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Iron Stores in Low and Normal Birth Weight Infants at Birth and in Early Infancy

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Abstract

Serum ferritin levels of low birth weight (LBW; BW < 2,500 g) and normal birth weight (NBW; BW ≥ 2,500 g) infants were evaluated at birth and at 3 mo using electrochemiluminescence immunoassay. At birth, levels were 318.6 (31.0–829.5) ng/mL in LBW (n = 217) and 366.2 (122.4–858.5) ng/mL in NBW infants (n = 116; p < 0.01), with 1.4 % of LBW and none of the NBW infants having levels <12 ng/mL (p = 0.20). At follow up, levels were 66.9 (4.5–567.7) ng/mL in LBW (n = 126) and 126.2 (6.8–553.7) ng/mL in NBW infants (n = 76; p = 0.27), with 11.9 % of LBW and 11.8 % of NBW infants having levels <12 ng/mL (p = 0.80).

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References

  1. Agarwal R, Virmani D, Jaipal ML, Gupta S, Sankar MJ, Bhatia S, et al. Poor zinc status in early infancy among both low and normal birth weight infants and their mothers in Delhi. Neonatology. 2013;103:54–9.

    Article  PubMed  Google Scholar 

  2. Siddappa AM, Rao R, Long JD, Widness JA, Georgieff MK. The assessment of newborn iron stores at birth: A review of the literature and standards for ferritin concentrations. Neonatology. 2007;92:73–82.

    Google Scholar 

  3. Assessing the Iron Status of Populations: Including Literature Reviews: Report of a Joint World Health Organization/Centers for Disease Control and Prevention Technical Consultation on the Assessment of Iron Status at the Population Level, Geneva, Switzerland, 6–8 April 2004. – 2nd ed. Available from: (http://www.who.int/nutrition/publications/micronutrients/anaemia_iron_deficiency/9789241596107/en/#.UbqRLUvfDOE)

  4. Berglund S, Westrup B, Domellöf M. Iron supplements reduce the risk of iron deficiency anemia in marginally low birth weight infants. Pediatrics. 2010;126:e874–83.

    Article  PubMed  Google Scholar 

  5. Dewey KG, Cohen RJ, Brown KH. Exclusive breast-feeding for 6 months, with iron supplementation, maintains adequate micronutrient status among term, low-birth weight, breast-fed infants in Honduras. J Nutr. 2004;134:1091–8.

    CAS  PubMed  Google Scholar 

  6. Aggarwal D, Sachdev HP, Nagpal J, Singh T, Mallika V. Haematological effect of iron supplementation in breast fed term low birth weight infants. Arch Dis Child. 2005;90:26–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  7. Dewey KG, Domellöf M, Cohen RJ, Landa Rivera L, Hernell O, Lönnerdal B. Iron supplementation affects growth and morbidity of breast-fed infants: Results of a randomized trial in Sweden and Honduras. J Nutr. 2002;132:3249–55.

    Google Scholar 

  8. Edmond K, Bahl R. Optimal feeding of low-birth-weight infants: Technical review. Geneva: World Health Organization; 2006.

  9. Stoltzfus RJ. Research needed to strengthen science and programs for the control of iron deficiency and its consequences in young children. J Nutr. 2008;138:2542–6.

    Article  CAS  PubMed  Google Scholar 

  10. World Health Organization Secretariat on behalf of the participants to the Consultation. Conclusions and recommendations of the WHO Consultation on prevention and control of iron deficiency in infants and young children in malaria-endemic areas. Food Nutr Bull. 2007;28:S621–7.

    Google Scholar 

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Acknowledgments

RA, AKD, VKP designed research (project conception, development of overall research plan, and study oversight) and shall be the overall guarantor; DV, MLJ, SB, AA, VD conducted research; NG carried out the laboratory analysis, SG, MJS, RA analyzed data, performed statistical analysis; SG, MJS, RA wrote paper.

Investigators of LBW Micronutrient Study Group

AIIMS:

Agarwal R (PI), Paul VK, Deorari AK, Sreenivas V, Gupta S, Sankar MJ, Suresh S, Saxena M, Thukral A, Mittal D, Rakesh G, Thomas S, Kuriakose R, Thareja A, Tanupriya, Sarasan S, Honeymol KC, Lal S, Bijoi J

Swami Dayanand Hospital:

Jaipal ML (PI), Devgan V (PI), Agarwal A (PI), Venugopal M, Saini A, Bisht SS, Tyagi A, Grover R, Kumari G

Kasturba Hospital:

Virmani DN (PI), Bhatia S (PI), Jaipal ML (PI), Kudesia M, Duggal AK, Govil A, Verma KK, Mehta S

ICMR:

Toteja GS, Rao S, Gupta P

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Indian Council of Medical Research, Delhi.

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Correspondence to Ramesh Agarwal.

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Agarwal, R., Virmani, D., Jaipal, M. et al. Iron Stores in Low and Normal Birth Weight Infants at Birth and in Early Infancy. Indian J Pediatr 81, 279–282 (2014). https://doi.org/10.1007/s12098-013-1176-7

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  • DOI: https://doi.org/10.1007/s12098-013-1176-7

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