ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Growth And Iron Status Of Infants At 5th And 10th Months Who Were Fed Exclusively Breast Milk Or Iron Fortified Formula During The First Six Months Of Life
Ercan KIRIMİ, MD,a Oğuz TUNCER, MD,a Bülent ATAŞ, MD,a Abdullah CEYLAN, MDa
aDepartment of Pediatrics, Yüzüncü Yıl University, Faculty of Medicine, VAN
Objective: In this study, growth and iron status of infants who were exclusively fed with breast milk (BM) or iron fortified formula (IFF) in the first 6 months of their life were studied.
Material and Methods: Twenty-nine term infants who were exclusively fed with BM (group 1) and 17 term infants who were fed with IFF (group 2) were included the study. All infants were followed monthly and measurements of weight, height and head circumference were recorded. In the first 6 months of life, 29 infants in group 1 were exclusively fed with BM and 17 infants in group 2 were exclusively fed with IFF which contains 5 mg/L iron and beyond 6th month all infants were fed with similar additional foods. At the 5th and 10th months of age, erythrocyte, hemoglobin, hematocrit, mean corpuscular volume, mean erythrocyte hemoglobin, mean erythrocyte hemoglobin concentration, serum iron, total iron binding capacity, transferrin saturation rate and serum ferritin levels were analysed.
Results: When two groups were compared, only 2 parameters were found to be significantly different. The weights of infants at the 3rd month were significantly lower in group 2, and serum ferritin levels at the 10th month were significantly lower in the infants of group 1 (p< 0.05). Although, at the 5th month, iron deficiency anemia was observed at a rate of 13.7% and 17.6% in group 1 and group 2, respectively, there was no significant difference, but at the 10th month with the same order the rates were 48.2% and 17.6% and the difference were significant (p< 0.05).
Conclusion: In the first 6 months of life, we found that the gaining of weight and conserving the iron status, BM and IFF were almost equal. But we also found that exclusively feeding with BM caused more iron deficiency anemia at the 10th month of age. For this reason, we suggest that additional prophylactic iron is needed for infants feeding with exclusively BM, after 6th month of age.Keywords: Nutrition, infant, growth, ironTurkiye Klinikleri J Med Sci 2004, 24:608-613
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