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Iron Deficiency among School-Aged Adolescents in Hong Kong: Prevalence, Predictors, and Effects on Health-Related Quality of Life

Iron deficiency (ID) is a prevalent nutritional deficiency affecting children/adolescents worldwide. We reported (1) the prevalence of ID and ID with anemia (IDA) among Chinese school-aged adolescents, (2) clinical and dietary predictors of iron status, and (3) its impact on health-related qualities...

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Published in:International journal of environmental research and public health 2023-01, Vol.20 (3), p.2578
Main Authors: Cheung, Yin Ting, Chan, Dorothy Fung Ying, Lee, Cheuk Kwong, Tsoi, Wai Chiu, Lau, Ching Wa, Leung, Jennifer Ngar Sze, So, Jason Chi Chiu, Wong, Chris Lei Po, Tsang, Stella Tsui Ying, Chu, Yvonne Yuen Ling, Li, Chi Kong
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container_title International journal of environmental research and public health
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description Iron deficiency (ID) is a prevalent nutritional deficiency affecting children/adolescents worldwide. We reported (1) the prevalence of ID and ID with anemia (IDA) among Chinese school-aged adolescents, (2) clinical and dietary predictors of iron status, and (3) its impact on health-related qualities of life (HRQoL). This cross-sectional study recruited 183 boys and 340 girls (mean age = 17.55) from 16 schools in Hong Kong. ID is defined as serum ferritin
doi_str_mv 10.3390/ijerph20032578
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We reported (1) the prevalence of ID and ID with anemia (IDA) among Chinese school-aged adolescents, (2) clinical and dietary predictors of iron status, and (3) its impact on health-related qualities of life (HRQoL). This cross-sectional study recruited 183 boys and 340 girls (mean age = 17.55) from 16 schools in Hong Kong. ID is defined as serum ferritin &lt;15 μg/L. The participants reported their dietary habits, menstrual patterns (girls), and HRQoL using structured questionnaires. The overall prevalence of ID was 11.1%. None of the boys had ID or IDA. Among girls, the rate of ID was 17.1% and IDA was 10.9%. One-third (36.3%) reported a regular habit of skipping ≥1 meal/day. Lower ferritin was found in adolescents who skipped meals (Est = -35.1, = 0.017). Lower ferritin is correlated with poorer school functioning (Est = 0.81, = 0.045) and fatigue (Est = 0.92, = 0.016). Skipping meals is associated with poorer physical ( = 0.0017) and school functioning ( = 0.027). To conclude, 1 in 10 school-aged adolescents in Hong Kong are iron-deficient. The ID rate in girls (17.1%) is similar to that in other industrialized countries (5.2-16.6%). 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subjects Adolescent
Adolescents
Age
Anemia
Anemia, Iron-Deficiency - epidemiology
Blood & organ donations
Blood diseases
Body mass index
Child
Children & youth
Cross-Sectional Studies
Fatigue
Female
Ferritin
Ferritins
Food
Girls
Hemoglobin
Hong Kong - epidemiology
Humans
Iron
Iron Deficiencies
Male
Menstruation
Nutrient deficiency
Prevalence
Quality of Life
Questionnaires
Schools
Self report
Teenagers
Well being
Young adults
title Iron Deficiency among School-Aged Adolescents in Hong Kong: Prevalence, Predictors, and Effects on Health-Related Quality of Life
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