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Korean Journal of Pediatrics 2009;52(2):159-166.
Published online February 15, 2009.
Weaning food practice in children with iron deficiency anemia
Joo Hee Chang1, Woo Sik Cheong1, Yong Hoon Jun1, Soon Ki Kim1, Hung Sik Kim2, Sang Kyu Park3, Kyung Ha Ryu4, Eun Sun Yoo4, Chuhl Joo Lyu5, Kun soo Lee6, Kwang Chul Lee7, Jae Young Lim8, Du Young Choi9, Byung Kyu Choe10, Eun Jin Choi11, Bong Soon Choi12
1Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea
2Department of Pediatrics, College of Medicine, Keimyong Univeristy
3Department of Pediatrics, College of Medicine, Ulsan University
4Department of Pediatrics, College of Medicine, Ewha University
5Department of Pediatrics, College of Medicine, Yonsei University
6Department of Pediatrics, College of Medicine, Kyungpook University
7Department of Pediatrics, College of Medicine, Korea University
8Department of Pediatrics, College of Medicine, Gyeongsang University
9Department of Pediatrics, College of Medicine, Wonkwang University
10Department of Pediatrics, College of Medicine, Keimyong Univeristy
11Department of Pediatrics, College of Medicine, Daegu Catholic University
12Department of Pediatrics, College of Medicine, Daegu Catholic University
철결핍빈혈 영유아의 식이력 조사 및 이유지식의 평가
장주희1, 정우식1, 전용훈1, 김순기1, 김흥식2, 박상규3, 유경하4, 유은선4, 유철주5, 이건수6, 이광철7, 임재영8, 최두영9, 최병규10, 최은진11, 최봉순12
1인하대학교 의과대학 소아과학교실
2계명대학교 의과대학 소아과학교실
3울산대학교 의과대학 소아과학교실
4이화여자대학교 의과대학 소아과학교실
5연세대학교 원주의과대학 소아과학교실
6경북대학교 의과대학 소아과학교실
7고려대학교 의과대학 소아과학교실
8경상대학교 의과대학 소아과학교실
9원광대학교 의과대학 소아과학교실
10계명대학교 의과대학 소아과학교실
11대구가톨릭대학교 의과대학 소아과학교실
12대구가톨릭대학교 영양학과
Correspondence:  Soon Ki Kim,
Email: pedkim@inha.ac.kr
Abstract
Purpose
: Iron deficiency anemia (IDA) is one of the most common nutritional deficiencies in children on a weaning diet. We investigated weaning practices in infants and children, as well as their mothers' knowledge about weaning.
Methods
: We investigated 129 children with IDA and 166 without IDA (aged 6-36 months) who had visited 10 university hospitals between March 2006 and July 2007. We investigated the hematologic values of both groups. A questionnaire on weaning was answered by the mothers of these children.
Results
: The hematologic values in the IDA group showed a significant difference from those in the comparison group (P< 0.05). Children who were solely breastfed until 6 months of age were 85%, 34% (P<0.05), and weaning was started by 6.3, 6.4 months, respectively (P>0.05). Rice gruel, boiled rice, and fruit juice accounted for approximately 80% of the starting foods in both groups (P>0.05). Only 40% of the children in the IDA group had a balanced diet within a month, versus 38% in the comparison group. In response to questions about the necessity of iron-fortified foods for breast-fed infants, less than 50% of mothers in both groups answered correctly. In the IDA group, 42% showed serum ferritin less than 10 ng/mL, while 92% showed serum MCV less than 72 fL.
Conclusion
: In conclusion, collection of information on history should be thorough for feeding and selective examinations for IDA in high-risk groups. Considering the adaptation period, we suggest beginning children on a weaning diet at 45 months. In addition, we need to educate mothers on weaning practice, especially on the necessity of iron-fortified foods for breast-fed infants.
Key Words: Iron deficiency anemia, Weaning, Nutrition, Knowledge


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