ARTICLE Secular Trends in the Prevalence of Iron Deficiency Among US Toddlers, 1976-2002 Jane M. Brotanek, MD, MPH; Jacqueline Gosz, MS; Michael Weitzman, MD; Glenn Flores, MD Objective: To examine secular trends in iron defi- lence remained high (20%-24%) in overweight tod- ciency among US children 1 to 3 years old. dlers, significantly higher than in those at risk for over- weight (11%) and in normal weight or underweight Design: Secular trend analyses of the National Health toddlers (8%). Iron deficiency prevalence decreased from and Nutrition Examination Survey II-IV. 22% to 9% in toddlers in poor households but remained unchanged in toddlers in nonpoor households (7%). In Setting: Large-scale national survey conducted by the multivariable analyses, Hispanic, younger, and over- National Center for Health Statistics from 1976 to 2002. weight toddlers had higher odds of iron deficiency. Participants: US children 1 to 3 years old. Conclusions: Despite the decline in iron deficiency preva- lence among 1-year-old, black, and poor children, iron Outcome Measure: Prevalence of iron deficiency. deficiency prevalence in US toddlers overall has not changed in the last 26 years and remains elevated in cer- Results: Between 1976 and 2002, there was no change tain high-risk groups: Hispanic,
JAMA Pediatrics – American Medical Association
Published: Apr 1, 2008
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