Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children
Yıl: 2020 Cilt: 14 Sayı: 3 Sayfa Aralığı: 244 - 248 Metin Dili: İngilizce DOI: 10.12956/tchd.718636 İndeks Tarihi: 27-07-2021
Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children
Öz: Objective: Anemia is defined based on low blood hemoglobin concentration and the worldwide prevalence of anemiais estimated as high as 24.8% according to the World Health Organization (WHO). Today health systems are facing theproblems. and medical issues of an ever- growing refugee population. This study was planned to investigate nutritionaland iron deficiency anemia in immigrant and refugee children.Material and Methods: In this study immigrant and refugee patients aged 0-18 years who applied to the PediatricClinics of Tepecik Training and Research Hospital for any reason between the years 2012-2018 were retrospectivelyevaluated. Patients who were admitted to the hospital for any reason and whose hematological parameters werecoded were included in the study.Results: Study population consisted of 4840 cases including 2234 (46.2%) girls and mostly (n=4793:99.0%) Syrians.Mean age at admission was found as 47.67±57.79 (0-226) months. Mean values for various parametres were asfollows: hemoglobin (Hb) (10.8±1.5 gr/dL), hematocrit (Hct) (32.8±4.3%), MCV (75.9±9.6 fL) , RDW (14.9±2.5%), serumiron (46.41±36.6 µg/dL), iron binding capacity (IBC) (379.52±75.98 g/dL), transferrin saturation (TS) (11.95±9.7%),serum ferritin ( 94.5±452µg/L). Hemoglobin levels were ≤ 10 gr/dL in 331 (6.8%) and ≤ 8 gr/dL in 83 (1.71%) cases.Biochemical parametres of iron status could not be assessed in all patients. Serum iron (n=838), IBC (n=748), TS (n=748), and ferritin (n= 737) were evaluated in indicated number of patients. Menzter, Shine&Lal, and England indexeswere calculated to evaluate the iron deficiency parameters of patients with lower age-adjusted MCV values. Totalnumber of 1525 (incl. 714[46.8%] girls) cases had lower limit of normal MCV values and Menzter index of > 13. Therewas a significant relationship between MCV, IBC (p=0.033, r=-0.124) and TS (p=0.000, r=-0.232). While MCV was in thelower limit of normal and there were 1934 (886 girls) with Shine index of > 1530, and no relationship was found betweenMCV and any iron parameters. A total of 1277 patients had a England index of > 0 and a correlation was found onlybetween MCV and TS saturation (p=0.001 and r=0.222).Conclusion: Although our study had a retrospective design and inadequate data, it is noteworthy in that it has determinedthe prevalence of anemia in this population.
Anahtar Kelime: Ortadoğulu Göçmen ve Mülteci Çocuklarda Aneminin Değerlendirilmesi
Öz: Amaç: Anemi, düşük kan hemoglobin konsantrasyonuna göre tanımlanır ve Dünya Sağlık Örgütü’ne (DSÖ) göre dünya çapında anemi prevalansının % 24.8 kadar olduğu tahmin edilmektedir. Günümüzde sağlık sistemleri sürekli büyüyen mülteci nüfusunun tıbbi sorunları ile karşı karşıyadır. Bu çalışma, göçmen ve mülteci çocuklarda beslenme ve demir eksikliği anemisinin araştırılması amacı ile planlandı. Gereç ve Yöntemler: Bu çalışma Tepecik Eğitim ve Araştırma Hastanesi Çocuk Klinikleri’ne 2012-2018 yılları arasında herhangi bir nedenle başvuran 0-18 yaş arası göçmen ve mülteci hastalar geriye dönük incelenerek yapıldı. Herhangi bir nedenle hastaneye başvuran ve hematolojik parametreleri kodlanan hastalar çalışmaya alındı. Bulgular: Çalışma popülasyonu 2234 (%46.2) kız ve çoğunluğu (n= 4793, %99.0) Suriyeli olmak üzere 4840 vakayı kapsamaktadır. Ortalama başvuru yaşı 47.67±57.79 (0-226) ay olarak bulundu. Çeşitli parametreler için ortalama değerler şöyleydi: hemoglobin (Hb) (10.8±1.5 gr/dL), hematokrit (Hct) (%32.8±4.3), ortalama eritrosit hacmi (MCV) (75.9±9.6 fL), eritrosit dağılım genişliği (RDW) (%14.9±2.5), Serum demiri (46.41±36.6 µg/dL), demir bağlama kapasitesi (IBC) (379.52±75.98 µg/dL), transferrin satürasyonu (TS) (11.95±%9.7), serum ferritin (94.5±452 µg/L) Hemoglobin seviyeleri 331 (%6.8)’de ≤ 10 gr/dL ve 83 (%1.71) vakada ≤ 8 gr/dL’di. Demir durumunun biyokimyasal parametreleri tüm hastalarda değerlendirilemedi. Belirtilen hasta grubunda serum demir (n=838), IBC (n=748), TS (n= 748) ve ferritin (n=737) değerlendirildi. Menzter, yaşa göre ayarlanmış MCV değerleri düşük olan hastaların demir eksikliği parametrelerini değerlendirmek için Shine&Lal ve England indeksleri hesaplandı. Toplam 1525 (714 (%46.8 kız) dahil) normal MCV değerlerleri alt sınırı ve Menzter indeksi > 13’dü. MCV arasında anlamlı bir ilişki vardı. IBC (p=0.033, r=-0.124) ve TS (p=0.000, r=-0.232). MCV normalin alt sınırındayken ve 1934 (886 kız) Shine indeksi> 1530 iken, MCV ile demir parametreleri arasında ilişki bulunmadı. Toplam 1277 hastada England indeksi > 0 iken sadece MCV ve TS arasında bir korelasyon bulundu (p=0.001, r=0.222). Sonuç: Çalışmamız retrospektif bir tasarıma ve yetersiz verilere sahip olmasına rağmen, bu popülasyonda anemi prevalansını belirlemesi dikkat çekicidir
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Orbatu D, Alaygut D, ONDER SIVIS Z, Pakdemirli A, Malbora B (2020). Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. , 244 - 248. 10.12956/tchd.718636 |
| Chicago | Orbatu Dilek,Alaygut Demet,ONDER SIVIS ZUHAL,Pakdemirli Ahu,Malbora Baris Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. (2020): 244 - 248. 10.12956/tchd.718636 |
| MLA | Orbatu Dilek,Alaygut Demet,ONDER SIVIS ZUHAL,Pakdemirli Ahu,Malbora Baris Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. , 2020, ss.244 - 248. 10.12956/tchd.718636 |
| AMA | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. . 2020; 244 - 248. 10.12956/tchd.718636 |
| Vancouver | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. . 2020; 244 - 248. 10.12956/tchd.718636 |
| IEEE | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B "Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children." , ss.244 - 248, 2020. 10.12956/tchd.718636 |
| ISNAD | Orbatu, Dilek vd. "Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children". (2020), 244-248. https://doi.org/10.12956/tchd.718636 |
| APA | Orbatu D, Alaygut D, ONDER SIVIS Z, Pakdemirli A, Malbora B (2020). Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. Türkiye Çocuk Hastalıkları Dergisi, 14(3), 244 - 248. 10.12956/tchd.718636 |
| Chicago | Orbatu Dilek,Alaygut Demet,ONDER SIVIS ZUHAL,Pakdemirli Ahu,Malbora Baris Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. Türkiye Çocuk Hastalıkları Dergisi 14, no.3 (2020): 244 - 248. 10.12956/tchd.718636 |
| MLA | Orbatu Dilek,Alaygut Demet,ONDER SIVIS ZUHAL,Pakdemirli Ahu,Malbora Baris Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. Türkiye Çocuk Hastalıkları Dergisi, vol.14, no.3, 2020, ss.244 - 248. 10.12956/tchd.718636 |
| AMA | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(3): 244 - 248. 10.12956/tchd.718636 |
| Vancouver | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children. Türkiye Çocuk Hastalıkları Dergisi. 2020; 14(3): 244 - 248. 10.12956/tchd.718636 |
| IEEE | Orbatu D,Alaygut D,ONDER SIVIS Z,Pakdemirli A,Malbora B "Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children." Türkiye Çocuk Hastalıkları Dergisi, 14, ss.244 - 248, 2020. 10.12956/tchd.718636 |
| ISNAD | Orbatu, Dilek vd. "Evaluation of Nutritional Anemia in Middle Eastern Migrant and Refugee Children". Türkiye Çocuk Hastalıkları Dergisi 14/3 (2020), 244-248. https://doi.org/10.12956/tchd.718636 |
