Xu Lin, Li Ming-Yan, Shen Yue-Liang
Department of Child Health Care, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2018 Dec;20(12):1070-1074. doi: 10.7499/j.issn.1008-8830.2018.12.017.
Iron deficiency (ID) is the most common micronutrient deficiency in children. Due to insufficient iron storage at birth and rapid catch-up growth after birth, preterm infants tend to have a high incidence rate of ID. During the critical period of brain development, ID alters iron-dependent neurometabolism, neurochemistry, neuroanatomy, and gene/protein profiles. This affects the central nervous system and causes the change in neurocognitive and behavioral development. Iron supplementation in infancy cannot reverse neurodevelopmental impairment caused by perinatal ID. The influence of ID on neurodevelopment is time- and region-specific, and in the high-risk population, early diagnosis and optimal iron treatment may help with the recovery of brain function and improve quality of life and long-term prognosis in preterm infants.
缺铁(ID)是儿童中最常见的微量营养素缺乏症。由于出生时铁储存不足以及出生后快速的追赶生长,早产儿往往缺铁发生率较高。在大脑发育的关键时期,缺铁会改变铁依赖性神经代谢、神经化学、神经解剖结构以及基因/蛋白质谱。这会影响中枢神经系统,并导致神经认知和行为发育的改变。婴儿期补充铁剂无法逆转围产期缺铁所致的神经发育损害。缺铁对神经发育的影响具有时间和区域特异性,在高危人群中,早期诊断和最佳铁治疗可能有助于早产儿脑功能的恢复,并改善其生活质量和长期预后。