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Supplemental food may not prevent iron-deficiency anemia in infants

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Abstract

Objective

The present study evaluates the role of supplementary food and medicinal iron intake in preventing irondeficiency anemia in children aged between 4 to 6 months.

Methods

During a case-control study in “Tabriz Children Hospital”, nutritional and medicinal-iron intake of 60 consecutivelyselected patients with iron-deficiency anemia were compared with 60 non-anemic children of similar age and sex distributions.

Results

The mean hemoglobin concentration, corpuscular volume and serum iron were 9.11 g/dl, 65.41 fL and 19.33 μg/dl, in case group; and 12.6 g/dl, 75.18 fL and 78.28 μg/dl, in control group, respectively. There was no statistically significant difference between age of case and control groups when complementary-semisolid foods were started (P=0.058), but the mean of received medicinal iron in case group was significantly lower than control group (P<0.001).

Conclusion

Supplementary food intake alone is not efficient to prevent iron deficiency anemia since the age of 4–6 months. So, regular administration of medicinal iron is crucial to prevent iron-deficiency anemia in children aged 4–6 months.

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References

  1. Bagchi K. Iron deficiency anaemia-an old enemy. East Mediterr Health J 2004; 10: 754–760.

    PubMed  CAS  Google Scholar 

  2. Stoltzfus RJ. Defining Iron-Deficiency Anemia in Public Health Terms: A Time for Reflection. J Nutr 2001; 131: 565–567.

    Google Scholar 

  3. Glader B. Anemias of Inadequate Production. In Behrman R, Kliegman R, Jenson H, eds. Nelson Textbook of Pediatrics. Philadelphia; Saunders, 2004; 1606–1617.

    Google Scholar 

  4. Cook JD. Diagnosis and management of iron-deficiency anemia. Best practice & Research Clinical Haematology 2005; 18: 319–332.

    Article  CAS  Google Scholar 

  5. Coyer SM. Anemia: Diagnosis and Management. Pediatr Health Care 2005; 19: 380–385.

    Article  Google Scholar 

  6. Hastings C, Lubin BH. Blood. In Rudolph AM, Kamei RK, Overby KJ, eds. Rudolph’s Fundamentals of pediatrics. Toronto; McGraw-Hill, 2002; 520–543.

    Google Scholar 

  7. Beard JL, Felt B, Schallert T, Burhans M, Connor JR, Georgieff MK. Moderate iron deficiency in infancy: Biology and behavior in young rats. Behavioural Brain Research 2006; 170: 224–232.

    Article  PubMed  CAS  Google Scholar 

  8. Thomas A, Bolton-Maggs P. Disorders of the blood and bone marrow. In Mclntosh N, Helms PJ, Smyth RL, eds. Forfar and Arneil’s Textbook of Pediatrics. London; Churchill Livingstone, 2003; 1059–1070.

    Google Scholar 

  9. Domellof M, Lonnerdal B, Dewey KG, Cohen RJ, Rivera LL, Hernell O. Sex Differences in Iron Statuse During Infancy. Pediatrics 2002; 110: 545–552.

    Article  PubMed  Google Scholar 

  10. Kazal LA. Prevention of Iron deficiency in infants and Toddlers. Am Family Physician 2002; 66: 1217–1223.

    Google Scholar 

  11. Saarinen UM. Need for iron supplementation in infants on prolonged breast feeding. J Pediatr 1978; 93: 177–180.

    Article  PubMed  CAS  Google Scholar 

  12. Arvas A, Elgormus Y, Gur E, Alikasifoglu M, Celebi A. Iron Status in breast-fed ful-term infants. Turk J Pediatr 2000; 42: 22–26.

    PubMed  CAS  Google Scholar 

  13. Giugliani EJ, Victora CG. Complementary feeding. J Pediatr 2000; 76: 253–262.

    Google Scholar 

  14. Makrides M, Hawkes JS, Neumann MA, Gibson RA. Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. Am J Clin Nutr 2002; 75: 1084–1092.

    PubMed  CAS  Google Scholar 

  15. Fasih Z, Ahmad A, Ali Z. Relationship between iron status, Nutritional status the feeding practices of infants and toddlers with deficiency anemia in different age groups. Pakistan J Pathol 2002; 13: 15–21.

    Google Scholar 

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Correspondence to Nariman Nezami.

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Ghorashi, Z., Nezami, N., Ghalehgolab Behbahan, A. et al. Supplemental food may not prevent iron-deficiency anemia in infants. Indian J Pediatr 75, 1121–1124 (2008). https://doi.org/10.1007/s12098-008-0191-6

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  • DOI: https://doi.org/10.1007/s12098-008-0191-6

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