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Effects of iron therapy on blood lead concentrations in infants
Sangkyu Park1, Chang Sun Sim2, Heun Lee2
1Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Insights
Iron deficiency in infants is linked to higher blood lead levels. Iron supplementation significantly reduced blood lead concentrations in these infants, highlighting the importance of iron status for lead exposure.
Area of Science:
- Pediatric Nutrition
- Environmental Health
- Toxicology
Background:
- Iron deficiency is common in infants and may affect lead absorption.
- Elevated blood lead concentrations pose significant health risks to children.
Purpose of the Study:
- To investigate the relationship between iron deficiency and blood lead concentration in infants.
- To assess the impact of iron supplementation on blood lead levels in iron-deficient infants.
Main Methods:
- Blood lead and serum ferritin levels were measured in iron-deficient and control infants (aged 6-24 months).
- Iron-deficient infants received iron supplementation; blood lead levels were re-measured after ferritin normalization.
Main Results:
- Iron-deficient infants had higher geometric mean blood lead concentrations than controls.
- Iron therapy significantly decreased blood lead levels and increased hemoglobin and ferritin levels.
Conclusions:
- Iron deficiency is associated with elevated blood lead concentrations in infants.
- Iron supplementation can effectively reduce blood lead levels in iron-deficient infants.
Abstract:
To determine whether blood lead concentration is elevated in iron-deficient infants, blood lead and serum ferritin concentrations, serum iron/transferring iron-binding capacity (Fe/TIBC) and complete blood counts were measured in 30 iron deficient and 35 control infants, aged 6-24 months. All 30 iron-deficient infants received iron supplementation (ferric hydroxide-polymaltose complex, 6mg/kg Fe(3+)/day) for 1-6 months. Blood lead concentrations were measured in 18 of the iron deficient infants after their ferritin levels returned to the normal range. The geometric mean blood lead concentration was higher in iron deficient than in control infants (1.846 vs. 1.416μg/dL). After iron therapy, the blood lead levels of iron-deficient infants decreased significantly compared with pre-treatment levels (1.785 vs. 2.386μg/dL), and the hemoglobin and ferritin concentrations increased significantly. These findings indicate that iron deficiency increases blood lead concentrations in infants with very low blood lead concentrations.
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