Swiss Medical Weekly
Volume 144, 2014

Iron deficiency in infancy: Is an immigrant more at risk? (Article) (Open Access)

Verga M.-E.* , Widmeier-Pasche V. , Beck-Popovic M. , Pauchard J.-Y. , Gehri M.
  • a Department of Paediatrics, Lausanne University Hospital, Site Hôpital de l'Enfance, Ch. De Montétan 16, Lausanne, CH-1000, Switzerland
  • b Private Practice, Neuchâtel, Switzerland
  • c Department of Paediatrics, Lausanne University Hospital, Site Hôpital de l'Enfance, Ch. De Montétan 16, Lausanne, CH-1000, Switzerland
  • d Department of Paediatrics, Lausanne University Hospital, Site Hôpital de l'Enfance, Ch. De Montétan 16, Lausanne, CH-1000, Switzerland
  • e Department of Paediatrics, Lausanne University Hospital, Site Hôpital de l'Enfance, Ch. De Montétan 16, Lausanne, CH-1000, Switzerland

Abstract

QUESTIONS UNDER STUDY: Iron deficiency with or without anaemia is the most common deficiency in the world. Its prevalence is higher in developing countries and in low socioeconomic populations. We aimed at determining and comparing the prevalence of iron deficiency in an immigrant and non-immigrant population. METHODS: Every child scheduled for a routine checkup at 12 months of age was allowed to participate in the study. Haemoglobin, ferritin, anthropometric data, familial and nutritional status were measured. RESULTS: 586 infants were eligible and 463 were included in the study as they had assessment data at 12 months. Children were divided into two groups: immigrants' children and non-immigrants' children. The global prevalence of iron deficiency was 5.7% at 12 months. A significant difference for iron deficiency was noticed between the groups at 12 months (p = 0.01). Among risk factors, immigration (odds ratio 2.91; 95% CI 1.05-8.04) and unemployment (odds ratio 6.08; 95% CI 1.18-31.30) had the higher odds in the multivariable analysis. CONCLUSION: The prevalence of iron deficiency in the immigrant population is higher than in non-immigrants. Immigration and the category of employment are risk factors for iron deficiency, as starting baby cereals before 9 months is a protective factor. Good socioeconomic conditions in Switzerland, the quality of food for pregnant women and young infants may be the explanation. A study up to five years of age is necessary before drawing general conclusions on infancy.

Author Keywords

Infant immigrants Risk factors of iron deficiency Iron-deficiency Anaemia

Index Keywords

unemployment prospective study immigrant lowest income group iron deficiency anemia Prospective Studies human epidemiology statistics and numerical data controlled study Food ethnology deficiency Breast Feeding social status migrant Humans Anemia, Iron-Deficiency male Emigrants and Immigrants iron deficiency infancy female Infant risk factor Risk Factors prevalence Article blood major clinical study migration ferritin Ferritins Hemoglobins hemoglobin iron Emigration and Immigration anthropometry nutritional status Switzerland

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929051893&doi=10.4414%2fsmw.2014.14065&partnerID=40&md5=0fae5ecf078673b0973022f57596e69f

DOI: 10.4414/smw.2014.14065
ISSN: 14247860
Cited by: 5
Original Language: English