الفهرس 
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Abstract
Determination the relation between language disorders and IDA is important because there might be a subgroup of children who require a different type of assessment and treatment. The first years of life are considered the most important for the development of auditory and language abilities, since it corresponds to the period of neural system maturation with larger growth of brain and establishment of new neuron synapses. This stage also coincides to the period of highest prevalence of iron-deficiency anemia (IDA), which affects more than 50% of children between six months and five-years old in developed countries. The principal consequence of IDA is the impairment of the neuro-psychomotor development. Studies in children suffering from IDA have shown iron-deficiency associated with psychomotor and cognitive abnormalities, and also impacting language and learning acquisition in children.
The aim of this work was to determine the size and distribution of language disorders among children with IDA in order to put a plan of early detection, proper assessment, intervention and prevention of these problems if possible.
Fifty of children were included in this study. Twenty-five of them were diagnosed as IDA (15 males and 10 females) and twenty-five of the children were not diagnosed as IDA (13 males and 12 females). The median of the age for the children with IDA was 42 month and the median of the age for the normal children was 52 month. The children in the two groups were matched in their age and sex distribution as much as possible in.
The children of this study were subjected to the protocol of language assessment which applied in the Phoniatrics Unit, Minia University Hospital: Elementary diagnostic procedures: (patient’s interview, general examination, vocal tract examination, neurological examination and ENT examination). Clinical diagnostic aids: (Evaluation of the various aptitudes by formal testing, psychiatric evaluation, audiological examination and language evaluation by using the Arabic Preschool Language Scale-4 ”APLS-4”).
The results obtained from this study showed that:
• There was a statistical significant difference between the study group and the control group as regard to history of maternal anemia.
• There was a statistical significant difference between the study and the control group as regarding the history of feeding of cow milk before 1 year.
• There was a statistical significant difference between the two groups as regarding age of walking and age of 1st word.
• There was a statistical significant difference between the two groups as regarding sociality of children.
• There was a statistical significant difference between the two groups as regard to Articulation test.
• There was a statistical significant difference between the two groups as regarding the IQ grades.
• There was a statistical significant difference between the study and the control group as regarding the (receptive, expressive and total) row scores, (receptive, expressive and total) standard scores and (receptive, expressive and total) language age.
• There was a statistical significant difference between the study and the control group as regard language development.
• There was a positive fair significant correlation between the maternal anemia and birth order.
• There is a negative moderate significant correlation between age of walking and serum iron and a negative fair significant correlation between the age of first word and serum iron.
• There was a positive moderate significant correlation between sociality and serum iron.
• There was a negative fair significant correlation between feeding of cow milk before one year and serum iron.
• There was a positive fair significant correlation between the receptive language score and serum iron.
• A positive moderate significant correlation between the expressive language score and the total language score with serum iron.
The results from this study reported that children with IDA were delayed in language and score lower on measures of expressive and/or receptive language, less mature language when compared to normal children. So, early consultation is recommended for children with IDA for early detection and proper management of any language disorders.