Retrospective Analysis of Pediatric Patients with Vitamin B12 Deficiency
Vitamin B12 and Children
DOI:
https://doi.org/10.5281/zenodo.10890865Keywords:
Vitamin B12, children, megaloblastic anemia, helicobacter pylori, anemia.Abstract
Background/Aims: Vitamin B12 (cobalamin) is an important vitamin that plays a role in vital events. This study examines and analyzes patients with vitamin B12 deficiency in a specific region in a wide range of age groups, including infants, and different etiological data like absorption disorders.
Methods: 275 patients with vitamin B12 deficiency aged 0-18 years who were followed and treated in the Hematology outpatient clinic at a 3rd level training and research hospital during 3 years, were analyzed retrospectively.
Results: 120 (43.6%) patients were female of a total of 275 patients with vitamin B12 deficiency. The mean vitamin B12 level was 159.78±33.98 pg/ ml, the mean hemoglobin level was 11.47±2.27 g/dL, and the MCV was 81.51±10.37 fL. 100 patients were under one year of age. 22% of mothers of the infants had vitamin B12 deficiency, while 20.9% of mothers had levels of vitamin B12 that can be presumed border value. 32% of patients had iron deficiency. Another leading factor for vitamin B12 deficiency was Helicobacter Pylori(HP) infection and the frequency was 10.2%. The 87% of causes that evoked vitamin B12 deficiency were nutritional. The expected increment in vitamin B12 and complete blood count values were observed after treatment.
Conclusions: Vitamin B12 deficiency becomes widespread in the first two years of life and infants are at risk. Another important factor is HP. Eradication of this infection could treat vitamin B12 deficiency.
Downloads
References
Rasmussen SA, Fernhoff PM, Scanlon KS. Vitamin B12 deficiency in children and adolescents. J Pediatr. 2001;138(1):10-7.
Cuevas-Nasu L, Mundo-Rosas V, Shamah-Levy T, Méndez-Gómez Humaran I, Avila-Arcos MA, Rebollar-Campos Mdel R, et al. Prevalence of folate and vitamin B12 deficiency in Mexican children aged 1 to 6 years in a population-based survey. Salud Publica Mex. 2012;54(2):116-24.
Aguirre JA, Donato ML, Buscio M, Ceballos V, Armeno M, Aizpurúa L, et al. [Serious neurological compromise due to vitamin B12 deficiency in infants of vegan and vegetarian mothers]. Arch Argent Pediatr. 2019;117(4):e420-e4.
Boran P, Yildirim S, Karakoc-Aydiner E, Ogulur I, Ozen A, Haklar G, et al. Vitamin B12 deficiency among asymptomatic healthy infants: its impact on the immune system. Minerva Pediatr (Torino). 2021;73(1):59-66.
Tanner SM, Li Z, Perko JD, Oner C, Cetin M, Altay C, et al. Hereditary juvenile cobalamin deficiency caused by mutations in the intrinsic factor gene. Proc Natl Acad Sci U S A. 2005;102(11):4130-3.
Stopeck A. Links between Helicobacter pylori infection, cobalamin deficiency, and pernicious anemia. Arch Intern Med. 2000;160(9):1229-30.
Santambrogio E, Orsucci L. Helicobacter pylori and hematological disorders. Minerva Gastroenterol Dietol. 2019;65(3):204-13.
Serin HM, Arslan EA. Neurological symptoms of vitamin B12 deficiency: analysis of pediatric patients. Acta Clin Croat. 2019;58(2):295-302.
Jensen CF. Vitamin B12 levels in children and adolescents on plant-based diets: a systematic review and meta-analysis. Nutr Rev. 2023;81(8):951-66.
Elgormus Y, Okuyan O, Dumur S, Sayili U, Uzun H. The Epidemiology of Deficiency of Vitamin B12 in Preschool Children in Turkey. Medicina (Kaunas). 2023;59(10).
Wong E, Molina-Cruz R, Rose C, Bailey L, Kauwell GPA, Rosenthal J. Prevalence and Disparities in Folate and Vitamin B12 Deficiency Among Preschool Children in Guatemala. Matern Child Health J. 2022;26(1):156-67.
Altuntaş N, Soylu K, Suskan E, Akar N. Homocysteine levels in Turkish children. Turk J Haematol. 2004;21(2):79-82.
P L. Manual of Pediatric Hematology and Oncology. . 5th ed. New York Academic Press; 2011. 28 p.
Tandon R, Thacker J, Pandya U, Patel M, Tandon K. Parenteral vs Oral Vitamin B12 in Children With Nutritional Macrocytic Anemia: A Randomized Controlled Trial. Indian Pediatr. 2022;59(9):683-7.
Siekmann JH, Allen LH, Bwibo NO, Demment MW, Murphy SP, Neumann CG. Kenyan school children have multiple micronutrient deficiencies, but increased plasma vitamin B-12 is the only detectable micronutrient response to meat or milk supplementation. J Nutr. 2003;133(11 Suppl 2):3972s-80s.
Silva LL, Fawzi WW, Cardoso MA. Serum folate and vitamin B12 status in young Brazilian children. Public Health Nutr. 2019;22(7):1223-31.
Akcaboy M, Malbora B, Zorlu P, Altınel E, Oguz MM, Senel S. Vitamin B12 Deficiency in Infants. Indian J Pediatr. 2015;82(7):619-24.
Cetinkaya F, Yildirmak Y, Kutluk G, Erdem E. Nutritional vitamin B12 deficiency in hospitalized young children. Pediatr Hematol Oncol. 2007;24(1):15-21.
Açkurt F, Wetherilt H, Löker M, Hacibekiroğlu M. Biochemical assessment of nutritional status in pre- and post-natal Turkish women and outcome of pregnancy. Eur J Clin Nutr. 1995;49(8):613-22.
Mills AE. Megaloblastic anaemia with normal mean cell volume. Cent Afr J Med. 1981;27(1):11-2.
Savage DG, Lindenbaum J, Stabler SP, Allen RH. Sensitivity of serum methylmalonic acid and total homocysteine determinations for diagnosing cobalamin and folate deficiencies. Am J Med. 1994;96(3):239-46.
Bay A, Öner AF, Nalbantoğlu Ö, Demirtaş M, Açıkgöz M. Megaloblastik anemili 45 olgunun klinik ve hematolojik yönden değerlendirilmesi. Van Tıp Dergisi. 2006;13(2):46-8.
Finkelstein JL, Fothergill A, Krisher JT, Thomas T, Kurpad AV, Dwarkanath P. Maternal vitamin B12 deficiency and perinatal outcomes in southern India. PLoS One. 2021;16(4):e0248145.
Sezgin Evim M, Erdöl Ş, Özdemir Ö, Baytan B, Güneş AM. Long-term outcome in children with nutritional vitamin B12 deficiency. Turk J Haematol. 2011;28(4):286-93.
Zengin E, Sarper N, Caki Kiliç S. Clinical manifestations of infants with nutritional vitamin B deficiency due to maternal dietary deficiency. Acta Paediatr. 2009;98(1):98-102.
Kaptan K, Beyan C, Ural AU, Cetin T, Avcu F, Gülşen M, et al. Helicobacter pylori--is it a novel causative agent in Vitamin B12 deficiency? Arch Intern Med. 2000;160(9):1349-53.
Akcam M, Ozdem S, Yilmaz A, Gultekin M, Artan R. Serum ferritin, vitamin B(12), folate, and zinc levels in children infected with Helicobacter pylori. Dig Dis Sci. 2007;52(2):405-10.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Chronicles of Precision Medical Researchers
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.