管理青少年缺铁的营养策略:对一个具有挑战性但常见问题的方法
Clay T Cohen1, Jacquelyn M Powers1
1Division of Hematology/Oncology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Cancer and Hematology Center, Texas Children's Hospital, Houston, TX, United States.
Advances in nutrition (Bethesda, Md.)
|March 31, 2024
概括
青少年缺铁 (ID) 需要了解日常摄入量需求,特别是素食者和运动员. 治疗包括口服或静脉注射铁补充剂至少三个月,以恢复铁水平.
科学领域:
- 儿童营养学 儿童营养学
- 青少年健康 青少年健康
- 血液学 血液学 血液学
背景情况:
- 缺铁 (ID) 是青春期普遍存在的健康问题.
- 了解铁的需求对于预防,识别和治疗这一年龄组至关重要.
- 特定的人群,如素食者,运动员和患有慢性疾病的人,风险更高.
研究的目的:
- 概述影响青少年铁需求的关键因素.
- 详细说明铁缺乏症和缺铁性贫血 (IDA) 的适当管理策略.
- 讨论口服和静脉铁补充剂的作用.
主要方法:
- 关于青少年铁代谢和缺铁的当前文献的综述.
- 分析影响铁的生物可用性因素,包括饮食和吸收.
- 对口服和静脉注射铁疗法的治疗方案的评估.
主要成果:
- 素食/素食饮食的青少年需要增加铁的摄入量,因为非血红铁的生物可用性较低.
- 饮食失调,大量月经出血和慢性疾病增加了ID风险.
- 口服铁补充剂应每天服用一次,避免使用抑制剂,至少3个月.
- 静脉注射铁对持续性ID,严重的IDA和炎症状况有效.
结论:
- 优化青少年的铁状况需要个性化的方法,考虑饮食,生活方式和健康状况.
- 有效的ID管理需要适当的补充和监测.
- 静脉注射铁为铁缺乏症的特定青少年群体提供了有价值的替代方案.
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