title: Iron status and anaemia in preschool children in Sydney.
abstract: The purpose of this study was to determine the iron status of preschool children in Sydney. We assessed 678 children aged 9 to 62 months living in 32 randomly selected census collection districts in central and southern Sydney for iron status using plasma ferritin; of these 678 children, 542 had zinc protoporphyrin tests, red cell indices and haemoglobin tests. Risk factors for iron deficiency were assessed by an administered questionnaire. Overall, the prevalence of iron depletion was 10.5 per cent, iron deficiency 2.8 per cent and iron deficiency anaemia 1.1 per cent. The 24-to-35-month age group (176 children) had the highest prevalence of iron deficiency anaemia of 3.0 per cent although iron depletion (18.7 per cent) and iron deficiency (5.4 per cent) were highest among the 9-to-23-month age group (182 children). Low iron status was related to age of under 24 months (odds ratio (OR) 2.86,95 per cent confidence interval (CI) 1.72 to 4.76). After adjustment for this age effect, the consumption of red meat fewer than four times a week was significantly associated with iron depletion (OR 2.27, CI 1.25 to 4.17) and there was a tendency for children who were being given a vitamin supplement to be less likely to be iron depleted (OR 4.00, CI 0.95 to 16.67). Iron deficiency and iron deficiency anaemia do not represent a major public health problem in preschool children in Sydney. However, for children in the age range of 12 to 36 months there is scope for interventions to further reduce the prevalence of iron deficiency anaemia.
authors.affiliation: Division of General Practice, Central Sydney Area Health Service.
authors.forename: M
authors.initials: M
authors.lastname: Karr
authors.forename: G
authors.initials: G
authors.lastname: Alperstein
authors.forename: J
authors.initials: J
authors.lastname: Causer
authors.forename: M
authors.initials: M
authors.lastname: Mira
authors.forename: A
authors.initials: A
authors.lastname: Lammi
authors.forename: M J
authors.initials: MJ
authors.lastname: Fett
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000453:epidemiology*; D002675:Child, Preschool; D004909:Erythrocyte Indices; D005260:Female; D005293:Ferritins / Q000097:blood*; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007223:Infant; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors
chemical_list: D006454:Hemoglobins; D005293:Ferritins