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Effect of iron supplementation on development of iron deficiency anemia in breastfed infants.

Journal of tropical pediatrics
December 1, 2012
Gulbin Gokcay et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate the effect of iron supplementation on preventing iron deficiency anemia in infants who were exclusively breastfed in their first 4 months of life.

Results Summary

Iron supplementation significantly increased ferritin levels but did not affect hemoglobin levels compared to the control group. Dietary iron intake showed a positive correlation with hemoglobin levels, suggesting nutrition may play a more critical role than supplementation in preventing iron deficiency anemia.

Population

6-month-old infants who were exclusively breastfed for the first 4 months of life.

Effective Dosage

1 mg/kg/day ferrous sulfate

Duration

6 months

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
iron supplementation
neutral
development of iron deficiency anemia
6-month-old infants who had been exclusively breastfed in the first 4 months of life
-
effect on
#1
1 mg kg(-1) day(-1) ferrous sulfate
neutral
6 months starting at 6 months of age
infants in the supplemented group
-
given for
#2
iron supplementation
no change
mean hemoglobin values
infants in the supplemented and control groups
-
similar
#3
iron supplementation
increase
mean ferritin level
supplemented group compared to control
-
significantly higher
#4
dietary iron intake
increase
hemoglobin levels
infants
-
significant positive correlation
#5
nutrition
neutral
iron deficiency anemia
during infancy
-
more important than iron supplementation in preventing
#6
Abstract

This trial aimed to investigate the effect of iron supplementation on the development of iron deficiency anemia. The study encompassed 6-month-old infants who had been exclusively breastfed in the first 4 months of life. Infants in the supplemented group were given 1 mg kg(-1 )day(-1) ferrous sulfate for 6 months starting at 6 months of age. Blood samples were taken at age 12 months. A 3-day-diet was evaluated at 1 year of age. Data of 51 infants in the supplemented and 54 infants in the control group were analyzed. Mean hemoglobin values were similar in the two groups at the age of 12 months. Mean ferritin level of the supplemented group was significantly higher than that of the control. There was a significant positive correlation between dietary iron intake and hemoglobin levels. Nutrition might be more important than iron supplementation in preventing iron deficiency anemia during infancy.

Medical Subject Headings (MeSH)
Age FactorsAnemia, Iron-DeficiencyBreast FeedingDietary SupplementsDrug Administration ScheduleFemaleFerritinsFollow-Up StudiesHemoglobinsHumansInfantIronIron DeficienciesMaleNutritional StatusProspective StudiesRisk FactorsTime FactorsTreatment OutcomeTurkey
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year0.5
Relative Citation Ratio0.24
NIH Percentile12.5%
Research Impact Scores
APT Score0.50
Weight Score1.31
Normalized Score0.64
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