Pediatric Iron

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Iron Deficiency in Infants and Toddlers and Possible Consequences.

– Of all nutrient deficiencies, iron deficiency is the most common and is especially prevalent in infants and toddlers.
– Iron deficiency and iron deficiency anemia in infants may adversely affect long-term neurodevelopment and behavior; some of these effects may be irreversible.
– Studies confirm that iron deficiency anemia increases lead absorption; therefore, prevention of iron deficiency anemia might also serve as to reduce the likelihood of lead poisoning.
– Infants between 6 and 12 months have an RDA for iron of 11 mg/day.

Term, healthy infants have sufficient iron for the first 4 months of life

–Breastfed term infants at 4 months of age need 1 mg/kg per day of oral iron as a liquid supplement until appropriate iron-containing foods are introduced into the diet.

– Partially breastfed term infants receive more than half of their feedings as human milk and do not receive supplementary iron-containing food. At 4 months of age, these infants need 1 mg/kg per day of oral iron as a liquid supplement until iron containing foods are introduced.
– Formula-fed term infants do not typically need iron supplementation for the first 12 months because of the iron content of most infant formulas.

IRON DEFICIENCY IN INFANTS AND TODDLERS

– Preterm infants (in a full term newborn infant is accumulated during the 3rd trimester of pregnancy. As a result, premature infants miss this rapid iron accumulation. Estimation of the iron requirement for preterm infants can only be approximate (i.e., 2-4 mg/kg per day).
– Breastfed preterm infants should receive a supplement of elemental iron of 2 mg/kg per day from 1 month of age through 12 months of age or until the infant is either weaned to a formula which is iron-fortified or begins eating foods that provide 2 mg/kg per day of iron.
– Formula-fed preterm infants typically receive about 2 mg/kg per day of iron from a standard infant formula and most will typically not need iron supplementation. However 14% of preterm formula-fed infants between 4 and 8 months of age will require iron supplementation; the amount needed varies between infants.

RDAs for Toddlers and Children.

– Toddlers 1 to 3 years of age have a RDA for iron of 7 mg/day as a liquid supplement. *If Ferretts IPS, our liquid iron supplement is used, then 2.50 ml per day would provide sufficient iron*.
– Children 4 to 8 years of age have an RDA of 10 mg per day. *If Ferretts IPS, our liquid iron supplement is used, then 3.50 ml per day would provide sufficient iron.*

 

Ferretts IPS has a unique delivery mechanism for better tolerability and absorption - it's also non-constipating. Ferretts IPS is non-soluble in the acidic environment of the stomach thus completely bypasses the stomach without exposing the iron to the gastric mucosa.  93.7% of patients reported NO adverse reactions.  You to can Feel the Difference! Click here to learn more

 

*Based on recommendation from: Baker, RD, Greer, FR, and The Committee on Nutrition of the American Academy of Pediatrics. PEDIATRICS 2010; Volume 126; 1040-1050. Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0-3 Years of Age). Online Address:http://www.pediatrics.org/cgi/content/full/126/5/1040 and also from “Dietary Reference Intakes”, Food & Nutrition Board, Inst. of Med., National Academies of Science; available online at http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/
Activity%20Files/Nutrition/DRIs/RDA%20and%20AIs_Vitamin%20and%20Elements.pdf) 

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