Association between psychiatric disorders and iron deficiency anemia among children and adolescents: a nationwide population-based study

Chen, Mu Hong; Su, Tung Ping; Chen, Ying Sheue; Hsu, Ju Wei; Huang, Kou‐Yuan; Chang, Wen Han; Chen, Tzeng Ji; Bai, Ya Mei

doi:10.1186/1471-244x-13-161

Cited by 155 publications

(146 citation statements)

References 64 publications

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“…In a study conducted on association between psychiatric disorder and IDA among children and adolescent. In a total of 2957, it was concluded that iron deficiency anemia increased the risk of psychiatric disorders including psychiatric anxiety and depressive disorder [39]. …”

Section: Discussionmentioning

confidence: 99%

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Syed¹,

Zeb²,

Khan³

et al. 2018

JFNR

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Eating disorder causes serious disturbances in behaviors related to nutrition in adolescent. Although most of these attitudes are benign, they can bear significant psychological and health risks. A cross-sectional study was conducted on 250 university adolescent girls studying in Peshawar Pakistan to explore their eating disorder, nutritional and health status. Girls were interviewed for eating attitudes by using Eating Attitude Test (EAT-26), socio-economic status and body image. Anthropometric and biochemical indices were measured. Based on EAT-26 scale, girls with and without eating disorders were identified. In both groups the association between anemia and risk factors was evaluated. Health and nutritional risk factors for anemia in girls were identified by applying logistic regression. Mean score of EAT-26 was 18±10.5 while for Dieting, Bulimia, Oral Control and Body Image of the girls was 8.5±7, 3.20±2.59, 6.36±4.41 and 20±9 respectively. EAT-Score was found in strong association with anemia in unadjusted and adjusted analysis. Among the health factors, girls with symptoms of anxiety, depression and stress were more likely anemic than their counterpart. More anorexic girls were found overweight and obese in comparison to the rest (p<0.05). Body shape being android or gynoid as well as anemia were found similar among the groups (p>0.05). More anorexic girls showed significant difference in less freshness, disrupted sleep and low physical activity (p<0.05). It has been concluded that eating disorders (anorexia) are more prevalent in university adolescent girls and could adversely affect the health and nutritional status of the students.

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Section: Discussionmentioning

confidence: 99%

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Syed¹,

Zeb²,

Khan³

et al. 2018

JFNR

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“…The studies with results inconsistent with those obtained in our study had small numbers of samples, with the exception of the study by Bener et al [23] (number of ADHD patients \60, number of healthy control cases \30). A review of the literature shows some studies that have established an association between iron deficiency and psychiatric disorders other than ADHD [52,53]. Therefore, recruiting subjects without comorbid psychiatric disorders in studies assessing the association between ADHD and iron deficiency was considered to be of importance.…”

Section: Discussionmentioning

confidence: 99%

Iron Deficiency Parameters in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

Percinel¹,

Yazıcı

Üstündağ

2015

Child Psychiatry Hum Dev

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The aim of this study is to compare iron deficiency parameters in patients with stimulant-naive attention-deficit/hyperactivity disorder (ADHD) and healthy controls, to investigate whether there are differences among the ADHD presentations, and to evaluate the relationship between ADHD symptom severity and serum ferritin levels. In addition, ADHD-Predominantly Inattentive (ADHD-PI) patients with restrictive hyperactivity/impulsivity symptoms were evaluated as a separate group with "restrictive inattention presentation" (ADHD-Rest) and were compared with other groups. Patients with ADHD-Rest are typically defined as having six or more symptoms of inattention and fewer than three symptoms of hyperactivity/impulsivity. A total of 200 ADHD cases consisting of 100 ADHD-Combine (ADHD-C) and 100 ADHD-PI and a total of 100 healthy control cases were included in the study. The Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version was performed in a semi-structured interview during the diagnosis. The Turgay DSM-IV-Based Child and Adolescent Behavior Disorders Screening and Rating Scale, the Conners' Rating Scale-Revised: Long Form (Parent-Teacher) (CPRSR:L, CTRS-R:L) were used for clinical evaluation. Hemogram, serum iron, iron binding capacity and serum ferritin levels were assessed. There were no significant differences between the ADHD patients and the healthy control cases in terms of iron deficiency parameters. Further, there were no significant differences among the ADHD presentations in terms of the same parameters, nor were there any significant differences when the groups were examined after the identification of the ADHD-Rest. The CPRS-R:L Hyperactivity and the CTRS-R:L Hyperactivity scores were negatively correlated with serum ferritin level in the ADHD group. To our knowledge, our current study is the first to compare serum ferritin levels in ADHD-Rest with other presentations of ADHD, and included the largest number of patients that were classified by ADHD presentations. Elucidation of these findings is important for both the etiology and treatment of ADHD.

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“…About one third of ASD patients suffer from ID, which affects their behavioral phenotype ( Latif et al, 2002 ;Herguner et al, 2012 ). For other disorders (e.g., schizophrenia, bipolar disorder, depression), future research is of vital importance, as data are scarce in these fields ( Chen et al, 2013 ).…”

Section: Neurologic and Psychiatric Manifestations Of Idmentioning

confidence: 99%

An explanation of the pathophysiology of adverse neurodevelopmental outcomes in iron deficiency

Bakoyiannis¹,

Gkioka²,

Daskalopoulou³

et al. 2015

Reviews in the Neurosciences

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AbstractIron deficiency (ID) is a major public health problem worldwide among children aged 0–12 months. Several factors seem to contribute to the iron-deficient state in infancy, including insufficient antenatal and neonatal iron supplementation, exclusive breastfeeding, and early umbilical cord clamping after birth. The most concerning complications of ID, except for anemia, are related to altered long-term neurodevelopment. Clinical studies have shown a negative impact of ID anemia on fetal and neonatal behavior including impairments of motor maturity, autonomic response, memory/learning, and mood. ID-induced defects during infancy seem to persist later in life, even after ID treatment. The underlying mechanisms involve dysfunctional myelination, neurotransmission alterations, and altered synaptogenesis and/or dendritogenesis. The purpose of the present review is to summarize these mechanisms and to provide recommendations for future clinical research in the field.

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Association between psychiatric disorders and iron deficiency anemia among children and adolescents: a nationwide population-based study

Cited by 155 publications

References 64 publications

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Exploration of Eating Disorders, Nutritional and Health Status Based on Eating Attitude Test-26 amongst University Adolescent Girls

Iron Deficiency Parameters in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder

An explanation of the pathophysiology of adverse neurodevelopmental outcomes in iron deficiency

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