Perturbing Status of Vitamin B12 in Indian Infants and Their Mothers

Medha Mittal1, Vijayashri Bansal1, Rahul Jain1

  • 11 Department of Pediatrics, Chacha Nehru Bal Chikitsalaya, New Delhi, India.

Insights

Vitamin B12 deficiency is common in Indian infants (57%) and their mothers (46%), impacting infant neurodevelopment. Early antenatal supplementation is crucial to address this widespread issue.

Area of Science:

  • Nutritional Science
  • Pediatrics
  • Public Health

Background:

  • Vitamin B12 deficiency in early life can impair brain development and cause neurodevelopmental issues.
  • Infant deficiency often stems from low maternal vitamin B12 levels.

Purpose of the Study:

  • To evaluate the vitamin B12 status in exclusively breast-fed Indian infants aged 1-6 months.
  • To assess the vitamin B12 status of their mothers concurrently.

Main Methods:

  • Recruited 100 exclusively breast-fed infants (1-6 months) and their mothers.
  • Collected hemogram, serum vitamin B12, folate, and ferritin levels from each pair.

Main Results:

  • Identified a high prevalence of vitamin B12 deficiency in infants (57%).
  • Found 46% of mothers were vitamin B12 deficient.
  • Observed a positive correlation between infant and maternal vitamin B12 levels (r=0.23).

Conclusions:

  • High prevalence of vitamin B12 deficiency exists in Indian infants and mothers.
  • Urgent need for vitamin B12 supplementation in the Indian population.
  • Antenatal supplementation is recommended as the optimal intervention strategy.
Abstract

Related Concept Videos

Vitamins01:30

Vitamins

Vitamins, derived from the Latin word for life, are essential organic substances required in small quantities for optimal growth and overall well-being. Unlike other organic nutrients, vitamins don't act as sources of energy or building materials but rather facilitate these nutrients' utilization by the body. Vitamins are predominantly coenzymes, assisting enzymes in specific chemical actions, like the oxidation of glucose for energy involving B vitamins. Most vitamins are not produced...
2.6K
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
4.4K
Pedigree Analysis01:35

Pedigree Analysis

Overview
90.2K
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
392
Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
970
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
976