Evaluation Of Children Followed Up For Nutritional Anemia In Our Hospital

Enes Demiryel; Mervan Bekdas

Makale detayları

Evaluation Of Children Followed Up For Nutritional Anemia In Our Hospital

Yazarlar:

Enes Demiryel | Mervan Bekdas

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.157-166

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001324058

pISSN:

2619-9203

Anahtar kelimeler:

Özet:

 Purpose: Anemia is an important problem of public health that is widespread throughout the world. Although there are many different causes of anemia, nutritional causes are the most common. The aim of this study is to investigate the types of nutritional anaemias seen between the ages of 6 months and 18 years, and the characteristics affecting these anaemias in our province. Materials and Methods: Cases diagnosed with nutritional anaemia in the paediatric outpatient clinics between 2019and 2021 were included. Results: A total of 218751.9 of the cases were girls and 137532.6 were adolescents. Of 4217 subjects, 311073.7 had microcytic, 78118.5 had megaloblastic and 3267.7 had mixed type anaemia. Girls had a higher total iron-binding capacity 368.657.5 vs. 361.756.9, p0.013. Vitamin 25OHD serum levels were lower in megaloblastic and mixed anaemia than in microcytic anaemia 11.7 2.3-66.7 vs. 13.9 2.1-102, p0.001 and 10.3 2.3-60.8 vs. 13.9 2.1-102, p0.001, respectively. 2166.9 and 1745.5 patients with microcytic anaemia had malnutrition and obesity, respectively. 9011.5 and 425.4 patients with megaloblastic anaemia had malnutrition and obesity, respectively. The incidence of malnutrition was higher in those with megaloblastic anaemia than microcytic anaemiap0.033. Conclusion: Nutritional anaemia is an important problem in both adolescence and childhood. Among the types of nutritional anaemia, microcytic anaemia is the most common. Since mixed forms of these anemias can also occur, caution is required in the diagnostic phase. Microcytic anemias often occur in girls. In addition to malnutrition, a low serum level of 25OHD can also be a risk factor for the development of nutritional anemias.

 Purpose: Anemia is an important problem of public health that is widespread throughout the world. Although there are many different causes of anemia, nutritional causes are the most common. The aim of this study is to investigate the types of nutritional anaemias seen between the ages of 6 months and 18 years, and the characteristics affecting these anaemias in our province. Materials and Methods: Cases diagnosed with nutritional anaemia in the paediatric outpatient clinics between 2019and 2021 were included. Results: A total of 218751.9 of the cases were girls and 137532.6 were adolescents. Of 4217 subjects, 311073.7 had microcytic, 78118.5 had megaloblastic and 3267.7 had mixed type anaemia. Girls had a higher total iron-binding capacity 368.657.5 vs. 361.756.9, p0.013. Vitamin 25OHD serum levels were lower in megaloblastic and mixed anaemia than in microcytic anaemia 11.7 2.3-66.7 vs. 13.9 2.1-102, p0.001 and 10.3 2.3-60.8 vs. 13.9 2.1-102, p0.001, respectively. 2166.9 and 1745.5 patients with microcytic anaemia had malnutrition and obesity, respectively. 9011.5 and 425.4 patients with megaloblastic anaemia had malnutrition and obesity, respectively. The incidence of malnutrition was higher in those with megaloblastic anaemia than microcytic anaemiap0.033. Conclusion: Nutritional anaemia is an important problem in both adolescence and childhood. Among the types of nutritional anaemia, microcytic anaemia is the most common. Since mixed forms of these anemias can also occur, caution is required in the diagnostic phase. Microcytic anemias often occur in girls. In addition to malnutrition, a low serum level of 25OHD can also be a risk factor for the development of nutritional anemias.

 Purpose: Anemia is an important problem of public health that is widespread throughout the world. Although there are many different causes of anemia, nutritional causes are the most common. The aim of this study is to investigate the types of nutritional anaemias seen between the ages of 6 months and 18 years, and the characteristics affecting these anaemias in our province. Materials and Methods: Cases diagnosed with nutritional anaemia in the paediatric outpatient clinics between 2019and 2021 were included. Results: A total of 218751.9 of the cases were girls and 137532.6 were adolescents. Of 4217 subjects, 311073.7 had microcytic, 78118.5 had megaloblastic and 3267.7 had mixed type anaemia. Girls had a higher total iron-binding capacity 368.657.5 vs. 361.756.9, p0.013. Vitamin 25OHD serum levels were lower in megaloblastic and mixed anaemia than in microcytic anaemia 11.7 2.3-66.7 vs. 13.9 2.1-102, p0.001 and 10.3 2.3-60.8 vs. 13.9 2.1-102, p0.001, respectively. 2166.9 and 1745.5 patients with microcytic anaemia had malnutrition and obesity, respectively. 9011.5 and 425.4 patients with megaloblastic anaemia had malnutrition and obesity, respectively. The incidence of malnutrition was higher in those with megaloblastic anaemia than microcytic anaemiap0.033. Conclusion: Nutritional anaemia is an important problem in both adolescence and childhood. Among the types of nutritional anaemia, microcytic anaemia is the most common. Since mixed forms of these anemias can also occur, caution is required in the diagnostic phase. Microcytic anemias often occur in girls. In addition to malnutrition, a low serum level of 25OHD can also be a risk factor for the development of nutritional anemias.

 Amaç: Anemi tüm dünyada yaygın olarak karşılaşılan önemli bir halk sağlığı sorunudur. Aneminin pek çok farklı nedeni olmakla birlikte nutrisyonel nedenler daha sık görülmektedir. Bu çalışmada amacımız ilimizdeki altı ay-18 yaş arasında görülen nutrisyonel anemilerin tiplerini ve bunları etkileyen özellikleri incelemektir. Araçlar ve Yöntem: Bu çalışmaya 2019-2021 yılları arasında hastanemiz Çocuk Sağlığı ve Hastalıkları polikliniklerinde nutrisyonel anemi tanısı koyulan olgular dahil edildi. Bulgular: Çalışmamızdaki hastaların 2187 tanesi 51.9 kız idi. Bu olgularımızın 1375 tanesi de 32.6 adölesan idi. Olguların 3110u 73.7 mikrositer, 781i18.5 megaloblastik ve 326sı da 7.7 mikst tip anemi grubundaydı. Erkeklerle karşılaştırıldığında kızlarda total demir bağlama kapasitesi yüksek idi 368.657.5 karşılık 361.756.9, p0.013. Megaloblastik ve mikst tip anemi gruplarına ait serum 25 OHD vitamini düzeyleri mikrositer anemi grubundakilere göre anlamlı oranda düşüktü sırasıyla 11.7 2.3-66.7 karşılık 13.9 2.1-102 ngml, p0.001 ve 10.3 2.3-60.8 karşılık 13.9 2.1-102 ngml, p0.001. Mikrositer anemili olguların 216sinde 6.9 malnütrisyon ve 174ünde de 5.5 obezite vardı, megaloblastik anemili olguların 90ında 11.5 malnütrisyon ve 42sinde de 5.4 obezite vardı. Megaloblastik anemisi olan bireylerde malnütrisyon sıklığı mikrositer anemisi olanlara göre anlamlı oranda yüksekti p0.033. Sonuç: Nutrisyonel anemiler çocukluk çağı yanında adölesan çağda da önemli bir sorundur, nutrisyonel anemilerin tipleri arasında en fazla mikrositer anemiler görülmektedir. Bu anemilerin mikst formları da görülebileceğinden tanı aşamasında dikkatli olunmalıdır. Kızlarda özellikle mikrositer anemiler daha sık görülmektedir. Malnütrisyon haricinde düşük serum 25 OHD vitamini düzeyleri de nutrisyonel anemilerin gelişmesi için bir risk faktörü olabilir.

Makale detayları

Evaluation Of Children Followed Up For Nutritional Anemia In Our Hospital

Yazarlar:

Enes Demiryel | Mervan Bekdas

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.157-166

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001324058

pISSN:

2619-9203

anemia

child

iron-deficiency

megaloblastic

vitamin d deficiencyanemi

çocuk

demir eksikliği

D vitamini eksikliği

megaloblastik

Sayı

Makale detayları

Yazarlar: Enes Demiryel | Mervan Bekdas

Yayıncı: Kirsehir Ahi Evran University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.157-166

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001324058

pISSN: 2619-9203

Sayı

Yazarlar:

Enes Demiryel | Mervan Bekdas

Yayıncı:

Kirsehir Ahi Evran University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.157-166

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001324058

pISSN:

2619-9203