BMJ 2001;323:1377-1378 ( 15 December )

Editorials

Iron deficiency and impaired child development

The relation may be causal, but it may not be a priority for intervention

Papers p 1389

The first 150 words of the full text of this article appear below.

Iron deficiency affects 20% to 50% of the world's population, making it the most common nutritional deficiency.1 In developing countries about half of all cases of anaemia in women and children result from iron deficiency, but other important and often coexisting contributors include malaria, hookworm infestation, HIV, and deficiencies in other nutrients such as vitamin A and folates. 2 3 Conversely, anaemia is just one manifestation of iron deficiency, and there are forms of mild to moderate iron deficiency in which anaemia is absent but tissue function is impaired.

In children iron deficiency develops slowly and produces few acute symptoms. As the deficiency worsens children become pale and weak, eat less, and tire easily. They gain weight poorly, have frequent respiratory and intestinal infections, and may develop pica. The most worrying association is that between iron deficiency and impaired development in behaviour, cognition, and psychomotor skills. Over the past three . . . [Full text of this article]


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Relevant Article

Effects of iron supplementation and anthelmintic treatment on motor and language development of preschool children in Zanzibar: double blind, placebo controlled study
Rebecca J Stoltzfus, Jane D Kvalsvig, Hababu M Chwaya, Antonio Montresor, Marco Albonico, James M Tielsch, Lorenzo Savioli, and Ernesto Pollitt
BMJ 2001 323: 1389. [Abstract] [Full Text] [PDF]

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Rapid Responses:

Read all Rapid Responses

An overlooked cause of iron deficiency and an original patho-physiological mechanism.
Sergio Stagnaro
bmj.com, 14 Dec 2001 [Full text]



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