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Daily multivitamins with iron to prevent anemia in infancy: a randomized clinical trial
P L Geltman1, A F Meyers, H Bauchner
1Division of Community, Boston University School of Medicine and Boston Medical Center, MA, USA.
Insights
Multivitamins with iron effectively prevent anemia in infants. Daily administration from 6 months reduced anemia prevalence by age 9 months, showing significant benefits for infant health.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Iron deficiency (ID) and anemia are significant concerns in infancy.
- Prophylaxis against ID and anemia is crucial for healthy infant development.
Purpose of the Study:
- To assess the efficacy of multivitamins (MV) with iron in preventing ID and anemia in infants.
- To compare the effects of MV with and without iron on anemia and ID prevalence.
Main Methods:
- Double-blind, randomized trial involving 310 healthy, full-term infants.
- Infants received daily oral MV with or without iron from 6 to 9 months of age.
- Anemia and ID assessed at 9 months of age.
Main Results:
- Anemia prevalence at 9 months was 11.1% in the iron group versus 21.7% in the noniron group (RR=0.5).
- Iron deficiency without anemia showed no significant difference between groups (18.5% vs 14.4%, p=0.46).
- Adherence to daily MV administration was considered in the analysis.
Conclusions:
- Standard-dose multivitamins with iron, administered daily from 6 months, significantly reduce anemia prevalence in infants by 9 months of age.
- MV with iron show promise as a prophylactic measure against infant anemia.
- Further research may explore optimal iron supplementation strategies in infancy.
Abstract:
This study assessed the effectiveness of multivitamins (MV) with iron as prophylaxis against iron deficiency (ID) and anemia in infancy. The study was a double-blind, randomized trial at 2 urban primary care clinics. Subjects included healthy, full-term infants enrolled at their 6-month well-child visit. Parents administered MV, either with iron or without iron, by mouth daily for 3 months. At 9 months of age, 28.3% of 310 had either anemia or ID without anemia. Among infants with any adherence, anemia was found in 11.1% of the iron group and 21.7% in the noniron group (RR=0.5, 95% CI=0.3-1.0). Iron deficiency without anemia was found in 18.5% of the iron group; 14.4% of the noniron group (p=0.46). When administered daily starting at age 6 months, standard-dose multivitamins with iron appear to reduce anemia prevalence at 9 months of age.
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