Breastfeeding exclusively and iron deficiency anemia during the first 6 months of age

Rosa F S V Marques1, José A A C Taddei2, Fábio A Lopez3

  • 1Pediatrician, Professor, Department of Integral Health, State University of Pará, Pará, Brazil.

Revista Da Associacao Medica Brasileira (1992)
|June 12, 2014
PubMed

Insights

Exclusive breastfeeding protects infants from iron deficiency and anemia for the first four months. After four months, iron deficiency and anemia rates increase significantly in exclusively breastfed infants, necessitating iron level monitoring.

Area of Science:

  • Pediatrics
  • Nutritional Science
  • Hematology

Background:

  • Exclusive breastfeeding is recommended for infant nutrition.
  • Iron deficiency and anemia are significant global health concerns in infants.

Purpose of the Study:

  • To determine the prevalence of iron deficiency and iron deficiency anemia in exclusively breastfed infants aged 1-6 months.
  • To identify risk factors associated with these conditions.

Main Methods:

  • A cohort study involving 102 healthy, full-term infants.
  • Hemoglobin and serum ferritin levels were measured at 1, 4, and 6 months.
  • Maternal iron status was assessed postpartum.

Main Results:

  • At 4 months, 5.7% had iron deficiency and 3.4% had iron deficiency anemia.
  • By 6 months, iron deficiency rose to 26.1% and anemia to 23.9%.
  • Iron deficiency at 6 months correlated with growth velocity.

Conclusions:

  • Exclusive breastfeeding offers protection against iron deficiency and anemia up to 4 months.
  • Iron deficiency and anemia rates increase after 4 months in exclusively breastfed infants.
  • Monitoring iron levels in exclusively breastfed infants with rapid growth from 4 months is recommended.
Abstract

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