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Published on: May 10, 2022
Long lasting effects of infancy iron deficiency--preliminary results
1Psychopharmacology Laboratory, Department of Psychology and Brain Research Institute, Bar Ilan University, Ramat Gan, Israel. yehudas@mail.biu.ac.il
Insights
Children with iron deficiency (ID) in infancy experienced long-term effects at age 10, including auditory processing delays, lower IQ scores, and increased fatigue. These findings highlight the critical impact of early nutrition on neurodevelopment.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Nutritional Science
Background:
- Iron deficiency (ID) in infancy is a global health concern.
- Early ID can impact neurodevelopment during critical brain growth periods.
- Long-term consequences of rehabilitated infant ID require further investigation.
Purpose of the Study:
- To assess the long-term neurodevelopmental outcomes at age 10 in children treated for iron deficiency in infancy.
- To examine auditory system function, cortisol levels, IQ, and behavioral profiles.
Main Methods:
- Longitudinal study design.
- Assessment of auditory brainstem response, morning cortisol levels, Wechsler Intelligence Scale for Children-Revised (WISC-R) scores, and behavioral questionnaires.
- Comparison between children with a history of infant ID and a control group.
Main Results:
- Auditory system function was generally normal, but with delayed auditory signal processing in the brainstem.
- Former ID children exhibited reduced morning cortisol levels and lower overall IQ scores, particularly in performance-based subtests.
- Increased reports of sleep disturbances and daytime fatigue were noted in the ID group.
Conclusions:
- Rehabilitated infant iron deficiency may have lasting effects on neurodevelopment, including auditory processing and cognitive function.
- Observed outcomes align with the known impact of ID on myelination during early development.
- Further research is warranted to understand the mechanisms behind sleep disturbances and cognitive deficits in this cohort.
Abstract:
The long-term effects of rehabilitated infancy (1 year old) iron deficiency (ID) were examined at age 10. The children were examined for the following variables: auditory system function, the level of morning cortisol, I.Q. score (WISC-R), and behavioral profile. The results indicate that while the former ID children's hearing system appears to function well, there was a delay in brain stem processing of the auditory signals. In addition, the level of morning cortisol was reduced, the general I.Q. scores were lower than the normal group (mainly in the performed subtest), and more sleep disturbances and fatigue during day were reported. These outcomes are consistent with established reports on the effect of iron deficiency on the rate of myelination in selected brain areas during critical period of 1 year olds. The findings of increased sleep disturbances and lower I.Q. tests require further study.
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