Putting Prevention into Practice
An Evidence-Based Approach
Screening for Iron Deficiency Anemia in Young Children
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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.
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
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.
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.
Which one of the following approaches to screening for iron deficiency anemia in
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.
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