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Iron deficiency in Australian‐born children of Arabic background in central Sydney
Author(s) -
Karr Margaret A,
Mira Michael,
Alperstein Garth,
Labib Samia,
Webster Boyd H,
Lammi Ahti T,
Beal Patricia
Publication year - 2001
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2001.tb143208.x
Subject(s) - mean corpuscular volume , iron deficiency , medicine , arabic , ferritin , odds ratio , pediatrics , iron status , anemia , demography , logistic regression , hematocrit , sociology , linguistics , philosophy
Objectives To determine the prevalence of iron depletion and deficiency, and iron‐deficiency anaemia, along with risk factors for iron depletion, in Australian‐born children aged 12–36 months of Arabic‐speaking background. Design Community‐based survey. Setting Central Sydney Area Health Service (CSAHS), NSW, April to August, 1997. Participants All children born at five Sydney hospitals between 1 May 1994 and 30 April 1996, whose mothers gave an Arabic‐speaking country of birth and resided in the area served by the CSAHS. Main outcome measures Full blood count (haemoglobin, mean corpuscular haemoglobin, mean corpuscular volume), plasma ferritin concentration, haemoglobin electrophoresis, potential risk factors for iron depletion. Results Families of 641 of the 1161 eligible children were able to be contacted, and 403 agreed to testing (response rate, 62.9% among those contacted). Overall, 6% of children had iron‐deficiency anaemia, another 9% were iron deficient without anaemia, and 23% were iron depleted. Multiple logistic regression analysis showed three significant independent risk factors for iron depletion: <37 weeks' gestation (odds ratio [OR], 5.88, P = 0.001); mother resident in Australia for less than the median time of 8.5 years (OR, 1,96, P = 0.016); and daily intake of > 600 mL cows' milk (OR, 3.89, P = < 0.001). Conclusion Impaired iron status is common among children of Arabic background, and targeted screening is recommended for this group.