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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   SUMMER 2001 , Volume 6 , Number 2 (22); Page(s) 121 To 129.
 
Paper: 

SCREENING AND DETERMINING THE EFFECTS OF DIET ON IRON DEFICIENCY IN PRESCHOOL CHILDREN IN TEHRAN KINDERGARTENS

 
 
Author(s):  KHOSHNEVISAN F.*, KIMIAGAR SEYED MASOUD, KALANTARI N., VALAEI NASER, SHAHIDI N.
 
* FACULTY OF NUTRITION AND FOOD INDUSTRY, SHAHEED BEHESHTI UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Background: Regarding the high prevalence of iron deficiency and its complications in preschool children, and the necessity of employing combined methods besides supplementary iron, in 1999, the present study was designed to screen iron deficiency in 2-6 aged children of Tehran kindergartens and also to determine the efficacy of diel interventions.
Materials and methods: In the first phase of this descriptive study, 2-6 aged children of 10 kindergartens supervised by Tehran Welfare Society were surveyed. To determine the iron status (anemia, depleted or decreased iron stroage) hemoglobin, serum ferritin, and transferring saturation were all evaluated. Then in the second phase, those diagnosed as iron deficiency anemia were randomly distributed in 3 groups: 1-case, 2- diet improvement via extra meal of citrous fruit after lunch, and 3- parental education according to the food pyramid. A questionnaire was filled before and after the intervention for each child. After 3-month follow up, blood samples were obtained from 62 children to determine the efficacy of interventions on iron deficiency.
Results: Anemia depleted iron storage, and decreased iron storage was reported in 11.4%, 62.8%, and 15.1% of 438 stlldiedchildren,respectively.10.7%of the children were normal No significant statistically difference was found considering hemoglobin and transferring saturation rate???? Before intervention, the serum ferritin was 8.9
±3.1, 9.5±3.7, and 6.9±23 mg/dl in the three groups, respectively, whereas after the intervention it was reported 6.9±3.5, 11.2±5 and 10.7±5.9 mLg/dl, respectively. So considering serum ferritin significant statistically difference was noted between the case group and other two groups. (p<0.05) The frequent usage or fruit and fruit juices after a main meal in the 2nd and 3rd groups have shown significant relation with Serum ferritin.
Conclusion: The frequent usage of enriched fruit juices with vitamin C after a main meal, at least 5 times a week, could induce significant changes in serum ferritin in 3 month. So parents' education would not only increase iron storage but also could prevent iron deficiency and its complications that in turn would maintain healthful life.

 
Keyword(s): SCREENING, IRON DEFICIENCY, DIET, PRESCHOOL CHILDREN
 
References: 
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