598-602
.
23-Cho YH, Kim SY, Yi DY, Yun SW, Chae SA, Lim IS, et al. The Need for Early Screening for Iron Deficiency Anemia in 9-to 12-Month-Old Infants. Journal of the Korean Society for Parenteral and Enteral Nutrition.2019;11(2):52-7
.
24- Grmt MA, Abass AS, Yousif MG. Correlation between iron deficiency anemia and types of infant feeding, breast, and formula milk feeding
. Drug Invention Today. 2019;11
.