Öz
Aim: The aim of this study is to assess the current status of the national iron supplementation program and the utilization of iron prophylaxis in the society, taking into account factors such as education, socioeconomic status, and the recommendations provided by healthcare professionals.
Materials and Methods: A total of 540 patients Children aged 4-24 months admitted to the Pediatrics Outpatient Clinic were evaluated and a total of 540 patients were surveyed. The children were asked whether they used or not regular iron prophylaxis between 4 and 12 months. The data were analyzed using the SPSS 22 software package program
Results: In our study, it was found that 50.8% of children did not use iron prophylaxis or used it irregularly. The most common side effects reported were constipation, diarrhea, and vomiting. Significantly higher rates of supplement use were observed among children with parents who had higher education and income levels. (Mother's education; p=0.026, father's education; p<0.001, income level; p=0.015)
Conclusion: The fact that more than half of the participants in the study did not use iron supplementation or used it irregularly highlights the inadequate access to adequate iron prophylaxis for children. Healthcare professionals should allocate time to families and provide information about iron supplementation.
Anahtar Kelimeler
Destekleyen Kurum
none
Proje Numarası
none
Kaynakça
- Karapinar TH, Bildik O, Köker SA, et al. Altı ay-2 yaş arasıçocuklarda profilaktik demir kullanımının değerlendirilmesi. J Pediatr Res.2017; 4: 156-160.
- World Health Organization. Nutritional anaemias: tools for effective prevention and control. (2017). Available at: https://www.who.int/publications/i/item/9789241513067. (Accessed on July, 2023).
- Stoffel NU, Uyoga MA, Mutuku FM, et al. Iron deficiency anemia at time of vaccination predicts decreased vaccine response and iron supplementation at time of vaccination increases humoral vaccine response: a birth cohort study and a randomized trial follow-up study in kenyan infants. Front Immunol. 2020; 11: 1313.
- Miniello VL, Verga MC, Miniello A, Di Mauro C, Diaferio L, Francavilla R. Complementary feeding and iron status: “the unbearable lightness of being” infants. Nutrients. 2021; 13: 4201.
- Lozoff B, Smith JB, Clark KM, Perales CG, Rivera F, Castillo M. Home intervention improves cognitive and social emotional scores in iron-deficient anemic infants. Pediatrics. 2010; 126: 884–894.
- Çullas-İlarslan NE, Günay F, İleri DT, Elhan AH, Ertem M, Arsan S. Investigation of the frequency of iron insufficiency among infants in a population in which routine iron supplementation is implemented. Turk J Pediatr. 2018; 60: 22-31.
- World Health Organization. Available at: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-anaemia-in-children-under-5-years. (Accessed on July, 2023).
- Gupta PM, Perrine CG, Mei Z, Scanlon KS. Iron, anemia, and iron deficiency anemia among young children in the United States. Nutrients. 2016;8: 330.
- Mutafoğlu Z, Kural B. Demir profilaksisi alan çocukların dokuzuncu ve yirmi dördüncü ayda demir eksikliği durumu. Çocuk Dergisi. 2019; 19: 16.
- World Health Organization., Guideline, Daily iron supplemantation in infants and children. (2016). Available at:https://www.who.int/publications/i/item/9789241549523 (Accessed on July, 2023)
- Powers JM, Buchanan GR. Diagnosis and management of iron deficiency anemia. Hematol Oncol Clin North Am. 2014; 28:729-745.
- Sandoval C, Jayabose S, Eden AN. Trends in diagnosis and management of iron deficiency during infancy and earlychildhood. Hematol Oncol Clin North Am 2004; 18:1423-1438.
- Lutter CK. Iron deficiency in young children in low-income countries and new approaches for its prevention. J Nutr. 2008; 138:2523-2528.
- Akgül N. Demir eksikliği anemisi olan çocukların beslenme alışkanlıkları (Master's thesis, İstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü), 2017.
- Yalçın SS, Tezel B, Yurdakök K, et al. A community-based iron supplementation program, “Iron-Like Turkey”, and the following prevalence of anemia among infants aged 12-23 months. Turk J Pediatr. 2013; 55: 16-28.
- Yazıcı S, Çelik T, Seyrek K. Çocukluk çağında anemi sıklığı. Behcet Uz Cocuk Hast Derg. 2012; 2: 6-9.
- Pasricha SR, Hayes E, Kalumba K, Biggs BA. Effect of daily iron supplementation on health in children aged 4–23 months: a systematic review and meta-analysis of randomised controlled trials. Lancet Glob Health 2013; 1:77–86.
- Ali NS, Zuberi RW. The relationship of socio-demographic factors with iron deficiency anaemia in children of 1-2 years of age. JPMA. 2001;51: 130-132.
- Semedo RM, Santos MM, Baião MR, Luiz RR da Veiga GV. Prevalence of anaemia and associated factors among children below five years of age in Cape Verde, West Africa. J Health Popul Nutr.2014; 32: 646.
- Prieto-Patron A, Van der Horst K, Hutton ZV, Detzel P. Association between anaemia in children 6 to 23 months old and child, mother, household and feeding indicators. Nutrients, 2018;10: 1269.
Öz
Amaç: Bu çalışmanın amacı, eğitim, sosyoekonomik durum ve sağlık profesyonellerinin önerileri gibi faktörleri dikkate alarak, ulusal demir takviye programının mevcut durumunu ve toplumun demir profilaksi kullanımını değerlendirmektir.
Gereç ve Yöntem: Çocuk Sağlığı ve Hastalıkları Kliniğine başvuran 4-24 aylık çocuklar değerlendirildi ve toplam 540 hastaya anket uygulandı. Çocuklara 4-12 ay arası düzenli demir profilaksisi kullanıp kullanmadıkları soruldu. Analizler SPSS 22 paket programı kullanılarak yapıldı.
Bulgular: Çalışmamızda demir profilaksisi kullanmayan veya düzensiz kullanan çocukların oranı %50,8 idi. Kabızlık, ishal ve kusma en sık görülen yan etkilerdi. Ebeveyn eğitimi ve gelir düzeyi yüksek olanların preparat kullanım oranları anlamlı olarak daha yüksekti. (Anne eğitimi; p=0,026, baba eğitimi; p<0,001, gelir düzeyi; p=0,015)
Sonuç: Katılımcıların yarısından fazlasının demir takviyesi kullanmayan veya düzensiz kullanan grupta yer alması çocukların yeterli demir profilaksisi alamadığını göstermektedir. Sağlık çalışanları ailelere zaman ayırmalı, demir profilaksisi konusunda bilgilendirmelidir.
Anahtar Kelimeler
Proje Numarası
none
Kaynakça
- Karapinar TH, Bildik O, Köker SA, et al. Altı ay-2 yaş arasıçocuklarda profilaktik demir kullanımının değerlendirilmesi. J Pediatr Res.2017; 4: 156-160.
- World Health Organization. Nutritional anaemias: tools for effective prevention and control. (2017). Available at: https://www.who.int/publications/i/item/9789241513067. (Accessed on July, 2023).
- Stoffel NU, Uyoga MA, Mutuku FM, et al. Iron deficiency anemia at time of vaccination predicts decreased vaccine response and iron supplementation at time of vaccination increases humoral vaccine response: a birth cohort study and a randomized trial follow-up study in kenyan infants. Front Immunol. 2020; 11: 1313.
- Miniello VL, Verga MC, Miniello A, Di Mauro C, Diaferio L, Francavilla R. Complementary feeding and iron status: “the unbearable lightness of being” infants. Nutrients. 2021; 13: 4201.
- Lozoff B, Smith JB, Clark KM, Perales CG, Rivera F, Castillo M. Home intervention improves cognitive and social emotional scores in iron-deficient anemic infants. Pediatrics. 2010; 126: 884–894.
- Çullas-İlarslan NE, Günay F, İleri DT, Elhan AH, Ertem M, Arsan S. Investigation of the frequency of iron insufficiency among infants in a population in which routine iron supplementation is implemented. Turk J Pediatr. 2018; 60: 22-31.
- World Health Organization. Available at: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-anaemia-in-children-under-5-years. (Accessed on July, 2023).
- Gupta PM, Perrine CG, Mei Z, Scanlon KS. Iron, anemia, and iron deficiency anemia among young children in the United States. Nutrients. 2016;8: 330.
- Mutafoğlu Z, Kural B. Demir profilaksisi alan çocukların dokuzuncu ve yirmi dördüncü ayda demir eksikliği durumu. Çocuk Dergisi. 2019; 19: 16.
- World Health Organization., Guideline, Daily iron supplemantation in infants and children. (2016). Available at:https://www.who.int/publications/i/item/9789241549523 (Accessed on July, 2023)
- Powers JM, Buchanan GR. Diagnosis and management of iron deficiency anemia. Hematol Oncol Clin North Am. 2014; 28:729-745.
- Sandoval C, Jayabose S, Eden AN. Trends in diagnosis and management of iron deficiency during infancy and earlychildhood. Hematol Oncol Clin North Am 2004; 18:1423-1438.
- Lutter CK. Iron deficiency in young children in low-income countries and new approaches for its prevention. J Nutr. 2008; 138:2523-2528.
- Akgül N. Demir eksikliği anemisi olan çocukların beslenme alışkanlıkları (Master's thesis, İstanbul Medipol Üniversitesi Sağlık Bilimleri Enstitüsü), 2017.
- Yalçın SS, Tezel B, Yurdakök K, et al. A community-based iron supplementation program, “Iron-Like Turkey”, and the following prevalence of anemia among infants aged 12-23 months. Turk J Pediatr. 2013; 55: 16-28.
- Yazıcı S, Çelik T, Seyrek K. Çocukluk çağında anemi sıklığı. Behcet Uz Cocuk Hast Derg. 2012; 2: 6-9.
- Pasricha SR, Hayes E, Kalumba K, Biggs BA. Effect of daily iron supplementation on health in children aged 4–23 months: a systematic review and meta-analysis of randomised controlled trials. Lancet Glob Health 2013; 1:77–86.
- Ali NS, Zuberi RW. The relationship of socio-demographic factors with iron deficiency anaemia in children of 1-2 years of age. JPMA. 2001;51: 130-132.
- Semedo RM, Santos MM, Baião MR, Luiz RR da Veiga GV. Prevalence of anaemia and associated factors among children below five years of age in Cape Verde, West Africa. J Health Popul Nutr.2014; 32: 646.
- Prieto-Patron A, Van der Horst K, Hutton ZV, Detzel P. Association between anaemia in children 6 to 23 months old and child, mother, household and feeding indicators. Nutrients, 2018;10: 1269.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Bebek ve Çocuk Sağlığı |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | none |
| Erken Görünüm Tarihi | 16 Ağustos 2023 |
| Yayımlanma Tarihi | 30 Ağustos 2023 |
| Gönderilme Tarihi | 10 Mayıs 2023 |
| Kabul Tarihi | 17 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 9 Sayı: 2 |
