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[Anemia and iron deficiency in children with chronic respiratory diseases]

Salesa Barja1, Eduardo Capo, Lilian Briceño

  • 1Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile. sbarja@puc.cl

Nutricion Hospitalaria
|July 16, 2013
PubMed

Insights

Iron deficiency and anemia are common in children with chronic respiratory disease (CRD). Prophylactic iron supplementation can prevent the depletion of iron reserves in these vulnerable children.

Area of Science:

  • Pediatric Pulmonology
  • Hematology
  • Nutritional Science

Background:

  • Children with chronic respiratory disease (CRD) face a higher risk of iron deficiency and anemia.
  • This condition is frequently under-diagnosed in this population.

Purpose of the Study:

  • To assess the iron status in pediatric patients diagnosed with CRD.
  • To evaluate the impact of prophylactic iron supplementation on iron status and related biomarkers.

Main Methods:

  • A prospective study involving children with CRD and adequate dietary iron intake.
  • Baseline measurements included hemogram, C-reactive protein, and iron profile.
  • Children were divided into two groups: one without iron supplementation and another receiving supplementation for iron deficiency anemia or at risk.

Main Results:

  • At baseline, 20% of children were anemic and 12.5% had abnormal iron profiles.
  • In the non-supplemented group, serum ferritin decreased over 3 months but recovered by 4 months.
  • The supplemented group showed a significant increase in hemoglobin levels.

Conclusions:

  • Anemia and iron deficiency are prevalent in children with CRD.
  • Prophylactic iron supplementation is effective in preventing the decline of iron reserves.
  • Early monitoring and treatment, or prophylactic supplementation, are recommended for children with CRD.
Abstract

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