September 2015. Volume 11. Number 3

Prophylaxis of iron deficiency anemia in the healthy infant, is there enough evidence?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

McDonagh MS, Blazina I, Dana T, Cantor A, Bougatsos C. Screening and routine supplementation for iron deficiency anemia: a systematic review. Pediatr. 2015;135:723-33.
Reviewers: Albi Rodríguez MS1, Aparicio Rodrigo M2.
1Neumología pediátrica. H. Hospital Universitario Infanta Leonor. Madrid. España.
2Centro de Salud Entreví­as. Área 1. Madrid. España.
Correspondence: María Salomé Albi Rodríguez. Email: msalbir@gmail.com
Reception date: 06/06/2015
Acceptance date: 10/06/2015
Publication date: 17/06/2015

Abstract

Authors´ conclusions: the limited published evidence on benefits and harms of routine iron supplementation, and of screening to prevent iron deficiency anaemia in young children in developed countries, indicates no benefits in growth and neurodevelopmental test scores, and variability on hematologic outcomes.

Reviewers´ commentary: the available evidence, scarce and of average quality, about prophylactic iron in healthy children 6-24 months old, shows no benefits in growth or neurodevelopmental scores, nor in hematological parameters.

How to cite this article

Albi Rodríguez MA, Aparicio Rodrigo M. Profilaxis de la anemia ferropénica en el lactante sano, ¿hay evidencia suficiente? Evid Pediatr. 2015;11:42.

AVC | Critically appraised articles

McDonagh MS, Blazina I, Dana T, Cantor A, Bougatsos C. Screening and routine supplementation for iron deficiency anemia: a systematic review. Pediatr. 2015;135:723-33.
Reviewers: Albi Rodríguez MS1, Aparicio Rodrigo M2.
1Neumología pediátrica. H. Hospital Universitario Infanta Leonor. Madrid. España.
2Centro de Salud Entreví­as. Área 1. Madrid. España.
Correspondence: María Salomé Albi Rodríguez. Email: msalbir@gmail.com
Reception date: 06/06/2015
Acceptance date: 10/06/2015
Publication date: 17/06/2015

How to cite this article

Albi Rodríguez MA, Aparicio Rodrigo M. Profilaxis de la anemia ferropénica en el lactante sano, ¿hay evidencia suficiente? Evid Pediatr. 2015;11:42.

References

  1. Final Recommendation Statement. Iron Deficiency Anemia: Screening, May 2006. En: US Preventive Services Task Force [en línea] [consultado el 11/06/2015]: http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/iron-deficiency-anemia-screening
  2. Domellöf M, Braegger C, Campoy C, Colomb V, Decsi T, Fewtrell M, et al. Iron requirements of infants and toddlers. J Pediatr Gastroenterol Nutr. 2014;58:119-29.
  3. Vucic V, Berti C, Vollhardt C, Fekete K, Cetin I, Koletzko B, et al. Effect of iron intervention on growth during gestation, infancy, childhood, and adolescence: a systematic review with meta-analysis. Nutr Rev. 2013;71:386-401.
  4. Wang B, Zhan S, Gong T, Lee L. Iron therapy for improving psychomotor development and cognitive function in children under the age of three with irondeficiency anaemia. Cochrane Database Syst Rev. 2013 Jun 6;6:CD001444.
  5. Sánchez Ruiz-Cabello FJ. Prevención primaria y cribado de ferropenia en lactantes. Recomendación. En: Recomendaciones PrevInfad/PAPPS [en línea] [consultado 11/06/2015]. Disponible en: http://www.aepap.org/previnfad/rec_ferropenia.htm
  6. McDonagh M, Blazina I, Dana T, Cantor A, Bougatsos C. Routine iron supplementation and screening for iron deficiency anemia in children ages 6 to 24 months: a systematic review to update the U.S. Preventive Services Task Force Recommendation [en línea] [consultado 11/06/2015]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25905157

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Linked Comment

CA | ¿Aportan beneficios el cribado sistemático de anemia ferropénica y los suplementos de hierro en lactantes?

Sánchez Ruiz-Cabello FJ, Valenzuela Molina O, Campos Martínez A. ¿Aportan beneficios el cribado sistemático de anemia ferropénica y los suplementos de hierro en lactantes? Evid Pediatr. 2015;11:50