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Iron Deficiency and Iron Homeostasis in Low Birth Weight Preterm Infants: A Systematic Review
Jorge Moreno-Fernandez1,2, Julio J Ochoa3,4, Gladys O Latunde-Dada5
1Department of Physiology, University of Granada, 18071 Granada, Spain. jorgemf@ugr.es.
Insights
Iron is vital for infant growth, but premature infants face risks from both deficiency and excess iron. This review analyzes iron
Area of Science:
- Neonatal nutrition and development
- Pediatric micronutrient metabolism
Background:
- Iron is essential for human growth, particularly the central nervous system.
- Premature and low birth weight infants have elevated iron needs and are prone to deficiency or anemia.
- Excess iron can negatively impact organ development in premature infants due to immature antioxidant systems.
Purpose of the Study:
- To review and analyze the impact of iron status on the growth and development of premature infants.
- To synthesize current scientific literature on iron's role in preterm infant outcomes.
Main Methods:
- Systematic literature review using PRISMA guidelines.
- Transversal descriptive study design.
- PICO model for study inclusion criteria.
- Evaluation of studies published between 2008-2018.
Main Results:
- Identified studies examining the effects of iron status on preterm infant growth parameters.
- Analyzed the balance between iron sufficiency and excess in neonatal development.
- Synthesized findings on iron's impact on growth and development in premature infants.
Conclusions:
- Optimal iron status is crucial for healthy growth and development in premature infants.
- Balancing iron intake is critical to prevent deficiency and toxicity in this vulnerable population.
- Further research is needed to refine iron management strategies for preterm neonates.
Abstract:
Iron is an essential micronutrient that is involved in many functions in humans, as it plays a critical role in the growth and development of the central nervous system, among others. Premature and low birth weight infants have higher iron requirements due to increased postnatal growth compared to that of term infants and are, therefore, susceptible to a higher risk of developing iron deficiency or iron deficiency anemia. Notwithstanding, excess iron could affect organ development during the postnatal period, particularly in premature infants that have an immature and undeveloped antioxidant system. It is important, therefore, to perform a review and analyze the effects of iron status on the growth of premature infants. This is a transversal descriptive study of retrieved reports in the scientific literature by a systematic technique. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were adapted for the review strategy. The inclusion criteria for the studies were made using the PICO (population, intervention, comparison, outcome) model. Consequently, the systematic reviews that included studies published between 2008-2018 were evaluated based on the impact of iron status on parameters of growth and development in preterm infants.
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