Study2017Open access

Breastfeeding and Red Meat Intake Are Associated with Iron Status in Healthy Korean Weaning-age Infants

Hong J, Chang JY, Shin S, Oh S

Journal of Korean medical science · 11 citations

Review labels

Lumps processed with unprocessed meatNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cross-sectional study (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function
Intake measured by
Not stated

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2017-01-01 · J Korean Med Sci · vol. 32 · issue 6 · p. 974
Publisher
Korean Academy of Medical Sciences
Cited
18 citations · more than 82% of similar papers · 1.5× the field average
References
39 works
Access
Open access (journal) · CC-BY-NC
Research areas
Breastfeeding Practices and Influences · Child Nutrition and Water Access · Nutritional Studies and Diet
Keywords
Breastfeeding, Iron status, Weaning, Medicine, Physiology, Red meat, Pediatrics, Environmental health, Iron deficiency, Anemia, Internal medicine, Pathology
MeSH
humans, anemia, iron-deficiency, iron, cesarean section, prevalence, area under curve, logistic models, odds ratio, risk factors, roc curve, sex factors, breast feeding, weaning, infant, female, male, ferritins, infant nutritional physiological phenomena, republic of korea, red meat, asian people

4 authors

From KR

  • Jeana HongSeoul National University; Kangwon National University
  • Ju Young ChangSeoul National University; Seoul Metropolitan Government; SNUH SMG-SNU Boramae Medical Center
  • Sue ShinSeoul National University; Seoul Metropolitan Government; SNUH SMG-SNU Boramae Medical Center
  • Sohee OhSeoul National University; Seoul Metropolitan Government; SNUH SMG-SNU Boramae Medical Center

Abstract

The present study investigated risk factors for iron deficiency (ID) and iron deficiency anemia (IDA) during late infancy, including feeding type and complementary feeding (CF) practice. Healthy term Korean infants (8-15 months) were weighed, and questionnaires regarding delivery, feeding, and weaning were completed by their caregivers. We also examined levels of hemoglobin, serum iron/total iron-binding capacity, serum ferritin, and mean corpuscular volume (MCV). Among 619 infants, ID and IDA were present in 174 infants (28.1%) and 87 infants (14.0%), respectively. The 288 infants with exclusively/mostly breastfeeding until late infancy (BFL) were most likely to exhibit ID (53.1%) and IDA (28.1%). The risk of ID was independently associated with BFL (adjusted odds ratio [aOR], 47.5; 95% confidence interval [CI], 18.3-122.9), male sex (aOR, 1.9; 95% CI, 1.2-2.9), fold weight gain (aOR, 2.6; 95% CI, 1.5-4.6), and perceived inadequacy of red meat intake (aOR, 1.7; 95% CI, 1.0-2.7). In addition to the risk factors for ID, Cesarean section delivery (aOR, 1.9; 95% CI, 1.1-3.2) and low parental CF-related knowledge (aOR, 2.8; 95% CI, 1.5-5.2) were risk factors for IDA. In conclusion, prolonged breastfeeding and perceived inadequacy of red meat intake may be among the important feeding-related risk factors of ID and IDA. Therefore, more meticulous education and monitoring of iron-rich food intake, such as red meat, with iron supplementation or iron status testing during late infancy if necessary, should be considered for breastfed Korean infants, especially for those with additional risk factors for ID or IDA.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC).

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