Association Between Meat and Meat-Alternative Consumption and Iron Stores in Early Childhood

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• 作者：Kelly Anne Cox ; MPH^a ; Patricia C. Parkin ; MD ; FRCPC^a ; ^b ; ^c ; ^d ; Laura N. Anderson ; PhD^a ; Yang Chen ; MSc^e ; Catherine S. Birken ; MD ; MSc ; FRCPC^a ; ^b ; ^c ; ^d ; Jonathon L. Maguire ; MD ; MSc ; FRCPC^a ; ^b ; ^c ; ^e ; ^f ; Colin Macarthur ; MBChB ; PhD^a ; ^b ; ^c ; ^d ; Cornelia M. Borkhoff ; PhD^a ; ^b ; ^d ; ^{cory.borkhoff@sickkids.ca" class="auth_mail" title="E-mail the corresponding author} ; for the TARGet Kids! Collaboration^&lowast ; ; Kawsari Abdullah ; Laura N. Anderson ; Imaan Bayoumi ; Catherine S. Birken ; Cornelia M. Borkhoff ; Sarah Carsley ; Yang Chen ; Mikael Katz-Lavigne ; Kanthi Kavikondala ; Christine Koroshegyi ; Christine Kowal ; Grace Jieun Lee ; Jonathon L. Maguire ; Dalah Mason ; Jessica Omand ; Patricia C. Parkin ; Navindra Persaud ; Meta van den Heuvel ; Peter Wong ; Weeda Zabih ; Jillian Baker ; Tony Barozzino ; Joey Bonifacio ; Douglas Campbell ; Sohail Cheema ; Brian Chisamore ; Karoon Danayan ; Paul Das ; Mary Beth Derocher ; Anh Do ; Michael Dorey ; Sloane Freeman ; Keewai Fung ; Charlie Guiang ; Curtis Handford ; Hailey Hatch ; Sheila Jacobson ; Tara Kiran ; Holly Knowles ; Bruce Kwok ; Sheila Lakhoo ; Margarita Lam-Antoniades ; Eddy Lau ; Fok-Han Leung ; Jennifer Loo ; Sarah Mahmoud ; Rosemary Moodie ; Julia Morinis ; Sharon Naymark ; Patricia Neelands ; James Owen ; Michael Peer ; Marty Perlmutar ; Navindra Persaud ; Andrew Pinto ; Michelle Porepa ; Nasreen Ramji ; Noor Ramji ; Alana Rosenthal ; Janet Saunderson ; Rahul Saxena ; Michael Sgro ; Susan Shepherd ; Barbara Smiltnieks ; Carolyn Taylor ; Thea Weisdors ; Sheila Wijayasinghe ; Peter Wong ; Ethel Ying ; Elizabeth Young ; Tony Barozzino ; Brian Chisamore ; Mark Feldman ; Moshe Ipp ; Kathleen Abreo ; Dharma Dalwadi ; Tarandeep Malhi ; Antoinetta Pugliese ; Megan Smith ; Laurie Thompson
• 关键词：early childhood ; iron deficiency ; meat consumption
• 刊名：Academic Pediatrics
• 出版年：2016
• 出版时间：November-December 2016
• 年：2016
• 卷：16
• 期：8
• 页码：783-791
• 全文大小：330 K

文摘

To prevent iron deficiency, 2014 Canadian recommendations for healthy term infants from 6 to 24 months recommend iron-rich complementary foods such as meat and meat alternatives 2 or more times a day. The purpose of our study was to evaluate the association between meat and meat-alternative consumption and iron status in young children and the association between red meat consumption and iron status among children meeting recommendations.

d="absSec_2">Methods

d="abspara0015">Healthy children aged 12 to 36 months were recruited. A cross-sectional study was conducted. Meat and meat-alternative consumption was measured using the NutriSTEP questionnaire. Adjusted multivariable regression analyses were used to evaluate an association between meat consumption and serum ferritin, and iron deficiency (serum ferritin <14 μg/L).

d="absSec_3">Results

d="abspara0020">A total of 1043 children were included. Seventy-three percent of children met the recommended daily intake of meat and meat alternatives, and 66% ate red meat in the past 3 days. Eating meat and meat alternatives was not associated with serum ferritin (0.13 μg/L, 95% confidence interval −0.05, 0.31, P = .16), but it was associated with a decreased odds of iron deficiency (odds ratio 0.97, 95% confidence interval 0.94, 0.99, P = .03). Associations between red meat consumption and iron status were not statistically significant. Statistically significant covariates associated with increased odds of iron deficiency included longer breast-feeding duration, daily cow's milk intake of >2 cups, and a higher body mass index z score.

d="absSec_4">Conclusions

d="abspara0025">Daily cow's milk intake of >2 cups, longer breast-feeding duration, and a higher body mass index z score were modifiable risk factors associated with iron deficiency. Eating meat according to recommendations may be a promising additional target for the prevention of iron deficiency in early childhood.