{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:55:01Z","timestamp":1787500501865,"version":"build-2736575974"},"reference-count":53,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T00:00:00Z","timestamp":1598486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:p>The relationship between overweight\/obesity (excess of weight [EW]) and iron deficiency (ID) is not well defined.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To analyze the relationship between EW and ID in healthy adolescents, assessing the contribution of new diagnostic measures of iron status and erythropoietic activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study was made of 405 healthy adolescents, 12\u201316 years of age. A total of 289 were normal weight (NW) and 116 were otherwise healthy EW. Epidemiological, socioeconomic, diet, BMI\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      -score, CRP (C-reactive protein), hematological, iron status, and erythropoietic activity parameters were measured. Statistical tests were Student's, analysis of variance (ANOVA), Chi-square, Pearson's correlation, and odds ratio.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      ID prevalence in the EW group was 22.6% vs. 29.5% in the NW group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.3). Greater body weight was associated with lower reticulocyte hemoglobin content (CHr) (NW: 31.3\u2009\u00b1\u20091.7\u2009pg vs. OW: 30.2\u2009\u00b1\u20091.7\u2009pg,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.007) and greater CRP (NW: 0.1\u2009\u00b1\u20090.2\u2009mg\/dL vs. OW: 0.2\u2009\u00b1\u20090.18\u2009mg\/dL,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), leukocytes (NW: 6.69\u2009\u00b1\u20091.57\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L vs. OW: 7.43\u2009\u00b1\u20091.63\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.02), platelets (NW: 265.6\u2009\u00b1\u200958.9\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L vs. OW: 291.8\u2009\u00b1\u200954.4\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.002), ferritin (NW: 32.1\u2009\u00b1\u200917.9\u2009ng\/mL vs. OW: 42.8\u2009\u00b1\u200920.3\u2009ng\/mL,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.01), serum transferrin receptor (sTfR) (NW: 1.39\u2009\u00b1\u20090.4\u2009mg\/L vs. OW: 1.73\u2009\u00b1\u20090.45\u2009mg\/L,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.008), sTfR-F index (sTfR\/log Ferritin) (NW: 1.06\u2009\u00b1\u20090.7 vs. OW: 1.33\u2009\u00b1\u20090.85,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.036) and reticulocyte count (NW: 54.2\u2009\u00b1\u200918\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L vs. OW: 65.4\u2009\u00b1\u200924.2\u2009\u00d7\u200910\n                      <jats:sup>3<\/jats:sup>\n                      \/L,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      : 0.003). A positive correlation was observed between the BMI\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      -score and CRP, ferritin, sTfR, leukocytes, platelets, and reticulocyte count, and a negative one between the BMI\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      -score and CHr and medium corpuscular volume.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The prevalence of ID in otherwise healthy EW adolescents was no higher than in NW. The effect of obesity on iron status was low. The findings reveal the concomitant low-grade inflammation, and probably the effect of adiposity on erythropoietic activity. Specific cutoff values for ID in adolescents with OW need to be defined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2019.0276","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T15:32:13Z","timestamp":1599060733000},"page":"440-447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Relationship between Obesity and Iron Deficiency in Healthy Adolescents"],"prefix":"10.1177","volume":"16","author":[{"given":"Mar\u00eda","family":"Ort\u00edz P\u00e9rez","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Angeles","family":"V\u00e1zquez L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mercedes","family":"Ib\u00e1\u00f1ez Alcalde","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Poniente Hospital, El Ejido, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Galera Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Mart\u00edn Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Lend\u00ednez Molinos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Bonillo Perales","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Torrec\u00e1rdenas Hospital, Almer\u00eda, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,27]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"World Health Organization. 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