Ferritin concentrations in low-birth babies in South-west Nigeria

A. Adediran, Sunday Isife, V. Osunkalu, T. Wakama, S. Ocheni
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Abstract

Background: In the absence of acute phase reaction, ferritin concentration has been used as a standard measurement of iron stores. Low birth  weight babies are at risk of developing iron lack because ferritin concentration at birth is influenced by duration of gestation, maternal iron status  and conditions altering maternal–foetal iron exchange. Aim: The aim of this study was to determine the ferritin concentrations of low birth weight babies in comparison with that of normal birth weight  babies. Materials and methods: Fortyfour normal birth weight (NBW) babies and 40 low birth weight (LBW) babies were recruited for the study. About  1.0ml of venous blood was drawn aseptically from each subject into a micro EDTA tube, centrifuged at 5000rpm for 5 minutes, the plasma separated  into cryotubes and stored at-20oC until ready for quantitative determination of ferritin concentrations using direct immunoenzymatic  colorimetric method. Data obtained was analysed statistically using the Statistical Package for Social Sciences (SPSS, version 23, Chicago, IL, USA).    Results: Gestational age correlated positively with ferritin concentrations in LBW neonates (p<0.05) while APGAR score correlated positively with  ferritin concentrations in normal birth weight babies (r=0.398; p<0.05). Though not statistically significant (p=0.214), median values for ferritin  concentrations were 188.5μg/dl and 373μg/dl for LBW and NBW neonates respectively. Conclusion: Gestational age correlated positively with ferritin concentrations in LBW neonates. 
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尼日利亚西南部低出生婴儿的铁蛋白浓度
背景:在没有急性期反应的情况下,铁蛋白浓度已被用作铁储量的标准测量。低出生体重儿有缺铁的危险,因为出生时的铁蛋白浓度受妊娠期、母体铁状态和改变母胎铁交换的条件的影响。目的:本研究的目的是测定低出生体重婴儿与正常出生体重婴儿的铁蛋白浓度。材料与方法:选取44例正常出生体重儿(NBW)和40例低出生体重儿(LBW)。每位受试者无菌抽取静脉血1.0ml左右,放入EDTA微管中,5000rpm离心5分钟,血浆分离入冷冻管,20℃保存,待直接免疫酶比色法定量测定铁蛋白浓度。使用社会科学统计软件包(SPSS, version 23, Chicago, IL, USA)对获得的数据进行统计分析。结果:LBW新生儿胎龄与铁蛋白浓度呈正相关(p<0.05),正常出生体重儿APGAR评分与铁蛋白浓度呈正相关(r=0.398;p < 0.05)。虽然没有统计学意义(p=0.214),但LBW和NBW新生儿的铁蛋白浓度中位数分别为188.5μg/dl和373μg/dl。结论:胎龄与低体重新生儿铁蛋白浓度呈正相关。
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