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Published on: November 3, 2016
Effects of iron deficiency in infancy on patterns of motor development over time
Tal Shafir1, Rosa Angulo-Barroso, Agustin Calatroni
1Center for Human Growth and Development, University of Michigan, Ann Arbor, MI 48109-0406, United States.
Insights
Iron deficiency in infancy negatively impacts motor development long-term. Despite iron therapy, children showed no catch-up motor development, indicating lasting effects of early deficiency.
Area of Science:
- Pediatrics
- Developmental Neuroscience
- Nutritional Science
Background:
- Iron deficiency is common in infancy and can affect neurodevelopment.
- Early motor development is crucial for long-term functional outcomes.
Purpose of the Study:
- To assess the long-term effects of infant iron deficiency on motor development.
- To determine if iron therapy leads to catch-up motor development.
Main Methods:
- Longitudinal study of 185 Costa Rican children from 12-23 months to 11-14 years.
- Motor development assessed using the Bayley Psychomotor Index and Bruninks-Oseretsky Test of Motor Proficiency.
- Hierarchical linear modeling analyzed motor score trajectories over time.
Main Results:
- Children with severe infant iron deficiency had lower initial motor scores.
- Motor development trajectories remained lower but parallel to controls throughout adolescence.
- Iron therapy corrected anemia but did not result in catch-up motor development.
Conclusions:
- Chronic severe iron deficiency in infancy has persistent negative effects on motor development.
- Early iron repletion may not fully restore motor development deficits.
- Further research is needed to understand long-term neurodevelopmental impacts of infant iron status.
Abstract:
This longitudinal study of the effects of iron deficiency in infancy assessed motor development over time in 185 healthy Costa Rican children who varied in iron status at 12-23 months. Longitudinal analyses (hierarchical linear modeling) used the Bayley Psychomotor Index before and both 1 week and 3 months after iron treatment in infancy and the Bruninks-Oseretsky Test of Motor Proficiency - long form at 5 years and short form at 11-14 years. Children with chronic severe iron deficiency in infancy had lower motor scores at the beginning of the study and a lower but parallel trajectory for motor scores through early adolescence. Thus, there was no evidence of catch-up in motor development, despite iron therapy in infancy that corrected iron deficiency anemia in all cases.
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