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Iron Status and Anemia of Middle School Girls in Ulsan Metropolitan City  

홍순명 (울산대학교 생활과학대학 식품영양학과)
서영은 (울산대학교 생활과학대학 식품영양학과)
황혜진 (동의대학교 생활과학대학 식품영양학과)
Publication Information
Korean Journal of Community Nutrition / v.8, no.1, 2003 , pp. 26-32 More about this Journal
Abstract
This study was designed to assess the nutritional iron status and anemia of middle school girls. Three-hundred-fifty- three female subjects in Ulsan metropolitan city were evaluated using a questionnaire, and hematological indices. The average height and weight of the respondents were 157.19 $\pm$ 5.57 cm and 51.06 $\pm$ 9.42 kg respectively. The average Body Mass Index (BMI, $kg/m^2$) was 20.63 $\pm$ 3.23, which was within the normal range. With regard to clinical symptoms, the greatest number of respondents reported that they experienced 'decreased ability to concentrate'. The total caloric intake of each subject was 1743.28 $\pm$ 343.47 kcal(83.01% of the Korean RDA) and the calcium intake was 634.98 $\pm$ 201.43 mg (79.37% of the Korean RDh) . The mean daily intake of iron was 14.76 : 4.36 mg (92.25% of the Korean RDh) and the heme iron intake was 6.12 $\pm$ 2.30 mg, which was 41.5% of the total iron intake. The average hemoglobin (Hb) concentration of the subjects was 13.24 $\pm$ 1.01 g/dl, and the average hematocrit (Hct) level was 37.79 $\pm$ 4.10%. The transferrin saturation {TS (%)} was 19.41 $\pm$ 9.21%, and the ferritin level was 26.26 $\pm$ 18.60 ng/ml. The iron deficiency anemia among the subjects was estimated at 6.1% by using Hb (< 12 g/ml), 20.5% by using Hct (< 36%), 30.8% by using 75 (< 14%) , and 23.1% by using ferritin (< 12 ng/ml) The total iron binding capacity (TIBC) showed a negative correlation with the Hb, iron, ferritin and 75. With regard to the correlation between blood biochemistry and clinical symptoms related to anemia, the Hb concentration was negatively correlated with 'pale face'(p < 0.05) . In addition, the level of iron was significantly and negatively correlated with 'poor memory' (p<0.01) and the ferritin concentration was negatively correlated with 'no appetite '(p < 0.05) ,'pale face (p < 0.05) . These results suggest that the prevalence of iron deficiency among middle school girls is very high; therefore, guidelines on dietary support and nutritional education to improve their dietary iron status should be provided.
Keywords
iron status; anemia; iron deficiency anemia; hemoglobin; ferritin;
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1 Hallberg LH, Hulten L, Lindstedt G, Lundberg P, Mark A, Purens J (1993): Prevalence of iron deficiency in Swedish adolescents. Pediatr Res 34: 680-687   DOI   ScienceOn
2 Ministry of Health and Welfare (1999) : '98 National nutrition survey report
3 Hong SM, Kim EY (1999): A Effect of nutrition counseling for improving iron status of female college students. J Korean Soc Food Sci Nutr 28(5): 1159-1163
4 Moon SJ, Lee KY, Kim SY (1981): Application of convenient method for the study of nutritional status of middle aged Korean women. Yonseinonchong, pp.203-218
5 Hong SM, Kim EY, Kim SR (1999): A Study on iron status and anemia of female college students of Ulsan City. J Korean Soc Food Sci Nutr 28 (5): 1151-1157
6 Williams SR, Worthington BS (1992): Nutrition throughout the life cycle (2ndEd) Mosby Year Book
7 An GS, Shin DS (2001): A comparison of food and nutrient intake of adolescents between urban areas and islands in South Kyungnam. Korean J Community Nutrition 6(3): 271-281
8 Kim EK, Choi JH (1997): A Comparison of Anthropometry and Iron Status in Children Provided with and without National School Lunch Program. Korean J Nutrition 30 (8): 1009-1017
9 Kim SG, Yim DH, Choi YH, lun YH, Hong Yl, Song BK, Bae SH, Lee HS (1998): A Study on the relation of dietary intakes, iron deficiency anemic frequence and iron deficiency of elementary school, middle school and high school students in Buchon city. Korean J Pediatric Hematology-Oncology 33 (2): 215-223
10 Ha MJ, Kye SH, Lee HS, Seo SJ, Kang YJ, Kim CI (1997): Nutritional status of junior high school students. Korean J Nutrition 30 (3): 327-335
11 Kretchmer N, Zimmermann M (1997): Developmental nutrition, Allyn and Bacon, pp.458-459
12 Du S, Zhai F, Wang Y, Popkin BM (2000): Current methods for estimating dietary iron bioavailability do not work in China. J Nutr 130 (2): 193-198
13 Kim SH, Yoo CH, Kim SH, Lee SS, Gang MH, Chang NS (1995): Family nutrition, Sinkwang publishing company
14 Cook JD, Monsen ER (1976): Food iron absorption in human subjects. III. Comparison of the effects of animal proteins on nonheme iron absorption. Am J Clin Nutr 29: 859-867
15 Kye SH, Paik HY (1993): Iron nutriture and related dietary factors in apparently heathy young Korean women (1): Analysis of iron in major food items and assessment of intake and availability of dietary iron. Korean J Nutrition 26 (6): 692-702
16 Lifshitz F, Tarim O, Smith MM (1993): Nutrition in adolescent. In Epicrinology and Metabolism. Clinics ofNorth America 22 (3): 673-683
17 Dallman PR, Yip R, Oshi Fa (1993): Iron deficiency and related nutrient anemias. In: Nathan DG, Oshi Fa, eds. Hematology of infancy and childhood. 4th ed Philadelphia: WB Saunders Co, pp413-450
18 Mahan LK, Escott-Stump S (1996): Krause's Food, Nutrition & Diet Therapy, 9th ed. W.B. Saunders Co, p.403
19 Choi JH, Kim JH, Lee MJ, Moon SJ, Lee SI, Baek NS (1997): An ecological analysis of the iron status of middle school students in Seoul. Korean J Nutrition 30 (8): 960-975
20 Park SK, Kim HM, Jeong JY, Park sr, Park JH, Kim SR, Hong SM (1990): A Study on iron status and anemia of rural and urban middle school students in Ulsan. Korean J Pediatric Hematology-Oncology 6 (2): 235-249
21 Nam HS, Lee SY (1992): A Study on the nutritional status and iron intake in Chungnam University Women Students. Korean J Nutrition 25 (5): 404-412
22 Hong SM, Hwang HJ, Park SK (2000): A Study of iron status and anemia in female high school students in Ulsan. Korean J Community Nutrition 6 (I): 28-35
23 Foley C, Hertzler AA (1979): Attitude and food habits (A review). Am J Diet Assoc 75 (I): 13-18
24 Ro HK (2000): Comparison of nutrient intakes, dietary behavior and perception about body image between adolescent boys and girls in rural area. Korean J Community Nutrition 5 (2S): 280-288
25 Looker AC, Dallman PR, Carroll MD, Gunter EW. Johnson CL (1997): Prevalence of iron deficiency in the United States. JAMA 277 (12) : 973-976   DOI   ScienceOn
26 Gibson RS (1990): Principles of nutritional assesment, 349-472, Oxford university press. New York oxford