Institute of Child Health, Istanbul University, Istanbul, Turkey.
J Trop Pediatr. 2012 Dec;58(6):481-5. doi: 10.1093/tropej/fms028. Epub 2012 Jun 28.
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.
本研究旨在探讨铁补充对缺铁性贫血发展的影响。研究对象为在生命最初 4 个月内完全母乳喂养的 6 月龄婴儿。补充组的婴儿从 6 月龄开始每天补充 1mg/kg 硫酸亚铁,持续 6 个月。在 12 月龄时采集血样。在 1 岁时评估 3 天饮食。分析了补充组 51 名婴儿和对照组 54 名婴儿的数据。两组婴儿在 12 月龄时的平均血红蛋白值相似。补充组的平均铁蛋白水平显著高于对照组。膳食铁摄入量与血红蛋白水平呈显著正相关。在婴儿期预防缺铁性贫血,营养可能比铁补充更为重要。