الفهرس 
IronOnly 14 pages are availabe for public view
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Abstract
Iron deficiency is a common form of micronutrient disorder which leads to anemia, neurocognitive alteration, and physical growth failure of the children, and makes them in greater risk of some illnesses and lower productivity in the future. The prevalence of iron deficiency is one of the highest in the world, although it is difficult to measure in large populations due to lack of rapid and friendly. Iron deficiency condition is often followed by iron deficiency anemia (IDA).
Considering the hazard of iron deficiency for the children in the future, it is extremely important to implement appropriate nutrition program in order to eliminate these serious problems. However, not all nutrition programs are effective enough to tackle the roots of the problems. Yip explained that nutrition education is often ineffective because poverty made the target population could not afford the foods high in iron.
We aimed to estimation of the prevalence and identify possible risk factor of iron deficiency anemia among a representative sample of children from 6 months to 11 years in Kafr El-Sheikh district, Kafr El-Sheikh governorate.
Our study was conducted on 200 asymptomatic children was collected from inpatient and outpatient in Kafr El-Sheikh central hospital in kafr el-sheikh district between January 2020 and January 2022. all participants were determined according to inclusion and exclusion criteria, they were classified into 3 groups: 111 children with iron sufficient status, 28 children with iron deficiency without anemia, and 61 children with iron deficiency with anemia.
Summary
95
Full history taking with anthropometric measures and complete clinical examination, A blood sample was taken to perform hemoglobin concentration in addition to serum ferritin and crp (participants with elevated crp suggestive of infection or inflammation were excluded from this study).
The following case definitions were applicable: iron sufficiency (hemoglobin is ≥11g/dl for children ≤5 years while that for children 5<11 years is ≥11.5 g/dl and serum ferritin is ≥12 μg/L for children ≤5 years while that for children 5<11 years is ≥15 μg/L), iron deficiency without anemia (hemoglobin is ≥11g/dl for children ≤5 years while that for children 5<11 years is ≥11.5 g/dl and serum ferritin is<12 μg/L for children ≤5 years while that for children 5<11 years is <15 μg/L),iron deficiency anemia (hemoglobin is<11g/dl for children ≤5 years while that for children 5<11 years is <11.5 g/dl and serum ferritin is<12 μg/L for children ≤5 years while that for children 5<11 years is <15 μg/L).
Our results revealed that:
High prevalence of iron deficiency anemia in children aged 6 monthes up to 2years (46.51% of childern up to 2years have IDA) which could be attributed to wrong weaning practices, exclusive breastfeeding till late age, or feeding with predominantly diluted feeds.
Anemia is associated with underweight and stunting in age category from 6 monthes up to 5years.
Anemia is associated with overweight in age category from 5years to 11years.
Summary
96
So, we Concluded that the IDA amongst children represents a moderate burden that disproportionately affects the youngest, growth retarded children; from 6 monthes up to 5 years; we found that the prevalence of Iron sufficiency was 53%, 36% of them was IDA while 17% was ID without anemia. After 5 years up to 11 years; we found that the prevalence of Iron sufficiency was 36%, 25% of them was IDA while 11% was ID without anemia; Regarding the Impact of anemia on growth; Underweight with IDA 5%; Overweight with IDA 2%; Obesity with IDA 2%; Wasting with IDA 3 %; Stunting with IDA 4.5.
So, we recommended that national efforts to alleviate the burden of IDA should involve both short term vertical programs such as iron supplementation; Increase awareness of pediatric doctors to the problem; Encourage feeding with rich iron content; Early screening and early treatment of IDA to prevent impact on growth.