Iron Deficiency in Preschool Children with Chronic Rhinitis.

IF 1.1 4区 医学 Q4 ALLERGY Pediatric Allergy Immunology and Pulmonology Pub Date : 2024-11-27 DOI:10.1089/ped.2024.0097
Yu-Fang Lo, Jia-Kan Chang
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Abstract

Introduction: Iron deficiency (ID) has been intricately linked with various inflammatory diseases. Chronic rhinitis stands as one of most common respiratory inflammation disorders in children. This study aimed to investigate the prevalence of ID among preschool children with chronic rhinitis and to explore the association between ID and chronic rhinitis in this population. Methods: This cross-sectional study included children aged 3 to 7 years diagnosed with chronic rhinitis. ID was defined as transferrin saturation <20%, with absolute ID being defined as ferritin <15 ng/mL. Logistic regression analyses were performed to identify factors associated with ID. Results: A total of 72 children with chronic rhinitis were included, revealing a prevalence of ID of 47.2%. Only 5.9% children with ID exhibited absolute ID. Multivariate analysis revealed that neutrophils (odds ratio [OR] = 1.205, 95% confidence interval [CI] = 1.013-1.433, P = 0.035) and monocytes (OR = 1.803, 95% CI = 1.198-2.713, P = 0.005) were independently and significantly associated with ID. Conclusion: This study revealed a notable prevalence of ID in the preschool children with chronic rhinitis. The significant association between neutrophils and monocytes with ID implied an intricate involvement of innate immunity in the manifestation of ID.

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患有慢性鼻炎的学龄前儿童缺铁。
导言:缺铁(ID)与各种炎症性疾病有着千丝万缕的联系。慢性鼻炎是儿童最常见的呼吸道炎症之一。本研究旨在调查慢性鼻炎学龄前儿童中铁缺乏症的患病率,并探讨铁缺乏症与慢性鼻炎之间的关系。研究方法这项横断面研究纳入了被诊断患有慢性鼻炎的 3 至 7 岁儿童。ID的定义是转铁蛋白饱和度:研究共纳入 72 名患有慢性鼻炎的儿童,ID 患病率为 47.2%。只有 5.9% 的 ID 患儿表现为绝对 ID。多变量分析表明,中性粒细胞(比值比 [OR] = 1.205,95% 置信区间 [CI] = 1.013-1.433,P = 0.035)和单核细胞(比值比 [OR] = 1.803,95% 置信区间 [CI] = 1.198-2.713,P = 0.005)与 ID 有显著的独立相关性。结论本研究揭示了学龄前儿童慢性鼻炎患者中ID的显著发病率。中性粒细胞和单核细胞与ID之间的明显关联意味着先天性免疫在ID表现中的复杂参与。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
23
审稿时长
>12 weeks
期刊介绍: Pediatric Allergy, Immunology, and Pulmonology is a peer-reviewed journal designed to promote understanding and advance the treatment of respiratory, allergic, and immunologic diseases in children. The Journal delivers original translational, clinical, and epidemiologic research on the most common chronic illnesses of children—asthma and allergies—as well as many less common and rare diseases. It emphasizes the developmental implications of the morphological, physiological, pharmacological, and sociological components of these problems, as well as the impact of disease processes on families. Pediatric Allergy, Immunology, and Pulmonology coverage includes: -Functional and genetic immune deficiencies- Interstitial lung diseases- Both common and rare respiratory, allergic, and immunologic diseases- Patient care- Patient education research- Public health policy- International health studies
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