Weaning Food Practice in Low Birth Weight Infants with Iron Deficiency Anemia

Kim, Jae Sook; Jun, Yong Hoon; Kim, Soon Ki

doi:10.15264/cpho.2014.21.2.52

Cited by 2 publications

(1 citation statement)

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“…The need for iron supplementation in MLBW infants has been debated in the past; however, iron supplementation has recently been recommended for MLBW infants (at a dose of 2 mg/kg/day) from 6 weeks to 6 months of age [23]. We have previously reported significant differences in iron supplementation and breastfeeding practices between LBW infants in the IDA and the non-IDA groups [24]. In LBW infants, the use of human milk fortifier until attainment of a body weight of 3 kg can also prevent IDA.…”

Section: Discussionmentioning

confidence: 99%

Iron deficiency anemia in infants and toddlers

Joo

Kim

et al. 2016

Blood Res

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BackgroundIn Korea, the prevalence of anemia and iron deficiency anemia (IDA) among older infants and young children remains high. To detect IDA early and to reduce its adverse impact, we assessed the characteristics of infants and young children who had IDA or were at risk of developing IDA, or who exhibited characteristics associated with severe anemia.MethodsAmong the 1,782 IDA-affected children aged 6 months to 18 years who visited the hospital, we retrospectively analyzed the medical records and laboratory data of 1,330 IDA-affected children aged 6–23 months who were diagnosed between 1996 and 2013. We excluded patients with a C-reactive protein level ≥5 mg/dL.ResultsIDA was predominant in boys (2.14:1) during infancy and early childhood. The peak IDA incidence was noted among infants aged 9–12 months. Only 7% patients exhibited symptoms of IDA, while 23.6% patients with severe IDA demonstrated classic symptoms/signs of IDA. Low birth weight (LBW) infants with IDA demonstrated low adherence to iron supplementation. In a multivariate analysis, prolonged breastfeeding without iron fortification (odds ratio [OR] 5.70), and a LBW (OR 6.49) were identified as risk factors of severe anemia.ConclusionLBW infants need more attention in order to increase their adherence to iron supplementation. For the early detection of IDA, nutritional status of all infants, and iron batteries of high-risk infants (LBW infants, infants with prolonged breastfeeding, picky eaters, and/or infants with the presence of IDA symptoms) should be evaluated at their health screening visits.

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Section: Discussionmentioning

confidence: 99%