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Journal of Tropical Pediatrics Advance Access originally published online on March 4, 2009
Journal of Tropical Pediatrics 2009 55(5):324-327; doi:10.1093/tropej/fmp011
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Reports

Linear Growth in Children with Iron Deficiency Anemia Before and After Treatment

Ashraf T. Solimana, Muhamad M. Al Dabbagha, Alia Hussein Habboubb, Ashraf Adela, Noura Al Humaidya and Ahmad Abushahina

aDepartment of Pediatrics, Hamad Medical Centre, Doha, Qatar
bDepartment of Primary Health Care, Hamad Medical Centre, Doha, Qatar

Correspondence: Ashraf T. Soliman, Department of Pediatrics, Hamad Medical Centre, P O Box 3050, Doha, Qatar. E-mail: <atsoliman{at}yahoo.com>.


  Abstract

We measured growth [length (L) standard deviation score (SDS), growth velocity (GV) SDS and body mass index (BMI)] and hematological (hemoglobin, hematocrit, MCV and MCH) parameters in 40 children (aged 17.2 ± 12.4 months) with iron deficiency anemia (IDA) before and after iron therapy. Before treatment children with IDA had LSDS = –1.2 ± 1, GV = 7.5 ± 2.2, GVSDS = –1.42 ± 0.6 and BMI = 13.5 ± 1.2. They were significantly shorter and had reduced growth as compared with age-matched controls. After treatment, their growth parameters significantly increased with LSDS = –0.6 ± –0.9, GV = 13.2 ± 4.4 cm year–1, GVSDS = 1.7 ± 0.5 and BMI = 14.2 ± 1.1. Their GV correlated significantly with serum ferritin concentration (r = 0.48, p < 0.001) and BMI (r = 0.32, p < 0.1). In summary, IDA during the first 2 years of life significantly impairs growth.

Key Words: iron deficiency • anemia • growth


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