title: Is there any relation between Duration of breastfeeding and anemia?
abstract: BACKGROUND
  In the early months of life, Breastfeeding increases chance of survival, reduces recovery time after disease and mortality due to infections such as diarrhea and acute respiratory infections. However, infants who are exclusively breast-fed for more than 6 months in developing countries may be at increased risk of anemia. Therefore, the aim of study was to assess the relation between duration of breastfeeding and anemia.
  
  
  METHODS
  In this analytical cross-sectional study, 400 neonates registered in primary health care system since birth time. Complete blood count and serum ferritin were obtained. Data were analyzed by chi- square test and regression analysis. P-value less than 0.05 was considered significant and 95% confidence interval was noted.
  
  
  RESULTS
  Results of this study showed that 199 infants were anemic (Hemoglobin (Hb) concentration <11 mg/dl). Ten percent of anemic patients reported Ferritin< 12ng/dl and %25 of anemic children had iron deficiency anemia (IDA). In Binominal logistic regression, merely kind of delivery and duration of breastfeeding were effective factors. Binominal logistic regression also showed that natural vaginal delivery and exclusive breastfeeding up to 6 months had a significant influence on anemia. Exclusive breast feeding for 6 months or more increased the likelihood of anemia. In addition, 4 months exclusive breastfeeding decreased 0.686 fold the likelihood of anemia.
  
  
  CONCLUSIONS
  According to the results, it seems that revision of health program recommendations for iron supplementation can be constructive. National planning to promote the level of knowledge regarding natural vaginal delivery and appropriate period for clamping can be recommended.
authors.affiliation: Department of Pediatrics, Breastfeeding Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: H
authors.initials: H
authors.lastname: Dalili
authors.affiliation: Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Baghersalimi
authors.affiliation: Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran.; Guilan Health Center, Guilan University of Medical Sciences, Guilan, Iran.
authors.forename: S
authors.initials: S
authors.lastname: Dalili
authors.affiliation: Guilan Health Center, Guilan University of Medical Sciences, Guilan, Iran.
authors.forename: F
authors.initials: F
authors.lastname: Pakdaman
authors.affiliation: Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Hassanzadeh Rad
authors.affiliation: Guilan Health Center, Guilan University of Medical Sciences, Guilan, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Abbasi Kakroodi
authors.affiliation: Guilan Health Center, Guilan University of Medical Sciences, Guilan, Iran.
authors.forename: S M
authors.initials: SM
authors.lastname: Rezvany
authors.affiliation: Pediatrics Growth Disorders Research Center, School of Medicine, 17th Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran.; Guilan Health Center, Guilan University of Medical Sciences, Guilan, Iran.
authors.forename: Sh
authors.initials: Sh
authors.lastname: Koohmanaei
keywords: Anemia; Breast Feeding; Ferritin; Iron-Deficiency