Demir eksikliği olan okul öncesi ve okul çağındaki çocukların serum çinko seviyelerinin değerlendirilmesi: Kesitsel vaka kontrol çalışması

Year 2019, Volume: 50 Issue: 4, 183 - 186, 15.12.2019

Ömer Kartal , Orhan Gürsel

https://doi.org/10.16948/zktipb.532853

Abstract

Amaç: Dünyada
hala ek sık gözlenen nutrisyonel eksiklikler demir ve çinko eksiklikleridir.
Günümüzde bu nutrisyonel eksiklikler sadece gelişmekte olan ülkelerin değil tüm
dünyanın önemli bir problemidir. Bu çalışmanın amacı, okul öncesi ve okul
çağında demir eksikliği olan çocuklarda serum çinko seviyelerini karşılaştırmak
ve eritrosit indekslerine olan etkilerini değerlendirmektir.

Gereç ve Yöntemler: Çalışmaya
Ocak 2011 ile Ağustos 2017 tarihleri arasında Gülhane Eğitim ve Araştırma
Hastanesi çocuk hematolojisi polikliniğine başvuran, serum çinko ve demir
düzeyleri bakılmış çocuklar dahil edildi. Hastalar okul öncesi (2-5 yaş) ve
okul çağı (6-12 yaş) olarak 2 gruba ayrıldı ve grupların serum demir ve çinko
düzeyleri değerlendirildi.

Bulgular: Demir
eksikliği anemisi olan gruplarda serum çinko düzeyleri, kontrol gruplarına göre
istatistiksel olarak anlamlı bir şekilde düşük bulundu (p<0.05). Yapılan
korelasyon analizinde serum çinko düzeyi ile hemoglobin düzeyi arasında
istatistiksel olarak anlamlı ve pozitif yönlü bir korelasyon saptandı (p <0.05).

Sonuç:
Çalışma sonucunda elde
ettiğimiz veriler çinkonun anemi için bağımsız bir risk faktörü olduğu
yönündedir. Demir eksikliği anemisi olan çocuklarda demir tedavisine rağmen
düzelmeyen anemi varlığında çinko desteği düşünülmelidir.

Keywords

Çinko, Demir eksikliği anemisi, Nutrisyonel eksiklik

The evaluation of zinc levels of preschool and school-aged children with iron deficiency: A cross-sectional case-control study

Abstract

Abstract

Objective:  Iron and zinc deficiencies are
still the most common nutritional deficiencies in the world. Nowadays, these nutritional
deficiencies are a major problem not only for the developing countries but also
for the whole world. The aim of this study was to compare serum zinc levels in
children with iron deficiency in preschool and school-aged periods and to
evaluate their effects on erythrocyte index.

Material and Methods: The children, whose
serum zinc and iron levels were checked, were recruited from outpatient
pediatric hematology clinic at Gülhane Training and Research Hospital in the
period from January 2011 till August 2017. Participants were divided into 2
groups as preschool (2-5 years) and school-aged (6-12 years) periods and serum
iron and zinc levels were evaluated.

Results: Serum zinc levels were
significantly lower in the groups with iron deficiency anemia compared to the
control groups (p<0.05). Correlation analysis revealed a statistically
significant and positive correlation between serum zinc and hemoglobin levels (p
<0.05).

Conclusion: The data obtained from the
study showed that serum zinc level is an independent risk factor for anemia. In
children with iron deficiency anemia, zinc supplementation should be considered
in the presence of anemia that does not improve despite the iron replacement.

Keywords

Zinc, Iron deficiency anemia, Nutritional deficiency

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