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CN 34-1304/RISSN 1674-3679

Volume 20 Issue 1
Jan.  2016
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KUANG Man-hua, YANG Qing-ting, JIAN Yao-wen, XIONG Wen-jing, GAO Lu, RANG Wei-qing. Association between iron deficiency anemia and blood lead level in children: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(1): 79-83. doi: 10.16462/j.cnki.zhjbkz.2016.01.020
Citation: KUANG Man-hua, YANG Qing-ting, JIAN Yao-wen, XIONG Wen-jing, GAO Lu, RANG Wei-qing. Association between iron deficiency anemia and blood lead level in children: a Meta-analysis[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2016, 20(1): 79-83. doi: 10.16462/j.cnki.zhjbkz.2016.01.020

Association between iron deficiency anemia and blood lead level in children: a Meta-analysis

doi: 10.16462/j.cnki.zhjbkz.2016.01.020
  • Received Date: 2015-10-02
  • Rev Recd Date: 2015-12-10
  • Objective To analyze and evaluate the relationship between iron deficiency anemia (IDA) and blood lead level (BLL) in children by using Meta-analysis. Methods Chinese and English literature prior to December 2014 on children with blood lead levels of iron deficiency anemia were searched and collected. Stata12.0 was used for data analysis, Cochrane's Q and I2 statistics were used to evaluate heterogeneity among studies, subgroup analysis and sensitivity analysis were used to explore the heterogeneity sources. Publication bias was calculated by funnel plot, Begg rank correlation test and Egger linear regression test. Results A total of 7 articles were considered and totally 722 cases of iron deficiency anemia group and 927 cases in control group were enrolled in the study. The combined children's blood lead level of standardization mean difference and 95% confidence intervals SMD (95% CI) was 1.18 (0.57-1.80), the results showed that the group of children with iron deficiency anemia blood lead level was higher and the difference was statistically significant (Z=3.78,P<0.001). Conclusions Our finding suggests that the blood lead level is correlated with the occurrence of IDA, and the average blood lead level of children with IDA is higher than that of the control group.
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  • Stevens GA, Finucane MM, De-Regil LM, et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data [J]. Lancet Glob Health, 2013,1(1):16-25.
    McLean E, Cogswell M, Egli I, et al. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005 [J]. Public Health Nutr, 2009,12(4):444-454.
    Kassebaum NJ, Jasrasaria R, Naghavi M, et al. A systematic analysis of global anemia burden from 1990 to 2010 [J]. Blood, 2014,123(5):615-624.
    常素英,何武,陈春明. 中国儿童营养状况15年变化分析——5岁以下儿童生长发育变化特点 [J]. 卫生研究, 2006,35(6):768-771.
    卫生部. 中国0-6 岁儿童营养发展报告(2012) [R]. 北京: 中华人民共和国卫生部, 2012.
    Cohen AR, Trotzky MS, Pincus D. Reassessment of the microcytic anemia of lead poisoning [J]. Pediatrics, 1981,67(6):904-906.
    Jacob B, Ritz B, Heinrich J, et al. The effect of low-level blood lead on hematologic parameters in children [J]. Environ Res, 2000,82(2):150-159.
    Shah F, Kazi TG, Afridi HI, et al. Environmental exposure of lead and iron deficit anemia in children age ranged 1-5 years: a cross sectional study [J]. Sci Total Environ, 2010,408(22):5325-5330.
    曾赤佳, 刘建雷, 赵东,等. 5~12个月婴儿不同类型贫血与微量元素含量的关系 [J]. 广东医学, 2013,34(24):3766-3768.
    WHO. Iron deficiency anaemia: assessment, prevention and control [M]. A Guide for Programme Managers, World Health Organization: Geneva, Switzerland. 2001.
    Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses [J]. Eur J Epidemiol, 2010, 25(9): 603-605.
    罗杰, 冷卫东. 系统评价/Meta分析理论与实践 [M]. 北京:军事医学科学出版社, 2013.
    张养华. 邹城儿童六种元素含量的相关因素分析及小儿常见贫血和六元素关系 [D]. 山东:山东大学, 2013.
    许庆兰. 小儿缺铁性贫血与全血微量元素的关系探讨 [J]. 中国保健, 2008,16(18): 813.
    樊晖. 小儿缺铁性贫血与全血微量元素的关系 [J]. 临床和实验医学杂志, 2006, 5(10):1553.
    宋玫,谢栩,蔡海青,等. 珠海市儿童营养性贫血与血清微量元素变化的分析 [J]. 广东微量元素科学, 2002,9(1):27-29.
    Choi JW, Kim SK. Association between blood lead concentrations and body iron status in children [J]. Arch Dis Child, 2003, 88(9): 791-792.
    Rahman MA, Rahman B, Ahmad MS, et al. Blood and hair lead in children with different extents of iron deficiency in Karachi [J]. Environ Res, 2012,118:94-100.
    王丹, 牟振云, 翟俊霞, 等. Stata软件在Meta-分析发表性偏倚识别中的探讨 [J]. 现代预防医学, 2008,35(15):2819-2822.
    Hense HW, Filipiak B, Novak L, et al. Nonoccupational determinants of blood lead concentrations in a general population [J]. Int J Epidemiol, 1992,21(4):753-762.
    Roy A, Ettinger AS, Hu H, et al. Effect modification by transferrin C2 polymorphism on lead exposure, hemoglobin levels, and IQ [J]. Neurotoxicology, 2013,38:17-22.
    王冰,张金良,刘玲,等. 我国禁用含铅汽油后儿童血铅水平的变化 [J]. 环境与健康杂志, 2013,30(5):377-384.
    Cho SC, Kim BN, Hong YC, et al. Effect of environmental exposure to lead and tobacco smoke on inattentive and hyperactive symptoms and neurocognitive performance in children [J]. J Child Psychol Psychiatry, 2010, 51(9):1050-1057.
    Li MM, Cao J, Xu J, et al. The national trend of blood lead levels among Chinese children aged 0-18 years old, 1990-2012 [J]. Environ Int, 2014,71:109-117.
    Schnur J, John RM. Childhood lead poisoning and the new Centers for Disease Control and Prevention guidelines for lead exposure [J]. J AM Assoc Nurse Pract, 2014,26(5):238-247.
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