• 제목/요약/키워드: Iron Status

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Anemia and Iron Deficiency according to Feeding Practices in Infants Aged 6 to 24 Months

  • 김순기
    • Journal of Nutrition and Health
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    • 제31권1호
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    • pp.96-101
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    • 1998
  • The prevalence of iron deficiency in later infancy and the toddler years(25% to 40% at 1 year of age) has not decreased remarkably , except in Western countries. The purpose of this study was to 1) determine the relationship between current feeding practices and iron status, and 2) assess compliance to infant feeding instructions. Two groupsof infants were examined. The first group of 302 infants aged 6 to 24months was seen at a well baby clinic while the second group of 135 infants of the same age group was assessed by venipuncture. Cutoff values for laboratory tests were as follows ; hemoglobin<11g/dL, mean corpuscular volume (MCV) <72fl ; red cell distribution width(RDW)>15% ; serum ferritin level<10ng/ml ; and transferrin saturation (serum iron(TIBC)<10%. The diagnosis of iron deficiency anemia (IDA) was made when a low hemoglobin level was associated with either low ferritin orlow transferrin saturation . Of the 302 children brought to the well baby clinic , 12.3%(n=37) were found to have anemia (hemoglobin<11.0/dL). In terms of children grouped according to feeding practices, it was found that children with anemial comprised 32.0% (24/75) of the prolonged breast-fed group (Group A), significantly more than the 4.0%(7/176) of the artificial milk feeding group(Group B). and 3.9%(2/51) of the switched from breast milk to iron -fortified weaning foods group(Group C).Among the 107 children with IDA , iron deficiency in 105 children(98.1%) was suggested by their dietary histories ; exclusive or prolonged breast-feeding for more than 6 months without iron fortification in 98 infants ; cow's milk consumption> 500ml/day without iron fortification during infancy(n=12), or >800ml without iron-fortified foods after infancy(n=15) ; and the use of unfortified forumula or unbalanced diets, mainly limited to rice gruel. Despite the relatively high (79.6%) motivation on the part of the infants mothers and supervison by professional personnel, the poor results in the infants receiving iron fortified foods were due to poor compliance(85.75). Among the mothers of 98 IDA patients who were contacted by telephone , it was revealed that 29% did not give the oral iron preparation for more than 2 months. Furthermore, negligence or disregard by the parents occurred in 14% of the case , discontinuance of the oral iron preparation by the parents due to side effects occurred in 6%, and the children's refusal or poor oral intake and no further trial occurred in 6%. The dietary history of a large group of infants was highly predictive of their risk for anemia . Continued consumption of breast milk until the age of 1 year is not warranted unless iron-fortified foods are given concomitantly. Because there is a problem with compliance, more successful and safe strategies for preventing iron deficiency woold included dual coverage in the from of therapeutic iron supplementation as well use of iron-fortified foods for teddlers who are at risk of iron deficiency.

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임신기 모체 혈청과 신생아 제대혈청의 철분함량 (Serum Iron Concentration of Maternal and Umbilical Cord Blood during Pregnancy)

  • 장혜미;안홍석
    • 대한지역사회영양학회지
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    • 제10권6호
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    • pp.860-868
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    • 2005
  • Anemia diagnosed early in pregnancy is associated with increased risks of low birth weight and preform delivery. The purposes of this study were to assess the maternal iron status during pregnancy and to evaluate the relationships between the iron indices of maternal-umbilical cord serum iron and ferritin levels and pregnancy outcomes. Dietary intakes of the pregnant women were estimated by 24 hour-recall (3 times). Serum iron and ferritin levels in maternal blood and umbilical cord were measured at 1st-, 2nd-, 3rd- trimester and delivery, respectively. The mean of maternal se겨m iron levels of the trimester and delivery were $124.27\;{\mu}g/dl,\;97.03\;{\mu}g/dl,\;94.32\;{\mu}g/dl,\;and\;145.53\;{\mu}g/dl$. Those maternal levels were significantly lower than that of umbilical cord blood ($222.59\;{\mu}g/dl$). Serum ferritin levels of maternal trimester and delivery were 22.68 $22.68\;{\mu}g/l,\;11.09\;{\mu}g/l,\;14.18\;{\mu}g/l,\;and\;\;24.54\;{\mu}g/l$, which were significantly lower than those of umbilical cord blood ($184.35\;{\mu}g/l$) (p < 0.0001). This prevalence of anemia of total subjects was $30.3\%$ by WHO criteria (Hb < 11.0 g/dl, Hct < $33\%$). Iron levels of 2nd-trimester was significantly higher in the normal group than in the anemia group. And ferritin levels of 3rd-trimester and delivery was significantly higher in the normal group than in the anemia group. Therefore, we suggest for successful pregnancy outcome and delivery differential iron supplementation programs will be carried out with individual Pregnant women on the basis of pre-Pregnancy nutrition. (Korean J Community Nutrition 10(6) : $860\∼868$, 2005)

Iron and vitamin D status in breastfed infants and their mothers

  • Kang, Yu Sun;Kim, Joon Hwan;Ahn, Eun Hee;Yoo, Eun-Gyong;Kim, Moon Kyu
    • Clinical and Experimental Pediatrics
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    • 제58권8호
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    • pp.283-287
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    • 2015
  • Purpose: We assessed the relationships between iron and vitamin D statuses in breastfed infants and their mothers and evaluated the determinants of iron and vitamin D deficiencies in breastfed infants. Methods: Seventy breastfed infants aged 4-24 months and their mothers participated in this study from February 2012 to May 2013. Complete blood counts, total iron binding capacity, and levels of C-reactive protein, iron, ferritin, calcium, phosphate, alkaline phosphatase, and 25-hydroxyvitamin D (25(OH)D) in infants and their mothers were measured. Results: A history of maternal prepregnancy anemia was associated with lower ferritin and 25(OH)D levels in both infants and their mothers. The 25(OH)D level of infants correlated with maternal 25(OH) D levels. The independent risk factors for iron deficiency in breastfed infants were the duration of breastfeeding (odds ratio [OR], 6.54; 95% confidence interval [CI], 1.09-39.2; P=0.04) and infant body weight (OR, 2.65; 95% CI, 1.07-6.56; P=0.04). The determinants for vitamin D deficiency were the infant's age (OR, 0.15; 95% CI, 0.02-0.97; P=0.046) and maternal 25(OH)D level (OR, 0.74; 95% CI, 0.59-0.92; P=0.01). Conclusion: A maternal history of prepregnancy anemia requiring iron therapy was associated with lower current ferritin and 25(OH)D levels in both infants and their mothers. Therefore, physicians should monitor not only iron but also vitamin D levels in infants who are breastfed by mothers who had prepregnancy anemia.

Biochemical Indices of Vitamin E, Ascorbic Acid and Iron Status : Relation to Diet, Supplement Use and Other Lifestyle Variables in Urban and Rural (Amish) Populations

  • Ro, Hee-Kyung;Jean T. Snook;Elizabeth Prater
    • Preventive Nutrition and Food Science
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    • 제5권4호
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    • pp.205-212
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    • 2000
  • The relation of food and supplemental intake of iron, vitamin E and ascorbic acid and other lifestyle variables to packed cell volume (PCV) and serum vitamin levels was studied in urban and rural (71% Amish) communities. Subjects were interviewed (24-h dietary recalls) on three occasions over 18-months, and blood samples were taken (maximum observations = 442). Mean PCV was lower in rural males (43.3) than in urban males (45.4) despite higher man food iron intake (18.7 and 14.4 mg/day, respectively). Mean meal iron availability was higher at lunch and lower at breakfast and dinner for rural than for urban subjects. Smoking was the number one variable in males and females explaining variance in PCV. Supplemental vitamin E and ascorbate intakes explained the most variance in serum vitamin E and ascorbate levels, respectively. Serum vitamin E was also associated with supplemental ascorbate intake (r=0.29). Serum ascorbate was also associated with food ascorbate intake (r=0.28) and body weight (r=-0.24).

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Removal of iron oxide scale from feed-water in thermal power plant using superconducting magnetic separation

  • Nishijima, S.
    • 한국초전도ㆍ저온공학회논문지
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    • 제21권2호
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    • pp.22-25
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    • 2019
  • The superconducting magnetic separation system has been developing to separate the iron oxide scale from the feed water of the thermal power plant. The accumulation in the boiler lowers the heat exchange rate or in the worst case damages it. For this reason, in order to prevent scale generation, controlling pH and redox potential is employed. However, these methods are not sufficient and then the chemical cleaning is performed regularly. A superconducting magnetic separation system is investigated for removing iron oxide scale in a feed water system. Water supply conditions of the thermal power plant are as follows, flow rate 400 t / h, flow speed 0.2 m / s, pressure 2 MPa, temperature $160-200^{\circ}C$, amount of scale generation 50 - 120 t / 2 years. The main iron oxide scale is magnetite (ferromagnetic substance) and its particle size is several tens ${\mu}m$. As the first step we are considering to introduce the system to the chemical cleaning process of the thermal power plant instead of the thermal power plant itself. The current status of development will be reported.

The Copper, Cobalt, Iron, Selenium and Zinc Status of Cattle in the Sanyati and Chinamhora Smallholder Grazing Areas of Zimbabwe

  • Mpofu, I.D.T.;Ndlovu, L.R.;Casey, N.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제12권4호
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    • pp.579-584
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    • 1999
  • The trace mineral status of cattle in the smallholder grazing areas of Sanyati and Chinamhora in Zimbabwe was evaluated during the rainy and dry seasons of 1994 and 1995. The evaluation was done in terms of mineral concentration in blood plasma. Plasma copper in calves, steers and cows in the dry season was; Sanyati: 0.55, 0.59, and 0.61; Chinamhora: 0.59, 0.58, and $0.60{\mu}g/ml$, respectively versus a normal of $0.65{\mu}g/ml$. In the rainy season, copper was deficient at both sites (averaging $0.56{\mu}g/ml$ and $0.59{\mu}g/ml$ at Sanyati and Chinamhora, respectively). Plasma selenium in the dry season was 0.017, 0.025, and $0.017{\mu}g/ml$ for calves, steers and cows, respectively at Sanyati versus a normal of $0.03{\mu}g/ml$ and therefore considered to be deficient. Iron, zinc and cobalt were found to be generally high and therefore unlikely to be deficient. Copper and selenium are recommended in salt licks in these environments.

여자체조선수의 섭식패턴, 채중조절방법 및 영양섭취상태(제1보) (Eating Pattern, Weight Control Behavior and Nutritional Status in High Level Female Gymnasts)

  • 조성숙
    • Journal of Nutrition and Health
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    • 제32권1호
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    • pp.40-49
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    • 1999
  • This study was conducted with 20 female gymnasts and 23 age-matched controls to examine pattern, weight control behavior and nutritional status. Most gymnasts(95.0%) reported that they used weight-control methods, while relatively few age-matched controls employed these methods. These methods included sauna(95.0%), food restriction(90.0%), excess exercise (70.0%), laxative abuse(10%) and use of diet pills(10%). Gymnasts had significantly (p<0.05) lower scores for statements related to 'sneaking food', 'vomiting after overeating', showing more negative eating behavior than age-matched controls. Energy intake of gymnasts was 968.9$\pm$421.4kcal while energy expenditure was 2,091$\pm$361kcal, showing negative evergy balance(-1,1225$\pm$534.6kcal). Female gymnasts consumed less than 70% of the RDA for protein, calcium, iron, vitamin A, thiamin, riboflavin and niacin, which reflects their low energy intake. The average intakes of calcium, iron, vitamin A, thiamin, riboflavin and niacin did not meet the recommended dietary allowances for their age groups. Adolescent athletes who train vigorously and consume a low-energy diet may be exposed to an increase in potential health risks. Therefore, individuals who advise athletic adolescents regarding training and dietary habits need to emphasize the importance of consuming an appropriate energy intake to support performance as well as growth and development. The sports nutritionist is in a position to convey such information to coaches, physicians, parents and to the athletes themselves.

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여대생의 생활 스트레스와 영양소 섭취 상태와의 관계 (The Relation between Life Stress and Nutrient Intake Status in Female University Students)

  • 김경희
    • 한국식생활문화학회지
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    • 제15권5호
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    • pp.387-397
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    • 2000
  • A survey was carried out to investigate relation between life stress and nutrient intake status in female university students. It was represented that increasing trends of food intake under the stress condition and preference taste was sweet and hot in female students. The female students thought that food intake for coping with stress was produced negative results and they perceived the relation between stress and their health problem. There was a positive correlation between stress level and the change of food intake in female students statistically(p<0.01). They had higher stress in future prospect, academic problem, friend relationship, personality and family relationship. The average calorie intake of female university students was 1553.06kcal(77.65% of RDA). The intake of protein, calcium and iron were quite less than the RDA, whereas the intake of phosphate, vitamin A, $B_2$, C, niacin were more than the RDA. In changes of nutrient intake under the stress conditions, the higher stress group had decreased intake of calcium, iron, vitamin $B_1,\;B_2$, C than the lower stress group(p<0.05).

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