Evidence map›Paper›PMID 26027426›Full record

ArticlePublic health nutrition2016

Severe iron-deficiency anaemia and feeding practices in young children.

Patricia C Parkin, Julie DeGroot, Jonathon L Maguire, Catherine S Birken, Stanley Zlotkin

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

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  12. Experimental study of iron and multivitamin drops on enamel microhardness of primary tooth.Journal of International Society of Preventive & Community Dentistry
    Article
  13. Modeling of a controlled flow cup for improved transitional drinking development in children.Journal of rehabilitation and assistive technologies engineering
    Article
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  15. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Patricia C Parkin1Pediatric Outcomes Research Team,Division of Pediatric Medicine,The Hospital for Sick Children,555 University Avenue,Toronto,ON M5G 1X8,Canada.
Julie DeGroot1Pediatric Outcomes Research Team,Division of Pediatric Medicine,The Hospital for Sick Children,555 University Avenue,Toronto,ON M5G 1X8,Canada.
Jonathon L Maguire1Pediatric Outcomes Research Team,Division of Pediatric Medicine,The Hospital for Sick Children,555 University Avenue,Toronto,ON M5G 1X8,Canada.
Catherine S Birken1Pediatric Outcomes Research Team,Division of Pediatric Medicine,The Hospital for Sick Children,555 University Avenue,Toronto,ON M5G 1X8,Canada.
Stanley Zlotkin2Department of Pediatrics, Faculty of Medicine,University of Toronto,Toronto,Canada.
SickKids Foundation · CAHospital for Sick Children · CAInstitute for Clinical Evaluative Sciences · CAPublic Health Ontario · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFe-deficiency anaemia (IDA) occurs in 1-2 % of infants in developed countries, peaks at 1-3 years of age and is associated with later cognitive deficits. The objectives of the present study were to describe the characteristics of young children with severe IDA and examine modifiable risk factors in a developed-country setting.

designTwo prospective samples: a national surveillance programme sample and a regional longitudinal study sample.

settingCanada, 2009-2011. SUBJECTS: Two samples of young children recruited from community-based health-care practices: a national sample with severe anaemia (Hb<80 g/l) due to Fe deficiency and a regional sample with non-anaemic Fe sufficiency.

resultsChildren with severe IDA (n 201, mean Hb 55·1 g/l) experienced substantial morbidity (including developmental delay, heart failure, cerebral thrombosis) and health-care utilization (including a 42 % hospitalization rate). Compared with children with Fe sufficiency (n 597, mean Hb 122·4 g/l), children with severe IDA consumed a larger volume of cow's milk daily (median 1065 ml v. 500 ml, P<0·001) and were more likely to be using a bottle during the day (78 % v. 43 %, OR=6·0; 95 % CI 4·0, 8·9) and also in bed (60 % v. 21 %, OR=6·5; 95 % CI 4·4, 9·5).

conclusionsSevere IDA is associated with substantial morbidity and may be preventable. Three potentially modifiable feeding practices are associated with IDA: (i) cow's milk consumption greater than 500 ml/d; (ii) daytime bottle use beyond 12 months of age; and (iii) bottle use in bed. These feeding practices should be highlighted in future recommendations for public health and primary-care practitioners.

Indexed as

Bottle FeedingBreast FeedingInfant FormulaIron DeficienciesAge FactorsAnemia, Iron-DeficiencyAnimalsCanadaChild, PreschoolFemaleHospitalizationHumansInfantLongitudinal StudiesMaleMilkBottle useCow’s milkFeeding practicesIron-deficiency anaemia

Identifiers

PMID26027426
PMCPMC10271110
OpenAlexW1928566054

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.