Abstract
To evaluate the predictive ability of screening questionnaires to identify adolescent women at high-risk for iron deficiency or iron deficiency anemia who warrant objective laboratory testing. Cross-sectional study of 96 female individuals 12-21 years old seen at an academic medical center. Participants completed an iron deficiency risk assessment questionnaire including the 4 Bright Futures Adolescent Previsit Questionnaire anemia questions, along with depression, attention, food insecurity, and daytime sleepiness screens. Multiple linear regression controlling for age, race, and hormonal contraception use compared the predictive ability of 2 models for adolescent iron deficiency (defined as ferritin <12 mcg/L) and anemia (hemoglobin <12 g/dL). Model 1, the Bright Futures questions, was compared with model 2, which included the 4 aforementioned screens and body mass index percentile. Among participants, 18% (17/96) had iron deficiency and 5% (5/96) had iron deficiency anemia. Model 1 (Bright Futures) poorly predicted ferritin and hemoglobin values (R2 = 0.03 and 0.08, respectively). Model 2 demonstrated similarly poor predictive ability (R2 = 0.05 and 0.06, respectively). Mean differences for depressive symptoms (0.3, 95% CI -...Continue Reading
References
Oct 12, 1996·Lancet·A B BrunerJ Brandt
Mar 26, 1997·JAMA : the Journal of the American Medical Association·A C LookerC L Johnson
Apr 13, 2000·Neurology·C J EarleyR P Allen
Jun 5, 2001·Pediatrics·J S HaltermanP G Szilagyi
Jul 3, 2004·Pediatrics·Karen G NeadMichael Weitzman
Oct 7, 2004·The Journal of Nutrition·Carol L ConnellKathy Yadrick
Feb 8, 2005·The American Journal of Medicine·Adrien KettanehMichel Thomas
Apr 22, 2005·Psychological Medicine·Ronald C KesslerEllen E Walters
Jan 16, 2007·Current Opinion in Lipidology·Paul Nestel
Mar 9, 2007·The American Journal of Clinical Nutrition·Laura E Murray-Kolb, John L Beard
Apr 10, 2009·The American Journal of Clinical Nutrition·Mary E CogswellLaurence M Grummer-Strawn
Sep 25, 2009·The American Journal of Clinical Nutrition·Heather A Eicher-MillerCarol J Boushey
Apr 7, 2010·Pediatrics·Laura P RichardsonWayne Katon
Oct 7, 2010·Pediatrics·Robert D BakerUNKNOWN Committee on Nutrition American Academy of Pediatrics
Jul 8, 2011·The Journal of Clinical Psychiatry·Lenard A Adler, Jeffrey H Newcorn
Nov 16, 2011·Pediatrics·UNKNOWN Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, UNKNOWN National Heart, Lung, and Blood Institute
Apr 28, 2012·Journal of Child and Adolescent Psychopharmacology·Lenard A AdlerStephen V Faraone
Jun 9, 2012·The British Journal of Nutrition·Cynthia A BlantonMary J Kretsch
Dec 6, 2012·Journal of Women's Health·Arnold J FriedmanDavid van Wyck
May 7, 2015·Journal of the American Association of Nurse Practitioners·Antoinette RabelJeffery L Miller
Sep 8, 2015·Annals of Internal Medicine·Albert L Siu, UNKNOWN U.S. Preventive Services Task Force
Feb 3, 2016·Journal of Women's Health·Deepa L SekharIan M Paul
Oct 26, 2016·The Journal of Pediatrics·Jacquelyn M PowersGeorge R Buchanan