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Original article

Clinical and Nutritional Assessment of Iron Deficiency Anemia in Children Under Two Years of Age

By
Abeer Abdel Rasool ,
Abeer Abdel Rasool

Pharmacology department, College of Pharmacy, University of Ninevah, Mosul, Iraq Iraq

Abdul Hammeed Hameed ,
Abdul Hammeed Hameed

Al-Khansa Hospital, Nineveh Health Directorate, Mosul, Iraq. Iraq

Liqaa Alkhalidy
Liqaa Alkhalidy
Contact Liqaa Alkhalidy

Department of Environmental Health, College of Environmental Sciences, University of Mosul, Mosul, Iraq Iraq

Editor: SELMA UZUNOVIĆ

Abstract

Aim To determine the frequency of iron deficiency anemia IDA, its causes, feeding behaviors, and preventive measures among children under the age of two.

Methods This cross-sectional study included 110 children  presenting with IDA and compared them with 100 children  with normochromic normocytic anemia as the comparison group.

Results Pallor was observed in all patients. Other symptoms included lethargy (83%), anorexia (65%), splenomegaly (27%), delayed milestones (25%), and heart murmurs (30%). The majority of affected children were aged 9–12 months and had weights below the 5th percentile. A strong correlation was found between feeding type and IDA, with highest prevalence in children not receiving milk-based diets. Hemoglobin and serum iron levels were significantly reduced in IDA patients.

Conclusion The study's findings suggest that factors like starting foods early or not getting enough iron from diet or formula milk can increase the risk of iron deficiency anemia (IDA) in children between 9 to 12 months old. This research highlights the role of nutritional strategies like appropriate weaning methods and iron supplementation, in averting IDAs and related health issues.

Author Contributions

Conceptualization, A.A.R.; Investigation, A.A.R.; Project administration, A.A.R. and A.H.H.; Software, A.A.R.; Writing – original draft, A.A.R. and L.A.; Formal Analysis, A.H.H.; Funding acquisition, A.H.H.; Resources, A.H.H.; Validation, A.H.H.; Data curation, L.A.; Methodology, L.A.; Supervision, L.A.; Visualization, L.A. All authors have read and agreed to the published version of the manuscript.

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Funding Statement

Self finding

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