Anemia severa, arresto di crescita... e dintorni

2021 ◽  
Vol 24 (9) ◽  
pp. 277-279
Author(s):  
Eleonora Tognato ◽  
Lorenzo Fiorica ◽  
Anna Perona ◽  
Bruna Loperfido ◽  
Lina Cimminelli ◽  
...  

Iron deficiency is the most commonly detected nutritional disorder in childhood and at the same time the most frequent cause of anaemia worldwide. In most cases it can go unnoticed, because it causes subtle symptoms and signs. Iron plays a key role in many biochemical processes, including neurological development, oxygen transport and energy metabolism. Proper nutrition from birth and any iron supplementation are in most cases sufficient to prevent iron deficiency anaemia. However, in rural or mountain areas, in cases of maternal hypogalease, boiled cow and/or goat milk are often preferred to formula milks, which are considered healthier. In many cases the intervention by the paediatrician allows families to be directed towards the correct management of the infant but in a context such as the pandemic one some situations may easily get out of control.

1996 ◽  
Vol 17 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Werner Schultink

The prevalence of iron-deficiency anaemia remains especially high in developing countries, despite large-scale iron-supplementation programmes. The reasons for the lack of success of these programmes are discussed based on the results of original research conducted in Indonesia. Studies among pregnant women in rural Sulawesi and urban Jakarta demonstrated that besides insufficient coverage of the target group, women's compliance with tablet intake was a serious problem. Compliance may be improved when it is not necessary to take tablets on a daily basis. Studies among pre-school children and non-pregnant women proved the effectiveness of once-weekly and twice-weekly supplementation. These supplementation schedules should also be investigated in pregnant women.


Author(s):  
D.E. Kenny ◽  
W.E. Braselton ◽  
R.A. Taylor ◽  
T. Morgan ◽  
R.B. Hesky

A 38-day-old male warthog (Phacochoerus aethiopicus) with marked anaemia (haematocrit = 14 %) presented to the Denver Zoological Gardens hospital with ataxia, tachypnoea, suspected stunted growth and cardiomegaly. The piglet demonstrated some features consistent with both iron deficiency anaemia and autoimmune haemolytic anaemia. Serum-soluble iron was below the level of detection (<8.96 mmol/l). Iron deficiency anaemia is a well recognised entity in domestic swine reared on concrete and denied access to soil. Fifteen captive warthogs were subsequently evaluated for serum soluble iron content (mean = 21.62±4.36 mmol/l) as well as 5 neonatal warthog piglets that required hand-rearing. Only 1 of 5 neonatal warthog piglets had measurable serum soluble iron (9.50 mmol/l). These data suggest that warthogs are similar to domestic swine and are born with low iron stores. Some form of iron supplementation should be considered for captive neonatal warthog piglets, especially if they are reared on concrete.


2018 ◽  
Vol 121 (2) ◽  
pp. 502-504 ◽  
Author(s):  
C. Füllenbach ◽  
C. Triphaus ◽  
P. Glaser ◽  
A. Ziebart ◽  
K. Zacharowski ◽  
...  

2015 ◽  
Vol 66 (2-3) ◽  
pp. 80-92 ◽  
Author(s):  
Simone Eussen ◽  
Martine Alles ◽  
Lieke Uijterschout ◽  
Frank Brus ◽  
Judith van der Horst-Graat

Background: Iron deficiency is the most common nutritional disorder in the world. Young children are particularly vulnerable to the consequences of iron deficiency because of their rapidly developing brain. This review evaluates the prevalence of inadequate iron intake and iron deficiency (anaemia) in European children aged 6-36 months. Summary: Computerized searches for relevant articles were performed in November 2013. A total of 7,297 citations were screened and 44 studies conducted in 19 European countries were included in this review. In both infants (6-12 months) and young children (12-36 months), the mean value of iron intakes in most countries was close to the RDA. Nevertheless, proportions of inadequate intakes were considerable, ranging from about 10% in the Netherlands up to 50% in Austria, Finland and the United Kingdom. The prevalence of iron deficiency varied between studies and was influenced by children's characteristics. Two to 25% of infants aged 6-12 months were found to be iron deficient, with a higher prevalence in those who were socially vulnerable and those who were drinking cow's milk as a main type of drink in their first year of life. In children aged 12-36 months, prevalence rates of iron deficiency varied between 3 and 48%. Prevalence of iron deficiency anaemia in both age groups was high in Eastern Europe, as high as 50%, whereas the prevalence in Western Europe was generally below 5%. Key Messages: In most European countries, mean iron intakes of infants and children aged 6 to 36 months were found to be close to the RDA. Nevertheless, high proportions of inadequate intakes and high prevalence rates of iron deficiency were observed. Health programs should (keep) focus(ing) on iron malnutrition by educating parents on food choices for their children with iron-rich and iron-fortified foods, and encourage iron supplementation programmes where iron intakes are the lowest.


2021 ◽  
pp. 004947552098365
Author(s):  
Faisal Mohammad ◽  
M Sridhar ◽  
Madhusudan Samprathi ◽  
Prakash Vemgal

Iron deficiency, the commonest cause of anaemia in children, is a global public health problem. Worldwide, almost 50% of children <5 years of age are anaemic. Platelet count in iron deficiency anaemia is mostly normal or high; thrombocytopenia is rare. We describe two children with iron deficiency anaemia and severe thrombocytopenia who recovered with iron supplementation alone.


1996 ◽  
Vol 17 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Muhilal ◽  
Iman Sumarno ◽  
Komari

Iron-deficiency anaemia is one of the main nutritional problems in Indonesia, with a prevalence of 63.5% in pregnant women and 55.5% in pre-school children. Its frequency is related to low iron and folic acid contents of the diet. Intervention programmes to alleviate irondeficiency anaemia are iron tablets for adults, iron syrup for infants and schoolchildren, and iron fortification of foods. Our studies have demonstrated that iron supplementation can reduce the prevalence of anaemia in pregnant women by 20% to 25%, and iron fortification can reduce it by 20% for those consuming the fortified foods. If iron-supplementation, iron-fortification, and diet-modification programmes were fully implemented in a community, the expected reduction in the prevalence of anaemia would be greater.


2017 ◽  
Vol 23 (5) ◽  
pp. 4824-4830
Author(s):  
Nurul Nadiah Mad Zahir ◽  
Noor Fadzilah Zulkifli ◽  
Nazefah Abdul Hamid ◽  
Nor Aripin Shamaan ◽  
Asral Wirda Ahmad Asnawi ◽  
...  

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