Iron deficiency and iron-deficiency anemia in the first two years of life: strategies to prevent loss of developmental potential

Black, Maureen M.; Quigg, Anna M.; Hurley, Kristen M.; Pepper, M. Reese

doi:10.1111/j.1753-4887.2011.00435.x

Cited by 105 publications

(92 citation statements)

References 61 publications

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“…The WHO estimates that 47 % of children under 5 years of age are anaemic and that half of the anaemia prevalence can be attributed to Fe deficiency (1) . The deficiency of Fe in children is associated with adverse mental, motor and socio-emotional development (2,3) . In addition, Fe deficiency during early life is a risk factor for poorer cognitive performance in adolescence even after children are Fe replete for several years (4) .…”

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confidence: 99%

Ethiopian pre-school children consuming a predominantly unrefined plant-based diet have low prevalence of iron-deficiency anaemia

Gashu

Stoecker

Adish

et al. 2016

Public Health Nutr.

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Objective: Children from low-income countries consuming predominantly plant-based diets but little animal products are considered to be at risk of Fe deficiency. The present study determined the Fe status of children from resource-limited rural households. Design: A cross-sectional study. Setting: Twenty six kebeles (the smallest administrative unit) from six zones of the Amhara region, Ethiopia. Subjects: Children aged 54-60 months (n 628). Results: Grain, roots or tubers were the main dietary components consumed by 100 % of the study participants, followed by pulses, legumes or nuts (66·6 %). Consumption of fruit and vegetables (19·3 %) and meat, poultry and fish (2·2 %) was low. Children had a mean dietary diversity score of 2·1 (SD 0·8). Most children (74·8 %, n 470) were in the lowest dietary diversity group (1-2 food groups). Rate of any morbidity in the preceding 14 d was 22·9 % (n 114). Infection or inflammation (α 1 -acid glycoprotein >1·2 g/l) was present in 30·2 % (n 184) of children. Children had a high rate of stunting (43·2 %). Of the total sample, 13·6 % (n 82) of children were anaemic, 9·1 % (n 57) were Fe deficient and 5·3 % (n 32) had Fe-deficiency anaemia. Fe-deficiency erythropoiesis was present in 14·2 % (n 60) of children. Conclusions: Despite consuming a predominantly plant-based diet and little animal-source foods, there was a low prevalence of Fe-deficiency anaemia. This illustrates that dietary patterns can be inharmonious with Fe biochemical status; thus, Fe-related interventions require biochemical screening.

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confidence: 99%

Ethiopian pre-school children consuming a predominantly unrefined plant-based diet have low prevalence of iron-deficiency anaemia

Gashu

Stoecker

Adish

et al. 2016

Public Health Nutr.

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“…Quando esse quadro clínico ocorre nos primeiros anos de vida, há evidência de atrasos no desenvolvimento e crescimento e aumento das morbidades 2,3,4 .…”

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Impacto da atualização de profissionais de saúde em alimentação infantil na prevalência de anemia em crianças: Ensaio de Campo Randomizado

Rodrigues

Dallazen

Vítolo

2017

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O objetivo foi avaliar o impacto de atualização de profissionais de saúde em alimentação infantil na prevalência de anemia nos primeiros dois anos de vida. Investigou-se também a frequência da prescrição de suplementação de ferro (SF) e os fatores associados a essa prática. Conduziu-se estudo de campo randomizado por conglomerado em Unidades de Saúde (US) em uma cidade do sul do Brasil. Os profissionais das US-intervenção participaram da capacitação sobre o guia da alimentação saudável para as crianças menores de 2 anos do Ministério da Saúde. Avaliaram-se 533 crianças com idade de 12-15meses. A prevalência de anemia foi 55,7%, sem diferença significativa nos grupos intervenção (GI) e controle (GC) (p=0,34). A prevalência de prescrição do SF (84,2% vs 81,2%, p=0,40) e da adesão materna ao uso SF >180 dias (36,2% vs 35,2%; p=1,00) foi semelhante nos GI e GC. O tempo de uso do SF >180 dias foi associado à menor prevalência de anemia (46,6% vs 56,4%; p=0,03). O maior número de consultas na puericultura foi associado ao uso do SF por período ≥180 dias (p=0,04). A intervenção não foi efetiva em reduzir a prevalência de anemia entre as crianças, sendo necessário maior incentivo às mães para aderirem ao uso do suplemento de ferro nos primeiros dois anos.

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“…This disorder results from immune and non-immune destruction of β-cell islets of the pancreas (3). Therefore, children and adolescents with T1DM are at increased risk for developing other autoimmune diseases (3,4). The most common autoimmune disorder that is associated with T1DM is autoimmune thyroiditis; however, its prevalence is dependent to age, sex and ethnic origin of the subjects and varies considerably (5-).…”

Section: Contextmentioning

confidence: 99%

Type 1 Diabetes Mellitus Associated With Autoimmune Thyroid Disorders in Iranian Children: A Review

Zamanfar¹,

Aarabi²,

Sadeghian³

2015

J Pediatr Rev

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Context: Type one diabetes mellitus (T1DM) is an autoimmune disorder that is yet the most common type of diabetes in children and adolescents. Several genetic risk factors have been associated with T1DM, auto immune thyroiditis and other autoimmune disorder. Among autoimmune disorders, autoimmune thyroid disease (ATD) is the most frequent disorder associated with T1DM. Its prevalence varies depending on age, sex and ethnic origin of the subjects and is considerably higher than the general population and increases with duration of T1DM. The aim of this study was to review the prevalence of ATD in Iranian children with T1DM compared with other countries. Evidence Acquisition: We conducted a review on all papers published on the association between autoimmune thyroiditis and T1DM, which was available on Google Scholar, Scientific Information Database (SID), Magiran and Iran Medex databases up to June 2014. Both Persian and English articles were checked. The searched terms were: diabetes mellitus, autoimmune thyroiditis, prevalence, frequency, Iranian children and adolescents. All papers which were done on patients with age under 20 years old and have used Anti-TPO and Anti-TG to evaluate patients were included. Results: Six papers met all the criteria. A total of 736 participants were included in this review. After review of all the papers, the prevalence of Anti-TPO was reported between 8% and 30% and Anti-TG was reported 6.06% to 23.6% in diabetic children in Iran. Conclusions: Autoimmune thyroid disorders are the most prevalent immunological diseases in patients with type 1 diabetes. All these studies have shown a higher prevalence of the disorder in patients with T1DM compared to the Iranian healthy population. Anti-TPO reported between 8% and 30% and Anti-TG reported 6.06% to 23.6% in diabetic children in Iran that was similar to the studies in other countries.

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Iron deficiency and iron-deficiency anemia in the first two years of life: strategies to prevent loss of developmental potential

Cited by 105 publications

References 61 publications

Ethiopian pre-school children consuming a predominantly unrefined plant-based diet have low prevalence of iron-deficiency anaemia

Ethiopian pre-school children consuming a predominantly unrefined plant-based diet have low prevalence of iron-deficiency anaemia

Impacto da atualização de profissionais de saúde em alimentação infantil na prevalência de anemia em crianças: Ensaio de Campo Randomizado

Type 1 Diabetes Mellitus Associated With Autoimmune Thyroid Disorders in Iranian Children: A Review

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