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Iron deficiency in infancy and neurocognitive functioning at 19 years: evidence of long-term deficits in executive
Angela F Lukowski1, Marlene Koss, Matthew J Burden
1Department of Psychology and Social Behavior, University of California, Irvine, California 92697, USA. angela.lukowski@uci.edu
Insights
Infant iron deficiency can lead to lasting cognitive deficits in adults, affecting executive functions and memory. These impairments may stem from early impacts on the brain's dopamine system and hippocampus.
Area of Science:
- Neuroscience
- Developmental Psychology
- Nutritional Science
Background:
- Infant iron deficiency is linked to neurodevelopmental issues.
- Early iron deficiency in rodents affects the hippocampus and dopamine system.
- Long-term cognitive effects of infant iron deficiency are not fully understood.
Purpose of the Study:
- To investigate long-term neurocognitive deficits in adults with a history of infant iron deficiency.
- To assess performance on tasks measuring frontostriatal and hippocampal functions.
Main Methods:
- Neurocognitive testing in adults with and without a history of severe infant iron deficiency.
- Utilized tests assessing executive functions (e.g., Trail Making Test) and memory (e.g., Pattern Recognition Memory).
Main Results:
- Adults with infant iron deficiency showed poorer performance on frontostriatal executive functions, including inhibitory control, set-shifting, and planning.
- Impairments were also observed in hippocampus-based recognition memory tasks.
- These deficits persisted despite iron therapy.
Conclusions:
- Chronic, severe infant iron deficiency is associated with persistent deficits in executive function and recognition memory in adulthood.
- Potential mechanisms include long-term effects on the dopamine system, hippocampus, and their interaction.
- Early nutritional interventions are crucial for optimal brain development.
Abstract:
Iron deficiency in infancy negatively impacts a variety of neurodevelopmental processes at the time of nutrient insufficiency, with persistent central nervous system alterations and deficits in behavioral functioning, despite iron therapy. In rodent models, early iron deficiency impairs the hippocampus and the dopamine system. We examined the possibility that young adults who had experienced chronic, severe, iron deficiency as infants would exhibit deficits on neurocognitive tests with documented frontostriatal (Trail Making Test, Intra-/Extra-dimensional Shift, Stockings of Cambridge, Spatial Working Memory, Rapid Visual Information Processing) and hippocampal specificity (Pattern Recognition Memory, Spatial Recognition Memory). Participants with chronic, severe iron deficiency in infancy performed less well on frontostriatal-mediated executive functions, including inhibitory control, set-shifting, and planning. Participants also exhibited impairment on a hippocampus-based recognition memory task. We suggest that these deficits may result from the long-term effects of early iron deficiency on the dopamine system, the hippocampus, and their interaction.
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