[The influence of preventive iron supplementation to iron nutritional status in breastfed infants]

Zhonghua Yu Fang Yi Xue Za Zhi. 2012 Apr;46(4):299-302.
[Article in Chinese]

Abstract

Objective: To analyze the effects to iron status who were given preventive iron supplements for two months from when they were breast-fed to four-month-old.

Methods: A total of 123 infants in four-month-old age who were breast-fed were randomly divided into iron supplementation group (63 cases) and control group (60 cases), iron supplementation group was supplied with low-dose iron (1 mg×kg⁻¹×d⁻¹) for two months with no intervention for control group. Blood samples were collected to test C reactive protein and iron status indicators in six-month-old age group infants, and the growth indices were measured and compared on the gender difference of iron status at and 6 months.

Results: After 2 months of low-dose iron supplementation, the hemoglobin of iron supplementation group (26 cases) increased about 5.5 g/L while the control group (34 cases) increases about 0.0 g/L (median), 95% confidence intervals were -7.0 - 13.0 g/L and -9.0 - 15.0 g/L, respectively. The hemoglobin increase of iron supplementation group was higher than the control group, the difference was statistically significant (u = -2.326, P < 0.05). The other iron nutritional status and the growth did not show any significant difference between iron supplementation group and control group (P > 0.05). At age 6 month, the MCV of the boys were (75.89 ± 3.34) fl, while the girls were (77.20 ± 3.17) fl. The boys had lower values of MCV than the girls, and the gender difference was statistically significant (t = 4.73, P < 0.05). The other iron nutritional status did not show any significant gender difference (P > 0.05).

Conclusion: Low-dose iron supplementation of breast-fed infants at 4-month-old can increase the hemoglobin level when they were 6-month-old, and had no measurable side effect on growth.

Publication types

  • English Abstract
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Anemia, Iron-Deficiency / prevention & control*
  • Breast Feeding*
  • Dietary Supplements*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Iron, Dietary / administration & dosage
  • Iron, Dietary / therapeutic use*
  • Male
  • Nutritional Status

Substances

  • Iron, Dietary