Enteral iron supplementation in preterm and low birth weight infants

Mills, Ryan; Davies, Mark W

doi:10.1002/14651858.cd005095.pub2

Cited by 77 publications

(75 citation statements)

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“…A diferencia de los niños a término y con peso apropiado al nacer, los niños nacidos antes de término y con bajo peso agotan más rápidamente sus reservas de hierro (a partir de los dos meses del nacimiento), por lo que requieren recibir el suplemento muy tempranamente (29). Si bien en este estudio el peso al nacer no fue una variable significativamente asociada a la anemia en los niños, dicha asociación no puede descartarse.…”

Section: Discussionunclassified

“…En diversos estudios se ha evidenciado la asociación entre la concentración de hemoglobina materna durante el embarazo y el peso al nacer; los resultados sugieren que si la madre alcanza valores adecuados en los trimestres del embarazo ello favorece el peso del neonato (29,30). Por otro lado, la atención no calificada del parto (que fue otro factor del cuidado materno que resultó asociado a la anemia) evidenciaría más un menor uso de los servicios de salud que una verdadera relación causal, así como una menor posibilidad de corregir la anemia en niños prematuros y de bajo peso al nacer que requieren suplemento de hierro en los primeros meses.…”

Section: Discussionunclassified

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Factores asociados con la anemia en niños menores de tres años en Perú: análisis de la Encuesta Demográfica y de Salud Familiar, 2007-2013

et al. 2016

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-Aguirre: redacción del artículo Todos los autores participaron en la recolección, el análisis y la interpretación de los datos, y en la revisión del manuscrito. Introducción. A pesar de la disminución de la pobreza en Perú, la prevalencia de la anemia infantil en el país continúa siendo alta. Objetivo. Determinar los factores sociodemográficos y las características del cuidado materno-infantil asociadas con la anemia en niños de seis a 35 meses de edad en Perú. Materiales y métodos. Se hizo un estudio observacional que incluyó los datos sobre hemoglobina sanguínea registrados en la Encuesta Demográfica y de Salud Familiar (ENDES), 2007-2013, en niños entre los seis y los 35 meses de edad. Mediante un análisis multivariado de regresión logística, se identificaron los factores asociados con la anemia, definida como una hemoglobina corregida por altitud, menor de 11 mg/dl. Resultados. La prevalencia de anemia fue alta (47,9 %). Se identificaron doce factores asociados con la anemia: factores sociodemográficos como vivir fuera de Lima y Callao; en un hogar con bajo nivel socioeconómico; tener una madre adolescente y con bajo nivel educativo; ser de sexo masculino con edad menor de 24 meses y antecedentes de fiebre reciente, y factores relacionados con el cuidado materno-infantil como la falta de control prenatal en el primer trimestre, la falta de suplemento de hierro durante el embarazo o administrado durante un periodo breve, parto en el domicilio, diagnóstico de anemia en la madre en el momento de la encuesta y ausencia de tratamiento antiparasitario preventivo en el niño. Conclusiones. La ENDES proporcionó información valiosa sobre los factores asociados con la anemia en niños de seis a 35 meses, cuyo conocimiento debe mejorar la cobertura y la efectividad de prácticas adecuadas de cuidado materno-infantil. Factores asociados con la anemia en niños menores de tres años enPalabras clave: anemia/prevención y control, ciencias de la nutrición del niño, bienestar materno, salud del niño, cuidado del niño. doi: http://dx.doi.org/10.7705/biomedica.v36i2.2896 Factors associated with anemia in children under three years of age in Perú: analysis of the Encuesta Demográfica y de Salud Familiar, ENDES, 2007-2013Introduction: Despite the reduction of poverty in Perú, the prevalence of anemia in the country remains high. Objective: To identify socio-demographic, child and maternal-child care factors associated with anemia in children between 6 and 35 months in Perú. Materials and methods:We conducted an analytical and descriptive study that included registered data from the national survey on demography and family health, 2007-2013, on children between 6 and 35 months old, including the measurement of blood hemoglobin. Anemia was confirmed by hemoglobinaltitude corrected values below 11 mg/dl. We used multivariate logistic regression models to assess potential associated factors for anemia. Results: Anemia prevalence was high (47.9%). Twelve factors were independently associated with anemia in children: Socio-demographic fa...

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Section: Discussionunclassified

Factores asociados con la anemia en niños menores de tres años en Perú: análisis de la Encuesta Demográfica y de Salud Familiar, 2007-2013

et al. 2016

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“…They also had a lower risk to develop IDA. 19,29 Gender, birth weight, exclusive breastfeeding, compliance to iron supplementation, maternal age, education, anemia, and socioeconomic status were not associated with ID in preterm infants aged 2 months.…”

Section: Discussionmentioning

confidence: 88%

“…Based on history-taking, subjects who received iron supplementation typically started at 28-30 days of age. 19 Forty percent of our subjects were iron supplemented and 76% of those had good compliance. Since the data were collected by history-taking without actually measuring the iron preparations consumed, there was a potential risk of bias.…”

Section: Discussionmentioning

confidence: 89%

“…A Cochrane systematic review reported that preterm infants receiving iron supplementation had 6 g/dL higher Hb level compared to non-iron supplemented infants at the age of 6-9 months. 19 prevalence of IDA is also associated with maternal factors. Most of our subjects were born to mothers age >20 years (93%), with good pre-pregnancy nutritional status (72%), and middle-to-high educational level (71%).…”

Section: Discussionmentioning

confidence: 99%

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Iron profiles of preterm infants at two months of chronological age

Puspitasari¹,

Windiastuti²,

Hendarto³

2017

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Background preterm infants are vulnerable to iron deficiency (ID) due to lack of maternal iron stores, repeated phlebotomy, and the body's increased demand for iron during growth. The risk of ID increases at 2 months of age, when hemoglobin (Hb) levels start to decrease. Objective To describe iron profiles in preterm infants at 2 months of chronological age (CA). Methods This cross-sectional study was conducted in 2-month-old infants, born at 32-36 weeks of gestational age, and who visited the Growth and Development Clinics at Cipto Mangunkusumo, Fatmawati, or Budi Kemuliaan Hospitals. parental interviews and medical record reviews were done during the clinic visits. Complete blood count, blood smear, serum iron (SI), total iron binding capacity (TIBC), transferrin saturation (Tfsat), and ferritin level tests were performed. Results Eighty-three subjects were enrolled in this study. The prevalence of iron deficiency anemia (IDA) was 6% and that of ID was 10%. The lowest Hb level found in IDA infants was 6.8 g/dL, the lowest ferritin level was 8.6 ng/mL. Median values for the other tests were: SI 48 µg/dL, TIBC 329µg/dL, and Tfsat 17%. Subjects with IDA were all male (5/5), mostly achieved more than twice their birth weight (4/5), were non-iron supplemented (3/5), born to mothers with low educational background (3/5), and of low socioeconomic status (3/5). Conclusion The prevalence of IDA is 6% and that of ID is 10%. Most subjects with ID and IDA have low SI, high TIBC, low Tfsat, and low ferritin level. Most of the all-male IDA subjects weigh more than twice their birth weight, are non-iron supplemented, and born to mothers with low educational background and low socioeconomic status.

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The reproductive ecology of iron in women

Miller

2016

American J Phys Anthropol

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Reproductive ecology focuses on the sensitivity of human reproduction to environmental variation. While reproductive ecology has historically focused on the relationship between energy status and reproductive outcomes, iron status is equally critical to women's reproductive health, given the wide-ranging detrimental effects of iron-deficiency anemia on maternal and infant well-being. This review interprets the vast literature on iron status and women's reproduction through an evolutionary framework. First, it will critique the evidence for iron deficiency caused by blood loss during menstruation, reinterpreting the available data as ecological variation in menses within and between populations of women. Second, it will highlight the scant but growing evidence that iron status is implicated in fertility, a relationship that has deep evolutionary roots. Third, this review proposes a new hypothesis for the transfer of iron from mother to infant via pregnancy and breastfeeding: reproductive iron withholding. In this hypothesis, mothers transfer iron to infants in a manner that helps infants avoid iron-mediated infection and oxidative stress, but trades off with potential risk of maternal and infant iron deficiency. Finally, this review explores two main factors that can modify the relationship between iron status and the gestation-lactation cycle: (1) the relationship between long-term reproductive effort (parity) and iron status and (2) supplementation schemes before and during pregnancy. The review concludes by suggesting continued research into iron homeostasis in women using evolutionary, ecological, and biocultural frameworks. Am J Phys Anthropol 159:S172-S195,

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Enteral iron supplementation in preterm and low birth weight infants

Abstract: Enteral iron supplementation in preterm and low birth weight infants.

Cited by 77 publications

References 60 publications

Factores asociados con la anemia en niños menores de tres años en Perú: análisis de la Encuesta Demográfica y de Salud Familiar, 2007-2013

Factores asociados con la anemia en niños menores de tres años en Perú: análisis de la Encuesta Demográfica y de Salud Familiar, 2007-2013

Iron profiles of preterm infants at two months of chronological age

The reproductive ecology of iron in women

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