Evaluation Of Iron Deficiency Anaemia In Children: - An In Vitro Study.
Evaluation Of Iron Deficiency Anaemia In Children: - An In Vitro Study.
Keywords:
Anaemia, Children, Iron Deficiency Anaemia, PreventionAbstract
Background: Anaemia or anaemia is usually defined as a decrease in the amount of red blood cells (RBCs) or the amount of haemoglobin in the blood.1,2 It can also be defined as a lowered ability of the blood to carry oxygen. There are three main types of anaemia; due to blood loss, due to decreased red blood cell production, and due to increased red blood cell breakdown. Methodology: The material for this study was obtained from children aged 6 months to 12 years. These were the children who either attended outpatient department or were those who were admitted to paediatrics ward of our hospital. Haemoglobin percentage was estimated in all cases diagnosed clinically as anaemic. Those, whose haemoglobin level was below 10gm percent, were taken to be anaemic for the purpose of the study. Results: The incidence of anaemia was high in children below 3 years of age. The maximum incidence was between 1-3 years. In older children anaemia was less frequently seen. The mean haemoglobin values were higher in younger children as compared to older children, the difference however, was not very significant (0.4gm%). Conclusion: Primary prevention of Iron deficiency Anaemia is recommended; the role of secondary prevention through screening programs remains inconclusive but recommended by some professional organizations. Treatment of children identified with IDA includes both dietary counselling and oral iron supplementation. [Parikh A NJIRM 2015; 6(4):6-13]
References
2. Stedman's medical dictionary (28th ed. Ed.). Philadelphia: Lippincott Williams & Wilkins. 2006. p. Anaemia.
3. Rodak BF Haematology: clinical principles and applications. Philadelphia: Saunders. 2007;3; 220
4. Janz, TG; Johnson, RL; Rubenstein, SD. "Anaemia in the emergency department: evaluation and treatment.". Emergency medicine practice 2013;15 (11):1–15.
5. Smith RE. "The clinical and economic burden of anaemia.". The American journal of managed care. 2010:16:S59–66.
6. Martinez LM. Iron fortification of food, Blood XLI 1973:333.
7. Wintrobe MM. iron deficiency and iron deficiency anaemia. Clinical Haematology, 7th edi. Philadelphia, 1974;635.
8. WHO. The medical research programme, 1958;174-80.
9. WHO. Nutritional Anaemia’s. Tech. Report Ser. 1972:503
10. Smith CM. Iron deficiency anaemia, Blood diseases of infancy and childhood, The CV Mosby Co. St. Louis.1972:205-41.
11. JANUS J, MOERSCHEL SK, Byrd RC. Evaluation of anaemia in children. Am Fam Physician. 2010;81(12):1462-1471.
12. Bizzarro MJ, Colson E, Ehrenkranz RA. Differential diagnosis and management of anaemia in the new-born. Pediatr Clin North Am. 2004;51(4):1087–1107
13. Chellan R, Paul L. Prevalence of Iron-Deficiency Anaemia in India: Results from a Large Nationwide Survey. journal of population and social studies 2010;18(2):59-78.
14. WHO, UNICEF, UNU. Iron deficiency anaemia: assessment, prevention, and control. A guide for programme managers. Geneva, World Health Organization. 2001;WHO/NHD/01.3.
15. Earl R, Woteki CE, éd. Iron deficiency anaemia: recommended guidelines for the prevention, detection, and management among U.S. children and women of childbearing age. Washington, DC: National Academy Press, 1993.
16. Dallman PR, Siimes MA, Stekel A. Iron deficiency in infancy and childhood. Am J Clin Nutr 1980;33:86-118. 17. Looker AC, Dallman PR, Carroll MD, Gunter EW, Johnson CL. Prevalence of iron deficiency in the United States. JAMA 1997;277(12):973-6.
18. Greene-Finestone L, Feldman W, Heick H, et al. Prevalence and risk factors of iron depletion and iron deficiency anaemia among infants in Ottawa-Carlton. Can Diet Assoc J 1991;52:20-3.
19. Baker RD, Greer FR, and the Committee on Nutrition, American Academy of Paediatrics. Diagnosis and prevention of iron deficiencyand iron deficiency anaemia in infants and young children. Paediatrics 2010;126:1040-50.
20. DeMaeyer E, Adiels-Tegman M. The prevalence of anaemia in the world. World Health Statistics Quarterly 1985; 38: 302–16.
