{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:58:24Z","timestamp":1790913504773,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":303,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Iron deficiency (ID) and micronutrient deficiencies (MNDs) remain significant public health concerns among children. ID is a common diagnosis in pediatric practice; however, other accompanied MNDs may be overlooked. Here, we aimed to determine MNDs accompanying ID and iron deficiency anemia (IDA) in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective single\u2010center study included 157 children (6\u2009months\u201318\u2009years of age) who were referred to the outpatient pediatrics clinic with a possible diagnosis of ID and IDA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 157 children, 76 (48%) were found to have ID and 27 (17%) had IDA. Vitamin B12, folic acid, copper, zinc, selenium, cobalt, molybdenum, and vitamin A, D, and E levels were compared in 69 children with ID and 69 without ID. Zinc values of children with ID were significantly lower than those without ID (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020). The proportion of zinc\u2010deficient children (21.1%) was significantly higher in children with ID compared with the iron non\u2010deficient group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). When children with IDA were compared to children without IDA, children with IDA were 15.36 times more at risk for folic acid deficiency than children without IDA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018) and had significantly lower folic acid levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Children with IDA were 11.39 times more at risk for zinc acid deficiency compared to children without IDA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and zinc levels were significantly lower in children with IDA (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In conclusion, we showed that apart from iron, children are susceptible to deficiencies in other essential micronutrients, particularly zinc and folate.<\/jats:p>\n                  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