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Published on: January 19, 2024
Iron deficiency in infants and toddlers in the United States
Alvin N Eden1, Claudio Sandoval
1Weill Cornell Medical Center, New York, USA.
Insights
Iron deficiency anemia (IDA) remains a major global health issue in young children. Despite progress, iron deficiency (ID) and IDA persist, with potential long-term neurocognitive impacts, necessitating continued efforts to reduce their prevalence.
Area of Science:
- Pediatrics
- Public Health
- Nutrition
Background:
- Iron deficiency anemia (IDA) is the primary cause of anemia in early childhood.
- Iron deficiency (ID) and IDA present lasting adverse effects, including potential neurocognitive impairment from associated lead toxicity.
- Despite recent decreases in the US, ID and IDA remain significant public health concerns.
Purpose of the Study:
- To review the key strategies implemented to reduce the incidence of iron deficiency (ID) and iron deficiency anemia (IDA) in early childhood.
Main Methods:
- This is a review article, synthesizing existing data and strategies.
- Focuses on public health interventions and clinical approaches.
- Examines historical and current trends in ID and IDA prevalence.
Main Results:
- Significant progress has been made in reducing ID and IDA in US infants and toddlers.
- Persistent challenges remain in eliminating ID and IDA globally.
- Understanding the link between ID, IDA, and lead toxicity is crucial for prevention.
Conclusions:
- Continued vigilance and strategic interventions are necessary to further decrease the prevalence of ID and IDA.
- Addressing ID and IDA is critical for preventing long-term health consequences in children.
- Public health initiatives have shown success but require ongoing support and adaptation.
Abstract:
Iron deficiency anemia (IDA) continues to be overwhelmingly the leading cause of anemia in early childhood and a global public health challenge. Although there has been a significant decrease in the frequency of IDA and iron deficiency (ID) in infants and toddlers in recent years in the United States, ID and IDA persist and the adverse effects of ID are long-lasting if not permanent. Moreover, ID can result in lead toxicity, and this toxic exposure, even with low levels, can impair neurocognitive function as well. This review describes the major steps that have taken place to decrease the frequency of ID and IDA.
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