Association Between Meat and Meat-Alternative Consumption and Iron Stores in Early Childhood Academic Article uri icon

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abstract

  • OBJECTIVE: To prevent iron deficiency, 2014 Canadian recommendations for healthy term infants from 6 to 24 months recommend iron-rich complementary foods such as meat and meat alternatives 2 or more times a day. The purpose of our study was to evaluate the association between meat and meat-alternative consumption and iron status in young children and the association between red meat consumption and iron status among children meeting recommendations. METHODS: Healthy children aged 12 to 36 months were recruited. A cross-sectional study was conducted. Meat and meat-alternative consumption was measured using the NutriSTEP questionnaire. Adjusted multivariable regression analyses were used to evaluate an association between meat consumption and serum ferritin, and iron deficiency (serum ferritin <14 μg/L). RESULTS: A total of 1043 children were included. Seventy-three percent of children met the recommended daily intake of meat and meat alternatives, and 66% ate red meat in the past 3 days. Eating meat and meat alternatives was not associated with serum ferritin (0.13 μg/L, 95% confidence interval -0.05, 0.31, P = .16), but it was associated with a decreased odds of iron deficiency (odds ratio 0.97, 95% confidence interval 0.94, 0.99, P = .03). Associations between red meat consumption and iron status were not statistically significant. Statistically significant covariates associated with increased odds of iron deficiency included longer breast-feeding duration, daily cow's milk intake of >2 cups, and a higher body mass index z score. CONCLUSIONS: Daily cow's milk intake of >2 cups, longer breast-feeding duration, and a higher body mass index z score were modifiable risk factors associated with iron deficiency. Eating meat according to recommendations may be a promising additional target for the prevention of iron deficiency in early childhood.

authors

  • Cox, Kelly Anne
  • Parkin, Patricia C
  • Anderson, Laura
  • Chen, Yang
  • Birken, Catherine S
  • Maguire, Jonathon L
  • Macarthur, Colin
  • Borkhoff, Cornelia M
  • Abdullah, Kawsari
  • Anderson, Laura N
  • Bayoumi, Imaan
  • Birken, Catherine S
  • Borkhoff, Cornelia M
  • Carsley, Sarah
  • Chen, Yang
  • Katz-Lavigne, Mikael
  • Kavikondala, Kanthi
  • Koroshegyi, Christine
  • Kowal, Christine
  • Lee, Grace Jieun
  • Maguire, Jonathon L
  • Mason, Dalah
  • Omand, Jessica
  • Parkin, Patricia C
  • Persaud, Navindra
  • van den Heuvel, Meta
  • Wong, Peter
  • Zabih, Weeda
  • Baker, Jillian
  • Barozzino, Tony
  • Bonifacio, Joey
  • Campbell, Douglas
  • Cheema, Sohail
  • Chisamore, Brian
  • Danayan, Karoon
  • Das, Paul
  • Derocher, Mary Beth
  • Do, Anh
  • Dorey, Michael
  • Freeman, Sloane
  • Fung, Keewai
  • Guiang, Charlie
  • Handford, Curtis
  • Hatch, Hailey
  • Jacobson, Sheila
  • Kiran, Tara
  • Knowles, Holly
  • Kwok, Bruce
  • Lakhoo, Sheila
  • Lam-Antoniades, Margarita
  • Lau, Eddy
  • Leung, Fok-Han
  • Loo, Jennifer
  • Mahmoud, Sarah
  • Moodie, Rosemary
  • Morinis, Julia
  • Naymark, Sharon
  • Neelands, Patricia
  • Owen, James
  • Peer, Michael
  • Perlmutar, Marty
  • Persaud, Navindra
  • Pinto, Andrew
  • Porepa, Michelle
  • Ramji, Nasreen
  • Ramji, Noor
  • Rosenthal, Alana
  • Saunderson, Janet
  • Saxena, Rahul
  • Sgro, Michael
  • Shepherd, Susan
  • Smiltnieks, Barbara
  • Taylor, Carolyn
  • Weisdors, Thea
  • Wijayasinghe, Sheila
  • Wong, Peter
  • Ying, Ethel
  • Young, Elizabeth
  • Barozzino, Tony
  • Chisamore, Brian
  • Feldman, Mark
  • Ipp, Moshe
  • Abreo, Kathleen
  • Dalwadi, Dharma
  • Malhi, Tarandeep
  • Pugliese, Antoinetta
  • Smith, Megan
  • Thompson, Laurie

publication date

  • November 2016