a Unit of Preventive Medicine and Public Health, Faculty of Medicine and Health Science , Universitat Rovira I Virgili , Reus , Spain.
b Unit of Psychology, Faculty of Medicine and Health Science , Universitat Rovira I Virgili , Reus , Spain.
Crit Rev Food Sci Nutr. 2018 Jul 3;58(10):1604-1614. doi: 10.1080/10408398.2016.1274285. Epub 2017 Jun 12.
Iron deficiency and iron-deficiency anemia are the main worldwide nutritional disorders. A good level of prenatal iron is essential for the correct child neurodevelopment but this association has been poorly investigated. To gather the scientific evidence on the relation between prenatal iron status and child neurodevelopment. To emphasize the importance of personalize the dose and type of supplementation. Wide search strategy was performed in electronic databases for English language articles with no limitations as regards the language or date of publication. Additional studies were selected by hand search. The inclusion criteria were pregnant women without high-risk pregnancy and their children as study population and neurodevelopment as the main outcome. Six RCTs and 13 observational studies were included. The majority concluded that deficit or excess iron during pregnancy injures the mental and psychomotor development of child. Other authors found no association of low iron level with troubles in neurodevelopment, recommended multi-micronutrients instead of iron alone and/or showed inconsistent results. Both iron deficiency as its excess are harmful for the child neurodevelopment. The prenatal iron supplementation should be adjusted for each woman, taking into account the iron stores, some genetic mutation and other health habits.
缺铁和缺铁性贫血是全球主要的营养失调症。良好的产前铁水平对于儿童的正确神经发育至关重要,但这一关联尚未得到充分研究。为了收集有关产前铁状况与儿童神经发育之间关系的科学证据。强调个性化补充剂量和类型的重要性。在电子数据库中进行了广泛的搜索策略,对发表语言或日期没有任何限制。通过手工搜索选择了其他研究。纳入标准为无高危妊娠的孕妇及其儿童作为研究人群,神经发育作为主要结局。纳入了 6 项 RCT 和 13 项观察性研究。大多数研究得出结论,孕期铁缺乏或过量会损害儿童的智力和精神运动发育。其他作者发现低铁水平与神经发育障碍之间没有关联,建议使用多种微量营养素而不是单独使用铁,或者结果不一致。铁缺乏和铁过量对儿童的神经发育都有害。产前铁补充应根据每个妇女的情况进行调整,考虑到铁储存、某些基因突变和其他健康习惯。