Caballo Roig N, García P, Valdemoro M, del Castillo M L, Santos Tapia M, González Vargaz A, Arias Alvarez M A, Serna Saugán C, Merino J M, García Teresa M A
Hospital del Niño Jesús, Madrid.
An Esp Pediatr. 1993 Sep;39(3):219-22.
Iron deficiency and iron deficiency anemia are very important disorders in childhood because, during this stage of life, the confluence of different factors can lead to iron deficiency. During childhood, there are rapid growth periods in which the need for iron increases and these needs are not always compensated for by a sufficient iron intake. We have studied a sample of 2,224 schoolchildren, both males and females, between the ages of 2 and 18 years, from five different schools in the Community of Madrid. The prevalence of anemia was studied by determining the hemoglobin, MCV and MCHC, whereas iron deficiency was assessed by measurement of serum iron. In our study population, the prevalence of iron deficiency was 4.94% and the rate of iron deficiency anemia was 0.94%. This disorder is predominant in 13 to 15 year olds (3.7% of the males and 3.53% of the females showed hemoglobin values below the reference range). In addition 6.73% of this group were iron deficient. The MCV was decreased in 2.69% of the subjects, after the exclusion of six children with thalassemia trait.
缺铁和缺铁性贫血在儿童期是非常重要的病症,因为在生命的这个阶段,多种因素共同作用可导致缺铁。在儿童期,存在生长快速期,此时对铁的需求增加,而这些需求并不总是能通过充足的铁摄入得到满足。我们研究了来自马德里自治区五所不同学校的2224名2至18岁的学童样本,男女皆有。通过测定血红蛋白、平均红细胞体积(MCV)和平均红细胞血红蛋白浓度(MCHC)来研究贫血的患病率,而通过测量血清铁来评估缺铁情况。在我们的研究人群中,缺铁的患病率为4.94%,缺铁性贫血的发生率为0.94%。这种病症在13至15岁的青少年中最为常见(3.7%的男性和3.53%的女性血红蛋白值低于参考范围)。此外,该组中有6.73%的人缺铁。在排除六名具有地中海贫血特质的儿童后,2.69%的受试者平均红细胞体积降低。