Anour E, Hasin M, Yodfat Y
Dept. of Family Medicine, Hebrew University-Hadassah Medical School, Jerusalem.
Harefuah. 1992 Nov 15;123(10):373-6, 436.
Anemia in Israel is prevalent in nursing infants but there are few data on its prevalence in children aged 3-6 years. In 436 children in this age group in 18 family practice clinics in the Jerusalem area a hemoglobin level of less than 11.0 g% was found in only 17 (3.9%). Age, sex, and suburban versus urban residence were not related to the incidence of anemia. In 74 children (17%) the average mean red cell volume (MCV) was less than 74 fl but it was not associated with low hemoglobin. This finding might indicate the presence of thalassemia or a predisposition to the development of iron deficiency. This group of children is at risk of developing iron deficiency anemia and therefore requires follow-up. Results of blood tests at ages 9-12 months were available in 198 of the children but the results were not of high predictive value for the development of iron deficiency at 3-6 years of age. Iron supplementation administered to them when nursing did not affect the incidence of anemia in the children studied.
以色列的贫血症在哺乳期婴儿中很普遍，但关于3至6岁儿童贫血症患病率的数据却很少。在耶路撒冷地区18家家庭诊所的436名这个年龄段的儿童中，仅17名（3.9%）儿童的血红蛋白水平低于11.0 g%。年龄、性别以及居住在郊区还是城市与贫血症发病率无关。74名儿童（17%）的平均红细胞体积（MCV）低于74 fl，但这与低血红蛋白并无关联。这一发现可能表明存在地中海贫血或缺铁性贫血发展的易感性。这群儿童有患缺铁性贫血的风险，因此需要进行随访。198名儿童有9至12个月时的血液检测结果，但这些结果对3至6岁时缺铁性贫血发展的预测价值不高。他们在哺乳期时接受的铁补充剂对所研究儿童的贫血症发病率没有影响。
