Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study

Background: Among the many complications reported for cirrhosis, iron deficiency anemia (IDA) has attracted much attention. This type of anemia, in contrast to other types of anemia, is easy to treat prophylactically, but if left untreated can lead to a poor quality of life. The aim of this study wa...

Full description

Bibliographic Details
Main Authors: Soheila Zareifar, Seyed Mohsen Dehghani, Najmeh Rahanjam, Mohammad Reza Farahmand Far
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-09-01
Series:International Journal of Hematology-Oncology and Stem Cell Research
Subjects:
Online Access:https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/383
_version_ 1827852475049181184
author Soheila Zareifar
Seyed Mohsen Dehghani
Najmeh Rahanjam
Mohammad Reza Farahmand Far
author_facet Soheila Zareifar
Seyed Mohsen Dehghani
Najmeh Rahanjam
Mohammad Reza Farahmand Far
author_sort Soheila Zareifar
collection DOAJ
description Background: Among the many complications reported for cirrhosis, iron deficiency anemia (IDA) has attracted much attention. This type of anemia, in contrast to other types of anemia, is easy to treat prophylactically, but if left untreated can lead to a poor quality of life. The aim of this study was to estimate the hemoglobin and serum iron levels among patients with liver cirrhosis for the early diagnosis of IDA and to avoid unnecessary testing and iron supplementation. Subjects and Methods: In this cross-sectional study, 88 children diagnosed with cirrhosis were included, and the values of hemoglobin, serum iron levels and relationship between serum iron (SI), total iron-binding capacity (TIBC), prothrombine time (PT), international normalization ratio (INR), total and direct bilirubin and hepatic enzymes were estimated using paired t test, Mann-Whitney, Chi-square and Kruskal-Wallis tests. Results: Forty-six (52.3%) of 88 children were girls and 42 (47.7%) were boys. Forty-eight (54.5%) patients had anemia and 8 (9%) had iron deficiency anemia (5 boys, 5.6%, and 3 girls, 3.4%). No relationships were observed between iron deficiency anemia and the patient’s age or gender, whereas there was a relationship between iron deficiency and severity and duration of the disease, although the correlation was not statistically significant. Conclusion: The high frequency of iron deficiency anemia in children with cirrhosis (9%) suggests that timely screening should be used for early diagnosis and treatment.
first_indexed 2024-03-12T10:50:50Z
format Article
id doaj.art-b42a4e8d8e1e47ea9551ca46e5ab6f84
institution Directory Open Access Journal
issn 2008-2207
language English
last_indexed 2024-03-12T10:50:50Z
publishDate 2015-09-01
publisher Tehran University of Medical Sciences
record_format Article
series International Journal of Hematology-Oncology and Stem Cell Research
spelling doaj.art-b42a4e8d8e1e47ea9551ca46e5ab6f842023-09-02T07:03:15ZengTehran University of Medical SciencesInternational Journal of Hematology-Oncology and Stem Cell Research2008-22072015-09-0193369Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional studySoheila Zareifar0Seyed Mohsen Dehghani1Najmeh Rahanjam2Mohammad Reza Farahmand Far3Pediatric Hematology and Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran.Gasteroenterology Department, Shiraz University of Medical Sciences, Shiraz, Iran.Pediatric Hematology and Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran.Pediatric Hematology and Oncology Department, Shiraz University of Medical Sciences, Shiraz, Iran.Background: Among the many complications reported for cirrhosis, iron deficiency anemia (IDA) has attracted much attention. This type of anemia, in contrast to other types of anemia, is easy to treat prophylactically, but if left untreated can lead to a poor quality of life. The aim of this study was to estimate the hemoglobin and serum iron levels among patients with liver cirrhosis for the early diagnosis of IDA and to avoid unnecessary testing and iron supplementation. Subjects and Methods: In this cross-sectional study, 88 children diagnosed with cirrhosis were included, and the values of hemoglobin, serum iron levels and relationship between serum iron (SI), total iron-binding capacity (TIBC), prothrombine time (PT), international normalization ratio (INR), total and direct bilirubin and hepatic enzymes were estimated using paired t test, Mann-Whitney, Chi-square and Kruskal-Wallis tests. Results: Forty-six (52.3%) of 88 children were girls and 42 (47.7%) were boys. Forty-eight (54.5%) patients had anemia and 8 (9%) had iron deficiency anemia (5 boys, 5.6%, and 3 girls, 3.4%). No relationships were observed between iron deficiency anemia and the patient’s age or gender, whereas there was a relationship between iron deficiency and severity and duration of the disease, although the correlation was not statistically significant. Conclusion: The high frequency of iron deficiency anemia in children with cirrhosis (9%) suggests that timely screening should be used for early diagnosis and treatment.https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/383ChildrenCirrhosisIron deficiency anemia
spellingShingle Soheila Zareifar
Seyed Mohsen Dehghani
Najmeh Rahanjam
Mohammad Reza Farahmand Far
Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
International Journal of Hematology-Oncology and Stem Cell Research
Children
Cirrhosis
Iron deficiency anemia
title Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
title_full Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
title_fullStr Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
title_full_unstemmed Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
title_short Prevalence of Iron deficiency anemia in children with liver cirrhosis: A cross-sectional study
title_sort prevalence of iron deficiency anemia in children with liver cirrhosis a cross sectional study
topic Children
Cirrhosis
Iron deficiency anemia
url https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/383
work_keys_str_mv AT soheilazareifar prevalenceofirondeficiencyanemiainchildrenwithlivercirrhosisacrosssectionalstudy
AT seyedmohsendehghani prevalenceofirondeficiencyanemiainchildrenwithlivercirrhosisacrosssectionalstudy
AT najmehrahanjam prevalenceofirondeficiencyanemiainchildrenwithlivercirrhosisacrosssectionalstudy
AT mohammadrezafarahmandfar prevalenceofirondeficiencyanemiainchildrenwithlivercirrhosisacrosssectionalstudy