Household food insecurity is a risk factor for iron-deficiency anaemia in a multi-ethnic, low-income sample of infants and toddlers.

Journal Article (Journal Article)

OBJECTIVE: The present study examines the relationships of household food security status with Fe deficiency (ID) and Fe-deficiency anaemia (IDA) among children less than 3 years of age, and associated factors that contribute to ID and IDA. DESIGN: Cross-sectional study and chart review. The US Food Security Survey Module was administered to adult caregivers as part of the Children's Sentinel Nutrition Assessment Project (C-SNAP). Haematological data were obtained from medical records. SETTING: A large metropolitan medical centre in Minneapolis, Minnesota, USA. SUBJECTS: A multi-ethnic sample of 2853 low-income children aged <36 months who received care at the medical centre. RESULTS: Among the caregivers, 23.3 % reported low household food security and 11.6 % reported very low household food security (VLFS). After controlling for background factors, children from households with VLFS were almost twice as likely to have IDA than were children from households with high or marginal food security (OR = 1.98, 95 % CI 1.11, 3.53); the corresponding associations for ID were not statistically significant. CONCLUSIONS: The prevalence of IDA in early childhood is significantly larger in low-income infants and toddlers living in VLFS households. Asian, Hispanic and African-American children have elevated prevalences of ID and IDA. Breast-feeding may be associated with elevated ID and IDA, while participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) may be protective for ID.

Full Text

Duke Authors

Cited Authors

  • Park, K; Kersey, M; Geppert, J; Story, M; Cutts, D; Himes, JH

Published Date

  • November 2009

Published In

Volume / Issue

  • 12 / 11

Start / End Page

  • 2120 - 2128

PubMed ID

  • 19405987

Electronic International Standard Serial Number (EISSN)

  • 1475-2727

Digital Object Identifier (DOI)

  • 10.1017/S1368980009005540


  • eng

Conference Location

  • England