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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 |
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creator | 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 |
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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= 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%). Future work should promote awareness on the potential health consequences of poor dietary habits on ID and the well-being of adolescents.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20032578</identifier><identifier>PMID: 36767942</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>International journal of environmental research and public health, 2023-01, Vol.20 (3), p.2578</ispartof><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3338-6daae6fcea3cbc129c39d0d632954812d3dffafae5fab1395b1f5556b4440b753</citedby><cites>FETCH-LOGICAL-c3338-6daae6fcea3cbc129c39d0d632954812d3dffafae5fab1395b1f5556b4440b753</cites><orcidid>0000-0001-9874-8938 ; 0000-0002-3939-564X ; 0000-0003-2221-6833 ; 0000-0002-2810-5758</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2774908185/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2774908185?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25751,27922,27923,37010,37011,44588,53789,53791,74896</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36767942$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheung, Yin Ting</creatorcontrib><creatorcontrib>Chan, Dorothy Fung Ying</creatorcontrib><creatorcontrib>Lee, Cheuk Kwong</creatorcontrib><creatorcontrib>Tsoi, Wai Chiu</creatorcontrib><creatorcontrib>Lau, Ching Wa</creatorcontrib><creatorcontrib>Leung, Jennifer Ngar Sze</creatorcontrib><creatorcontrib>So, Jason Chi Chiu</creatorcontrib><creatorcontrib>Wong, Chris Lei Po</creatorcontrib><creatorcontrib>Tsang, Stella Tsui Ying</creatorcontrib><creatorcontrib>Chu, Yvonne Yuen Ling</creatorcontrib><creatorcontrib>Li, Chi Kong</creatorcontrib><title>Iron Deficiency among School-Aged Adolescents in Hong Kong: Prevalence, Predictors, and Effects on Health-Related Quality of Life</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><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 <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%). Future work should promote awareness on the potential health consequences of poor dietary habits on ID and the well-being of adolescents.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Anemia</subject><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Blood & organ donations</subject><subject>Blood diseases</subject><subject>Body mass index</subject><subject>Child</subject><subject>Children & youth</subject><subject>Cross-Sectional Studies</subject><subject>Fatigue</subject><subject>Female</subject><subject>Ferritin</subject><subject>Ferritins</subject><subject>Food</subject><subject>Girls</subject><subject>Hemoglobin</subject><subject>Hong Kong - epidemiology</subject><subject>Humans</subject><subject>Iron</subject><subject>Iron Deficiencies</subject><subject>Male</subject><subject>Menstruation</subject><subject>Nutrient deficiency</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Schools</subject><subject>Self report</subject><subject>Teenagers</subject><subject>Well being</subject><subject>Young adults</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdUU1vEzEUtBCIlsCVI7LEhUO32Ou1d80BKSqFVETi-2x57efEkbMO9m6lHPnneNVStVzsJ72Z0cwbhF5Scs6YJG_9DtJhWxPCat52j9ApFYJUjSD08b35BD3LeVdAXSPkU3TCRCta2dSn6M9VigP-AM4bD4M5Yr2Pwwb_MNsYQ7XcgMVLGwNkA8OYsR_wat5_Ls87_DXBtQ6FBmfzbL0ZY8pnWA8WXzoHpjCK-gp0GLfVdwh6LHrfJh38eMTR4bV38Bw9cTpkeHH7L9Cvj5c_L1bV-sunq4vlujKMsa4SVmsQzoBmpje0loZJS6xgteRNR2vLrHPaaeBO95RJ3lPHORd90zSkbzlboPc3uoep34Od8yQd1CH5vU5HFbVXDzeD36pNvFZSUkGLhwV6cyuQ4u8J8qj2vpwlBD1AnLKq25YL2nasKdDX_0F3cUpDiTejGkk62s2Ozm9QJsWcE7g7M5SouV31sN1CeHU_wh38X53sLwZTosQ</recordid><startdate>20230131</startdate><enddate>20230131</enddate><creator>Cheung, Yin Ting</creator><creator>Chan, Dorothy Fung Ying</creator><creator>Lee, Cheuk Kwong</creator><creator>Tsoi, Wai Chiu</creator><creator>Lau, Ching Wa</creator><creator>Leung, Jennifer Ngar Sze</creator><creator>So, Jason Chi Chiu</creator><creator>Wong, Chris Lei Po</creator><creator>Tsang, Stella Tsui Ying</creator><creator>Chu, Yvonne Yuen Ling</creator><creator>Li, Chi Kong</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9874-8938</orcidid><orcidid>https://orcid.org/0000-0002-3939-564X</orcidid><orcidid>https://orcid.org/0000-0003-2221-6833</orcidid><orcidid>https://orcid.org/0000-0002-2810-5758</orcidid></search><sort><creationdate>20230131</creationdate><title>Iron Deficiency among School-Aged Adolescents in Hong Kong: Prevalence, Predictors, and Effects on Health-Related Quality of Life</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3338-6daae6fcea3cbc129c39d0d632954812d3dffafae5fab1395b1f5556b4440b753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Anemia</topic><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Blood & organ donations</topic><topic>Blood diseases</topic><topic>Body mass index</topic><topic>Child</topic><topic>Children & youth</topic><topic>Cross-Sectional Studies</topic><topic>Fatigue</topic><topic>Female</topic><topic>Ferritin</topic><topic>Ferritins</topic><topic>Food</topic><topic>Girls</topic><topic>Hemoglobin</topic><topic>Hong Kong - epidemiology</topic><topic>Humans</topic><topic>Iron</topic><topic>Iron Deficiencies</topic><topic>Male</topic><topic>Menstruation</topic><topic>Nutrient deficiency</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Schools</topic><topic>Self report</topic><topic>Teenagers</topic><topic>Well being</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheung, Yin Ting</creatorcontrib><creatorcontrib>Chan, Dorothy Fung Ying</creatorcontrib><creatorcontrib>Lee, Cheuk Kwong</creatorcontrib><creatorcontrib>Tsoi, Wai Chiu</creatorcontrib><creatorcontrib>Lau, Ching Wa</creatorcontrib><creatorcontrib>Leung, Jennifer Ngar Sze</creatorcontrib><creatorcontrib>So, Jason Chi Chiu</creatorcontrib><creatorcontrib>Wong, Chris Lei Po</creatorcontrib><creatorcontrib>Tsang, Stella Tsui Ying</creatorcontrib><creatorcontrib>Chu, Yvonne Yuen Ling</creatorcontrib><creatorcontrib>Li, Chi Kong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheung, Yin Ting</au><au>Chan, Dorothy Fung Ying</au><au>Lee, Cheuk Kwong</au><au>Tsoi, Wai Chiu</au><au>Lau, Ching Wa</au><au>Leung, Jennifer Ngar Sze</au><au>So, Jason Chi Chiu</au><au>Wong, Chris Lei Po</au><au>Tsang, Stella Tsui Ying</au><au>Chu, Yvonne Yuen Ling</au><au>Li, Chi Kong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iron Deficiency among School-Aged Adolescents in Hong Kong: Prevalence, Predictors, and Effects on Health-Related Quality of Life</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-01-31</date><risdate>2023</risdate><volume>20</volume><issue>3</issue><spage>2578</spage><pages>2578-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>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 <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%). Future work should promote awareness on the potential health consequences of poor dietary habits on ID and the well-being of adolescents.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36767942</pmid><doi>10.3390/ijerph20032578</doi><orcidid>https://orcid.org/0000-0001-9874-8938</orcidid><orcidid>https://orcid.org/0000-0002-3939-564X</orcidid><orcidid>https://orcid.org/0000-0003-2221-6833</orcidid><orcidid>https://orcid.org/0000-0002-2810-5758</orcidid><oa>free_for_read</oa></addata></record> |
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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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