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.

Methods

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).

Results

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.

Conclusions

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.