Kırıkkale Üniversitesi Tıp Fakültesi'ne başvuran çocuklarda demir eksikliği anemisi sıklığı ve beslenme durumu ile ilişkisi
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Date
2005
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info:eu-repo/semantics/closedAccess
Abstract
Amaç: Daha önce bu konu ile ilgili çalışma yapılmamış Kırıkkale ilinde demir eksikliği anemisinin sıklığı ve beslenme durumu ile ilişkisinin araştırılması. Yöntem: Ocak 2001-Temmuz 2001 tarihleri arasında herhangi bir nedenle Kırıkkale Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları polikliniklerine başvuran 1,362 çocuk arasından demir eksikliği anemisi saptanan yaşları 4 ay ile 16 yıl arasında değişen 126'sı erkek (% 55.3), 102'si kız (% 44.7) toplam 228 çocuk (% 16.7) retrospektif olarak değerlendirildi. Çocuklar yaşlarına göre 4-23 ay (Grup 1, n:167), 2-6 yaş (Grup 2, n:50), 7-11 yaş (Grup 3, n:7) ve 12-16 yaş (Grup 4, n:4) olarak 4 gruba ayrıldı. Çalışmaya alınan çocukların dosyalarından antropometrik ölçümleri, beslenme durumları, solukluk, halsizlik, semptomları, pika, hemoglobin, eritrosit sayısı, hematokrit, ortalama eritrosit hacmi, ortalama eritrosit hemoglobini, eritrosit dağılım genişliği, serum demiri, serum demir bağlama kapasitesi ve serum ferritin düzeyleri kaydedildi. Yaş grubuna uygun Hb değeri - 2 SD altında, serum ferritin düzeyi 12 ng/ml altında olan vakalar demir eksikliği anemisi olarak kabul edildi. Bulgular: Anemi saptanan çocukların yaş gruplarına göre dağılımı incelendiğinde, 4-23 ay grubu çocuklarda demir eksikliği anemisinin daha sık olduğu saptandı (% 73). Bu yaş grubundaki çocukların % 43'ünün demirden fakir diyetle beslendiği, % 67'sinin 1 yaş altında inek sütü aldığı, % 19.6'sının malnütrisyonlu olduğu saptandı. Sonuç: Psikomotor gelişim ve zihinsel işlevleri etkileyen demir eksikliği anemisinin Kırıkkale ilinde de özellikle 4-23 ay arası çocuklarda oldukça sık görüldüğü ve bu yaş grubunda uygun beslenme önerileri yönünden dikkatli olunması gerektiği vurgulanmıştır.
Aim: To investigate the frequency of iron deficiency anemia and its association with nutrition in Kırıkkale, where no study on this issue was done before. Methods: Of the 1,362 children who were admitted to the outpatient clinics of Kırıkkale University Medical School Department of Pediatrics for any reason between January 2001-July 2001, 228 were diagnosed as iron deficiency anemia. The files of these children with iron deficiency anemia were retrospectively evaluated and were divided into four groups according to their ages as follows; 4-23 months (Group 1, n:167), 2-6 years (Group 2, n:50), 7-11 years (Group 3, n:7) and 12-16 years (Group 4, n:4). Hemoglobin, red blood cell counts, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, red blood cell volume distribution width, ferritin, serum iron levels and iron binding capacity levels, anthropometric measurements, feeding status, pallor, fatigue and other symptoms and pica were also recorded. Patients having hemoglobin levels under -2 SD for each age group and serum ferritin level under 12 ng/ml were accepted as iron deficiency anemia. Results: The frequency of iron deficiency anemia in 4-23 months old children (73 %) is found to be higher than the other age groups. It has also been found that 43 % of these children were being fed with a diet poor in iron, 67 % of the children consumed cow milk below one year of age, 19.6 % were diagnosed to have malnutrition. Conclusion: We found that iron deficiency anemia which influences the psychomotor development and mental function is high especially in 4-23 months of age group in Kırıkkale and the importance of recommendation of appropriate feeding in this age group is emphasized.
Aim: To investigate the frequency of iron deficiency anemia and its association with nutrition in Kırıkkale, where no study on this issue was done before. Methods: Of the 1,362 children who were admitted to the outpatient clinics of Kırıkkale University Medical School Department of Pediatrics for any reason between January 2001-July 2001, 228 were diagnosed as iron deficiency anemia. The files of these children with iron deficiency anemia were retrospectively evaluated and were divided into four groups according to their ages as follows; 4-23 months (Group 1, n:167), 2-6 years (Group 2, n:50), 7-11 years (Group 3, n:7) and 12-16 years (Group 4, n:4). Hemoglobin, red blood cell counts, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, red blood cell volume distribution width, ferritin, serum iron levels and iron binding capacity levels, anthropometric measurements, feeding status, pallor, fatigue and other symptoms and pica were also recorded. Patients having hemoglobin levels under -2 SD for each age group and serum ferritin level under 12 ng/ml were accepted as iron deficiency anemia. Results: The frequency of iron deficiency anemia in 4-23 months old children (73 %) is found to be higher than the other age groups. It has also been found that 43 % of these children were being fed with a diet poor in iron, 67 % of the children consumed cow milk below one year of age, 19.6 % were diagnosed to have malnutrition. Conclusion: We found that iron deficiency anemia which influences the psychomotor development and mental function is high especially in 4-23 months of age group in Kırıkkale and the importance of recommendation of appropriate feeding in this age group is emphasized.
Description
Keywords
Pediatri, Cerrahi
Journal or Series
Çocuk Dergisi
WoS Q Value
Scopus Q Value
Volume
5
Issue
3
Citation
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