Haematological parameters of iron deficiency anaemia among infants and their correlation with the psychosocial developments

Awaz Muhammed Ameen Anwar, Adil Abozaid Eissa
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Abstract

Background and objectives: Iron deficiency anaemia is one of the most widespread micronutrient deficiencies in the world. Our goal was to investigate how Iron deficiency anaemia affects the haematological parameters and the psychosocial development of affected infants. Methods: A follow–up study was conducted from January, 2022 to September, 2022 at Heevi Paediatric Teaching Hospital in Duhok. A total of 58 children with Iron deficiency anaemia were involved in this study. Also, 58 children with normal iron status were recruited and served as control. The Ages & Stages Questionnaires®, Third Edition were used to evaluate the five areas of developmental progress of enrolled infants including gross motor skills, fine motor skills, adaptability, language skills, and social skills. Results: Study has found that Serum iron for patients with iron deficiency anaemia was (g/dL) 20.82± 1.1 vs 77.8 ± 5 for control. Generally, patients scored lower blood count compared to control.Hence,All haematological parameters including haemoglobin, mean cell volume, mean cell haemoglobin, mean corpuscular haemoglobin returned to normal after 2month treatment. Both groups scores in the communication and gross motor domains were not statistically significant communication: 40±0.6 for patients vs. 42± 0.5 for controls, and gross motor: 48± 1.7 for patients vs. 50± 1.5 for controls. Whereas, fine motor, problem solving, and social behaviour are other categories that were shown to have statistically significant low scores (p-value ? 0.05): fine motor for patients was 36±1.2 vs. 48±1.5 for controls, problem solving was 33±1.1 vs. 45±2.0 and social behaviour was 31.5% vs. 47.5% for the control group. Conclusion: These findings show that children with Iron deficiency anaemia have negative impact on fine motor, problem solving, Social-behaviour.
婴儿缺铁性贫血的血液学参数及其与社会心理发展的关系
背景和目的:缺铁性贫血是世界上最普遍的微量营养素缺乏症之一。我们的目标是研究缺铁性贫血如何影响受影响婴儿的血液学参数和社会心理发展。研究方法2022 年 1 月至 2022 年 9 月,我们在杜霍克的 Heevi 儿科教学医院开展了一项随访研究。本研究共涉及 58 名缺铁性贫血患儿。此外,还招募了 58 名铁状况正常的儿童作为对照。研究采用年龄与阶段问卷(Ages & Stages Questionnaires®, Third Edition)对入选婴儿的五个发育领域进行评估,包括粗大运动技能、精细运动技能、适应能力、语言技能和社交技能。研究结果研究发现,缺铁性贫血患者的血清铁为(g/dL)20.82± 1.1,对照组为(g/dL)77.8± 5。因此,治疗 2 个月后,所有血液学参数,包括血红蛋白、平均细胞体积、平均细胞血红蛋白、平均血红蛋白均恢复正常。两组在沟通和大运动领域的得分在统计学上无显著差异:患者为 40±0.6 分,对照组为 42±0.5 分:患者为 48±1.7 分,对照组为 50±1.5 分。而精细动作、解决问题和社交行为等方面的得分较低,具有统计学意义(P 值为 0.05):患者精细动作为 36±1.2 分,对照组为 48±1.5 分;解决问题为 33±1.1 分,对照组为 45±2.0 分;社交行为为 31.5%,对照组为 47.5%。结论这些研究结果表明,缺铁性贫血患儿在精细动作、解决问题能力和社交行为方面有负面影响。
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