Díaz-Argüelles Ramírez-Corría V, Pupo L, Porrata MC

Language: Spanish
References: 17
Page:
PDF size: 75.72 Kb.

ABSTRACT

Nutrition-related anemia is very frequent within the first two years of life of children living in both Third World and developing countries. The objective of the present article was to estimate the frequency of anemia in breastfed children with less than one year of age and its relation with the consumption of foods and the nutritional supplementation. 25 low-weight newborns (LW) were followed prospectively in parallel with other 25 normal-weight newborns (NW) at the Ramón González Coro Hospital (Havana City, Cuba), between January 2001 – January 2002. Food comsumption, the adequacy of energy and macronutrients intake, haemoglobin measurement and reticulocytes counting were performed at 3 and 12 months of age. Results. An elevated consumption of proteins (5 g/kg/day), at the expense of whole cow milk, was observed in both groups during the first year of life. There was an increased frequency of anemia at the age of three months, but hemoglobin levels were restored to normal at 12months of age when adequate nutricional supplementation was given.

REFERENCES

1. Davidsson L, Ziegler EE, Kastenmayer P, Hurrell RF. Erythrocyte incorporation of iron by infants: iron bioavailability from a low-iron infant formula and an evaluation of the usefulness of correcting erythrocyte incorporation values, using a reference dose or plasma ferritin concentrations: Br J Nutr 2000;84(6): 847-53.

2. Arvas A., Elgormus Y, Gur E, Alikasifoglu M, Celebi A. Iron status in breast-fed full-term infants: Turk J Pediatr 2000;42(1):22-6.

3. Coronel C C; Ferropenia: Un problema ignorado. Rev Cubana Pediatr 2001;73:22-7.

4. Dewey KG, Cohen RJ, Rivera LL, Brown KH. Effects of age introduction of complementary foods on iron status of breast-fed infants in Honduras: Am J Clin Nutr 1998; 67:878-84.

5. Porrata Maury C, Hernández Triana M, Argüelles JM. Recomendaciones Nutricionales y Guías de Alimentación para la Población Cubana. La Habana. Editorial Pueblo y Educación. 1996.

6. American Academy of Pediatrics: Pediatric Nutrition Handbook. Cuarta edición. Elk Grove Village, IL. American Academy of Pediatrics; 1998.

7. Mascarenhas MR, Zemel B, StallingsVA; Nutritional assessment in pediatrics. Nutrition1998;14: 105-15.

8. Ziegler EE. Efectos adversos de la introducción precoz de leche de vaca en la infancia. En: Nuevas perspectivas en Nutrición Infantil. 11no Simposio Internacional. (Editores:E Borrajo, López M, Pajarón M, Morán J). 1993. Murcia. 6-8:531-40.

9. Fomon SJ, Ziegler EE, Nelson SE, Rogers RR, Frantz J. Infant formula with protein-energy ratio of 1.7g/100 kcal is adequate but may not be safe. J Pediatric Gatroenterol Nutr 1999; 28:495-501.

10. Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B, Dewey KG. Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING study. Am J Clin Nutr 1993;58:152- 61.

11. Dewey FG, Cohen RJ, Riviera LL, Canahuati J, Brown KH. Do exclusively brest-fed infants require extra protein? Pediatric Res 1996; 39:303-7.

12. Krebs N. Bioavailability of dietary supplements and impact of physiologic state: infants, children and adolescents. J Nutr 2001;131: 1351S-4S.

13. Fomon SJ, Nelson SE, Ziegler EE. Retention of iron by infants. Annu Rev Nutr 2000;20:273-90.

14. Griffin IJ, Abrams SA. Iron and breastfeeding. Pediatr Clin North Am 2001; 48:401-13.

15. Kattelmann KK, Ho M, Specker BL. Effect of timing of introduction of complementary foods on iron and zinc status of formula fed infants at 12, 24 and 36 months age. J Am Diet Assoc 2001; 101:443-7.

16. Arvas A, Gur E. Are ferric compounds useful in treatment of iron deficiency anemia? Turk J Pediatr 2000; 42(4):352-3.

17. Grantham-McGregor S, Cornelius AR. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr 2001; 131:649S-83S)