Putting Prevention into Practice

An Evidence-Based Approach

Screening for Iron Deficiency Anemia in Young Children

 


FREE PREVIEW. AAFP members and paid subscribers: Log in to get free access. All others: Purchase online access.


FREE PREVIEW. Purchase online access to read the full version of this article.

Am Fam Physician. 2015 Dec 15;92(12):1103-1104.

  Related U.S. Preventive Services Task Force Recommendation Statement: Screening for Iron Deficiency Anemia in Young Chilren: Recommendation Statement.

Author disclosure: No relevant financial affiliations.

Case Study

C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron deficiency and possibly iron deficiency anemia before she starts him on formula.

Case Study Questions

  1. Which one of the following factors increases a child's risk of iron deficiency anemia?

    • A. Starting cow's milk in the first year of life.

    • B. Bottle feeding in the first year of life.

    • C. High socioeconomic status.

    • D. Height below the 95th percentile.

    • E. Exclusively breastfeeding at three months of age.

  2. Which of the following statements about the benefits of screening for iron deficiency anemia in asymptomatic children six to 24 months of age are correct?

    • A. There is adequate evidence that routine screening for iron deficiency anemia improves neurocognitive function.

    • B. There is adequate evidence that early detection and treatment of iron deficiency anemia improve growth.

    • C. There is inadequate evidence that routine screening for iron deficiency anemia improves cognitive or neurodevelopmental outcomes.

    • D. There is inadequate evidence on the association between change in iron status as a result of intervention and improvement in child health outcomes.

  3. Which one of the following approaches to screening for iron deficiency anemia in

Author disclosure: No relevant financial affiliations.

SOURCES

U.S. Preventive Services Task Force. Screening for iron deficiency anemia in young children: USPSTF recommendation statement. Pediatrics. 2015;136(4):746–752.

McDonagh MS, Blazina I, Dana T, Cantor A, Bougatsos C. Screening and routine supplementation for iron deficiency anemia: a systematic review. Pediatrics. 2015;135(4):723–733.

This PPIP quiz is based on the recommendations of the USPSTF. More information is available in the USPSTF Recommendation Statement and the supporting documents on the USPSTF website (http://www.uspreventiveservicestaskforce.org). The practice recommendations in this activity are available at http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/iron-deficiency-anemia-in-young-children-screening.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Putting Prevention into Practice published in AFP is available at http://www.aafp.org/afp/ppip.



 

Copyright © 2015 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

CME Quiz

More in AFP


Editor's Collections


Related Content


More in Pubmed

MOST RECENT ISSUE


Dec 1, 2016

Access the latest issue of American Family Physician

Read the Issue


Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article