الفهرس 
Stages of Iron DeficiencyOnly 14 pages are availabe for public view
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Abstract
Iron deficiency anemia remains the most global health issue
worldwide especially in infants as it can be a cause of delay in infant’s
mental and motor development and results in problems that last long
after the iron level has increased to a healthy level.
Higher prevalence of ID and IDA in Egypt and developing
countries compared to other countries could be attributed to the
deficiency of food with sufficient red meat. Despite the fact that there
is enough dietary iron in some food, this is the case because heme iron
is absorbed better than non-heme iron. Moreover, parasites like
hookworm can worsen iron deficiency due to profound
gastrointestinal blood loss.
A cross-sectional study was conducted on Egyptian children
who visited Baltim hospital and at pre- and primary schools at Baltim
district in the period between January 2021 and January 2022.
A total of 200 participants were enrolled in the study, all
participants were determined according to inclusion and exclusion
criteria, they were classified into 3 groups: 88 children with iron
sufficient status, 38 children with iron deficiency without anemia, and
74 children with iron deficiency with anemia. All children were
subjected to detailed medical history and complete clinical
examination including anthropometric measurements such as height
and height .all measurements were put on Zscore. 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).
Summary
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Our results showed that iron deficiency anemia was more
prevalent in children below 2years (60% of childern below 2years
have IDA)) which could be attributed to wrong weaning practices,
exclusive breastfeeding till late age, or top feeding with predominantly
diluted feeds. IDA was associated with stunting and wasting in age
category below 5years, on the other hand it was associated with
overweight in age category from 5years to less than 11years.
It is highly recommended to give more attention about iron
deficiency anemia and its impact on growth, early screening
especially during the time of fast growth in the first two years of life
is very important and prophylactic iron supplementations should be
given to all susceptible infants, parents and children require more
educational lessons about ID and IDA to avoid its complications , on
the other hand pediatricians, hematologists, endocrinologists, and
other healthcare providers should work to eliminate ID and its anemia.