Practices of Introduction of Complementary Feeding and Iron Deficiency Prevention in the Middle East and North Africa

作者: Carlos H. Lifschitz , Mohamad Miqdady , Flavia Indrio , Joseph Haddad , Eslam Tawfik

DOI: 10.1097/MPG.0000000000002059

关键词:

摘要: Background Iron deficiency (ID) with or without anemia is associated impaired mental and psychomotor development. Given the paucity of information on physicians' knowledge practices iron (Fe) supplementation impact ID in Middle East North Africa, it was felt important to conduct a survey. Method A group expert physicians developed questionnaire that randomly distributed among Africa doctors assess their introduction complementary feeding, ID, its prevention, impression prevalence ID. Descriptive statistics were used. Results We received 2444 completed questionnaires. Thirty-nine percent do not follow European Society for Paediatric Gastroenterology, Hepatology Nutrition guidelines regarding age feedings. Approximately 62% estimate be 40% 70%; however, only 17% always monitor hemoglobin between 9 12 months age, 43% so "almost" always, whereas 36% "rarely" (4%) "never." For prevention infants older than 6 almost all recommend introducing Fe supplements. Ninety-seven agree untreated during infancy may have long-term negative effects cognitive function, 53.26% consider Fe-enriched infant cereals result staining baby teeth, constipation, dark stools. Conclusions Although there awareness are some misconceptions feedings, surveillance status, side cereals. There need educational initiatives focusing deficiency.

参考文章(15)
Lena Davidsson, Shafiqual Alam Sarker, Kazi Asif Jamil, Shamima Sultana, Richard Hurrell, Regular consumption of a complementary food fortified with ascorbic acid and ferrous fumarate or ferric pyrophosphate is as useful as ferrous sulfate in maintaining hemoglobin concentrations >105 g/L in young Bangladeshi children The American Journal of Clinical Nutrition. ,vol. 89, pp. 1815- 1820 ,(2009) , 10.3945/AJCN.2008.27353
Noran Abu-Ouf, Mohammed Jan, The impact of maternal iron deficiency and iron deficiency anemia on child’s health Saudi Medical Journal. ,vol. 36, pp. 146- 149 ,(2015) , 10.15537/SMJ.2015.2.10289
Magnus Domellöf, Christian Braegger, Cristina Campoy, Virginie Colomb, Tamas Decsi, Mary Fewtrell, Iva Hojsak, Walter Mihatsch, Christian Molgaard, Raanan Shamir, Dominique Turck, Johannes van Goudoever, None, Iron Requirements of Infants and Toddlers Journal of Pediatric Gastroenterology and Nutrition. ,vol. 58, pp. 119- 129 ,(2014) , 10.1097/MPG.0000000000000206
Hanna Szajewska, J Hans Hoekstra, Bhupinder Sandhu, None, Management of acute gastroenteritis in Europe and the impact of the new recommendations: a multicenter study. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 30, pp. 522- 527 ,(2000) , 10.1097/00005176-200005000-00011
Angela F. Lukowski, Marlene Koss, Matthew J. Burden, John Jonides, Charles A. Nelson, Niko Kaciroti, Elias Jimenez, Betsy Lozoff, Iron deficiency in infancy and neurocognitive functioning at 19 years: evidence of long-term deficits in executive function and recognition memory Nutritional Neuroscience. ,vol. 13, pp. 54- 70 ,(2010) , 10.1179/147683010X12611460763689
Mads D. M. Engelmann, Brittmarie Sandström, Kim F. Michaelsen, Meat intake and iron status in late infancy: an intervention study. Journal of Pediatric Gastroenterology and Nutrition. ,vol. 26, pp. 26- 33 ,(1998) , 10.1097/00005176-199801000-00005
John Beard, Iron Deficiency Alters Brain Development and Functioning Journal of Nutrition. ,vol. 133, ,(2003) , 10.1093/JN/133.5.1468S
J. L. Miller, Iron Deficiency Anemia: A Common and Curable Disease Cold Spring Harbor Perspectives in Medicine. ,vol. 3, ,(2013) , 10.1101/CSHPERSPECT.A011866
Anne Walsh, Lauren Kearney, Nicole Dennis, Factors influencing first-time mothers' introduction of complementary foods: a qualitative exploration. BMC Public Health. ,vol. 15, pp. 939- 939 ,(2015) , 10.1186/S12889-015-2250-Z