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Published on: June 28, 2024
Compromised Vitamin B12 Status of Indian Infants and Toddlers
Bentu Kalyan G1, Medha Mittal1, Rahul Jain1
175299Chacha Nehru Bal Chikitsalaya, New Delhi, India.
Insights
Vitamin B12 deficiency affects over a third of Indian infants and toddlers, potentially causing irreversible neurological harm. Early supplementation is crucial to prevent these severe consequences in young children.
Area of Science:
- Pediatric Nutrition
- Nutritional Deficiency
- Public Health
Background:
- Vitamin B12 deficiency is a global health concern, particularly impacting vegetarian populations.
- Early childhood deficiency can lead to severe, long-lasting neurological and cognitive impairments.
- Understanding prevalence in infants and toddlers is vital for informing nutritional policies.
Purpose of the Study:
- To assess the vitamin B12 status in healthy Indian children aged 6 to 23 months.
- To identify the prevalence of vitamin B12 deficiency in this vulnerable age group.
- To explore the correlation between dietary habits and vitamin B12 levels.
Main Methods:
- A cross-sectional study involving 210 apparently healthy Indian children (6-23 months).
- Analysis of hemogram, vitamin B12, folate, and ferritin levels.
- Evaluation of dietary habits and their association with vitamin B12 status.
Main Results:
- A significant prevalence of vitamin B12 deficiency was found in 37.6% of the participants.
- Mean levels of vitamin B12, folate, and ferritin were determined.
- Dietary analysis indicated a non-significant positive association between early animal milk consumption and vitamin B12 status.
Conclusions:
- High prevalence of vitamin B12 deficiency necessitates urgent supplementation strategies for infants and toddlers.
- Intervention is critical to prevent potential neurological damage.
- Further research into dietary interventions may be warranted.
Background:
Vitamin B12 deficiency is prevalent worldwide especially in vegetarian communities. Its deficiency in early childhood may result in serious neurological and cognitive deficits. It is important to know the prevalence among our infants and toddlers so that nutritional policy changes could be suggested in this regard.
Objective:
To evaluate the vitamin B12 status of apparently healthy Indian children between 6 and 23 months of age.
Methods:
Apparently healthy Indian children (n = 210), of age 6 to 23 months, attending pediatric outpatient department were recruited and samples obtained to evaluate their hemogram and levels of vitamin B12, folate, and ferritin. Data were analyzed to obtain the mean levels and the proportion of participants deficient in vitamin B12. The dietary habits of the children were also analyzed and correlated with their vitamin B12 status.
Results:
Vitamin B12 deficiency was observed in 37.6% of the participants.
Conclusions:
There is a high prevalence of vitamin B12 deficiency in our infants and toddlers, and there is need to initiate supplement to prevent any possible neurological consequences. Early initiation of animal milk had a positive effect on the vitamin B12 status of the child, though it was not significant.
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