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Setup of Capillary Electrophoresis-Inductively Coupled Plasma Mass Spectrometry CE-ICP-MS for Quantification of Iron Redox Species FeII, FeIII
Published on: May 4, 2020
Neurodevelopmental Impairments as Long-term Effects of Iron Deficiency in Early Childhood: A Systematic Review
Jason Theola1, Murti Andriastuti2
1Universitas Indonesia Faculty of Medicine, Jakarta, Indonesia
Insights
Early iron deficiency (ID) in children leads to lasting neurodevelopmental problems. Preventing ID in the first 1,000 days is crucial for healthy cognitive, motor, and behavioral development.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Nutritional Science
Background:
- Numerous studies link early-life iron deficiency (ID) to neurodevelopmental disorders in children, but findings are inconsistent.
- Early childhood ID can have significant long-term effects on a child's development.
Approach:
- A systematic review was conducted using data from five electronic databases.
- Keywords included “iron deficiency anemia” and “infant.”
- Seventeen cohort studies were appraised for quality using the JBI critical appraisal tool.
Key Points:
- Seventeen cohort studies were identified, with 14 rated high quality and 3 moderate quality.
- Neurodevelopmental domains assessed included cognitive, motor, verbal, behavioral, auditory, and neuroendocrine functions.
- Children with early-life ID showed poorer outcomes in cognitive, motor, and behavioral domains.
Conclusions:
- Early-life ID significantly disrupts neurodevelopment, causing persistent impairments.
- Preventing iron deficiency within the first 1,000 days is critical to avoid irreversible deficits.
- Intervention is essential to mitigate long-term negative impacts on cognitive, motor, and behavioral functions.
Background:
Numerous studies have reported neurodevelopmental disorders in children with a history of early-life iron deficiency (ID), though findings vary.
Aims:
To evaluate the long-term impact of early childhood ID on neurodevelopmental outcomes.
Study Design:
Systematic review.
Methods:
A literature search was conducted across five electronic databases (PubMed, Cochrane, Scopus, Sage, and Embase) using the keywords “iron deficiency anemia” and “infant.” The JBI critical appraisal tool for cohort studies was used to evaluate study quality.
Results:
Seventeen relevant cohort studies were identified through the systematic search. Of these, 14 were rated as high quality, while 3 were classified as moderate quality. The neurodevelopmental domains assessed included cognitive deficits (seven studies), motor deficits (four studies), verbal deficits (seven studies), behavioral deficits (nine studies), auditory function (one study), and neuroendocrine function (two studies).
Conclusion:
Early-life ID disrupts neurodevelopment, leading to persistent cognitive, motor, behavioral, and neuroendocrine impairments. Children with a history of early childhood ID demonstrate poorer cognitive, motor, and behavioral outcomes compared with their non-ID counterparts. Preventing ID within the first 1,000 days of life is essential to mitigate irreversible deficits in motor, cognitive, and behavioral functions.
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