A14.5 Prevalence and Risk Factors of Iron Deficiency Among Toddlers_Imaan Bayoumi

PRIDE T: Prevalence and Risk Factors for Iron Deficiency Among Toddlers Served at

Kingston Community Health Centres

Imaan Bayoumi MD, MSc Prevent More to Treat Less June 4, 2014

Objectives • Describe PRIDE T • Early learnings • Importance of research in CHCs

and in child health

Why Iron Deficiency?

• 3 year old child came for dental pre-op assessment • Hb 44 (normal 105-135) • Association between iron deficiency and poor

neurocognitive outcomes

Study Objectives

• To examine the prevalence and risk factors associated with iron deficiency among toddlers between ages 12-36 months served by the Kingston Community Health Centres.

• To explore the feasibility of conducting research within the CHC and feasibility of future participation in the TARGetKids! practice-based research network

Research Questions

• What is the prevalence of iron deficiency and iron deficiency anemia among toddlers age 12-36 months in a low income and socially disadvantaged urban and small town Ontario population?

• What are the identified risk factors associated with iron deficiency and iron deficiency anemia in this population?

Methods Inclusion criteria • Age 12-36 months • Served by KCHC • Informed consent of guardian Exclusion criteria • Previous diagnosis developmental disorder or chronic health condition • Prematurity < 35 weeks, bw <2500g • Acute illness, such as viral illness • Parent unable to speak English Questionnaires: • NHQ • NDDS • NutriStep • Infant behaviour questionnaire or early childhood questionnaire Phlebotomy: • CBC • Ferretin • CRP • Trace metals- lead, mercury, cadmium

Support for Participants

Preliminary Results

Preliminary Results

Preliminary Results

Blood results • 62% successful phlebotomy • Prevalence of iron deficiency anemia 5.6% • Prevalence of iron deficiency 14.3%

Importance of Research in CHC’s

• Policy makers need to understand health needs of low income people, vulnerable populations

• Community based research • Practical, relevant • Interdisciplinary

Importance of Child Health Research

• Children are vulnerable • Early childhood critical period

Study Limitations

• Selection bias • Social desirability bias

Acknowledgements • Co-investigators:

– Rupa Patel, – Kendra Link, – Pat Parkin, – Gerald Lebovic

• Tammy Punchard • KCHC • Target Kids • Kingston General Hospital, Mount Sinai Lab • College of Family Physicians of Canada