PEDIATRICS Vol. 72 No. 1 July 1983, pp. 33-36
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Iron Status and Infant Feeding Practices in an Urban Ambulatory Center

P. David Sadowitz MD1 and Frank A. Oski MD1

1 From the Department of Pediatrics, State University of New York, Upstate Medical Center, Syracuse, New York

The relationship of infant feeding practices to iron status was examined in a group of 280 infants, 9 to 12 months of age, attending a "well-baby" clinic. Of this group, 7.6% were found to be iron depleted, 19.7% were iron deficient without anemia, and 8.2% were iron deficient with anemia. The incidence of iron-deficiency anemia was significantly greater in the black infants than the white infants (14.3% v 2.7%). The introduction of whole cow's milk into the diet had occurred prior to 6 months of age in 29.2% of the infants, and 62.1% of these infants had laboratory evidence of nutritional iron inadequacy, as contrasted with only 21.8% of those with iron deficiencies fed cow's milk after 6 months of age. Of the 21 infants with iron-deficiency anemia, 19 (90.5%) had been fed whole cow's milk prior to 6 months of age. Iron deficiency remains a nutritional problem for infants in an urban setting and is largely a result of the early introduction of whole cow's milk into the diet.

Key Words: iron deficiency • anemia • infant feeding • formula

Submitted on October 6, 1982
Accepted on November 2, 1982




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