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Published on: January 19, 2024
Iron deficiency anaemia and child development
T Hokama1, M Gushi Ken, N Nosoko
1Maternal & Child and Global Health, School of Health Science, Faculty of Medicine, University of the Ryukyus, Japan. b987390@med.u-ryukyu.ac.jp
Insights
Iron deficiency anaemia negatively impacts child development, particularly speech development. Infants with current or past anaemia showed lower scores on developmental tests compared to healthy peers.
Area of Science:
- Pediatrics
- Child Development
- Hematology
Background:
- Iron deficiency anaemia (IDA) is a prevalent nutritional deficiency in infants.
- Early childhood development is crucial for long-term health and well-being.
- The impact of IDA on specific developmental domains requires further elucidation.
Purpose of the Study:
- To investigate the effects of iron deficiency anaemia on infant development.
- To compare developmental outcomes in infants with current anaemia, past anaemia, and no anaemia.
Main Methods:
- A cohort of 54 infants was divided into three groups: current anaemia, past anaemia, and a healthy control group.
- Developmental assessments were conducted using the Bailey Scale of Infant Development (BSID) and Enjoji Scale of Infant Analytical development (ESID).
- Statistical analysis compared mental developmental index (MDI), psychomotor developmental index (PDI), and speech development quotients across groups, stratified by sex.
Main Results:
- Infants with current (Group 1) and past (Group 2) iron deficiency anaemia exhibited significantly lower mean MDI and PDI scores compared to the control group (Group 3) on the BSID.
- Speech development quotients were also lower in infants with current and past anaemia compared to controls, as measured by ESID.
- These developmental deficits were observed consistently across sexes.
Conclusions:
- Iron deficiency anaemia, even with a history of the condition, is associated with impaired cognitive and psychomotor development in infants.
- Speech development appears to be particularly vulnerable to the effects of iron deficiency anaemia.
- Early detection and intervention for IDA are critical to mitigate potential long-term developmental consequences in children.
Abstract:
A developmental test was carried out to evaluate the effect of iron deficiency anaemia on child development by using Bailey Scale of Infant Development (BSID) and Enjoji Scale of Infant Analytical development (ESID). The subjects were 54 children, divided into three groups. Group 1 consisted of 15 infants with anaemia; Group 2: 10 infants with a past history of anaemia and Group 3: 29 healthy normal infants without anaemia formed the control group. The characteristics of infants and their family background were not different among the three groups except for the male/female ratio. The mean mental developmental index (MDI) and psychomotor developmental index (PDI) of Group 1 and Group 2 were lower than that of control group using the BSID test. The mean speech development quotients of Group 1 and Group 2 were lower than that of control group in ESID. These tendencies were observed after subjects were stratified by sex. Therefore, the results of the study suggests that iron deficiency anaemia may affect child development especially speech development.
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