{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:43:49Z","timestamp":1790390629769,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T00:00:00Z","timestamp":1637280000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R44 DK083843-06"],"award-info":[{"award-number":["R44 DK083843-06"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Current screening guidelines may not be adequate to identify iron deficiency (ID) and iron deficiency anemia (IDA) in adolescent and young adults. Adolescent and young adult outpatients from 4 hospital-based clinics (N = 493) reported on diet, health, and bleeding, and had phlebotomy for iron and hematologic tests. We examined sex-specific factors associated with ID and IDA and ability of universal and risk factor\u2013based screening using hemoglobin and hemoglobin plus ferritin to detect ID and IDA. Among females (n = 350), 34.6% had ID and 6.3% had IDA. Nearly 1 in 3 females with ID had no risk factors. Among males, 12.6% had ID; none had IDA. More than 1 in 3 males with ID did not have risk factors. Current screening approaches would have missed ID in 47% to 82% of females and 95% to 100% of males. ID was prevalent in both male and female adolescents and young adult outpatients. New approaches to screening for ID are needed to accurately evaluate iron status in this population.<\/jats:p>","DOI":"10.1177\/00099228211059647","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T07:03:32Z","timestamp":1637305412000},"page":"66-75","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Prevalence and Predictors of Iron Deficiency in Adolescent and Young Adult Outpatients: Implications for Screening"],"prefix":"10.1177","volume":"61","author":[{"given":"Rose","family":"Eiduson","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew M.","family":"Heeney","sequence":"additional","affiliation":[{"name":"Dana-Farber\/Boston Children\u2019s Cancer and Blood Disorders Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Chi","family":"Kao","sequence":"additional","affiliation":[{"name":"Dana-Farber\/Boston Children\u2019s Cancer and Blood Disorders Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3571-6538","authenticated-orcid":false,"given":"Wendy B.","family":"London","sequence":"additional","affiliation":[{"name":"Dana-Farber\/Boston Children\u2019s Cancer and Blood Disorders Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Fleming","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9648-9319","authenticated-orcid":false,"given":"Lydia A.","family":"Shrier","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,19]]},"reference":[{"key":"bibr1-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1001\/jama.277.12.973"},{"key":"bibr2-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2016.05.009"},{"key":"bibr3-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.04.025"},{"key":"bibr4-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802224"},{"key":"bibr5-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.104"},{"key":"bibr6-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-199702000-00012"},{"key":"bibr7-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000390"},{"key":"bibr8-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2015.03.001"},{"key":"bibr9-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12323"},{"key":"bibr10-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.6.1381"},{"key":"bibr11-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114517001349"},{"key":"bibr12-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/21.4.381"},{"key":"bibr13-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2007.08.014"},{"key":"bibr14-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-4-86"},{"key":"bibr15-00099228211059647","volume":"61","author":"Bager P","year":"2014","journal-title":"Dan Med J"},{"key":"bibr16-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2017.08.004"},{"key":"bibr17-00099228211059647","first-page":"17","volume":"57","author":"Matteson KA","year":"2012","journal-title":"J Reprod Med Obstet Gynecol"},{"key":"bibr18-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/4.2.99"},{"key":"bibr19-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(03)00823-0"},{"key":"bibr20-00099228211059647","doi-asserted-by":"publisher","DOI":"10.2450\/2017.0113-17"},{"key":"bibr21-00099228211059647","first-page":"1","volume":"47","author":"Centers for Disease Control and Prevention","year":"1998","journal-title":"MMWR Recomm Rep"},{"key":"bibr22-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1542\/9781610020237"},{"key":"bibr23-00099228211059647","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.04.007"},{"key":"bibr24-00099228211059647","unstructured":"World Health Organization. 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