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Why Is Iron Supplementation Important for Low Income Infants & Children?

 Photo Credit BananaStock/BananaStock/Getty Images Supplemental iron is important for all infants and young children, not just those from low-income families. But lower-income infants and children have a higher rate of iron-deficiency anemia than the children of middle and upper income families do. Low-iron diets and poor parental compliance when giving oral iron supplements contribute to increased iron deficiency in lower-income children. Because iron-deficiency anemia can cause lifelong health issues, blood tests to diagnose low iron stores are essential for all young children, including those from low-income families.

A pregnant woman who has adequate iron intake will supply her infant's iron needs for the first four months of life, according to the American Academy of Pediatrics. Moreover, if a baby takes iron-fortified formula, his iron needs will be easily met. Substituting cow's milk, which contains little iron, for formula in the first year of life is the major dietary cause of iron deficiency, says family practice physician Dr. Louis Kazal, Jr., in the October 2002 issue of "American Family Physician." Breast-fed babies can develop low iron stores after 4 months because breast milk is low in iron, although the iron it does contain is well absorbed. Toddlers between 1 and 3 are most likely to develop iron deficiency because they no longer drink fortified formula and often turn into picky eaters. Poverty and limited food resources also increase the risk of iron deficiency in children age 6 months to 3 years, according to a March 2006 article in the "Maternal and Child Health Journal."

Iron drops or sprinkles provide an easy way to meet daily iron needs. Fortified cereals also provide infants or toddlers with the supplemental iron they need. Children between the ages of 7 and 12 months need 11 mg of iron daily, while toddlers between 1 and 3 need 7 mg. Preschoolers and children up to age 8 should get 10 mg per day, while children ages 9 to 13 need 8 mg, according to the Office of Dietary Supplements.

Although iron-deficiency anemia is the most prevalent nutrition-related health problem, efforts to combat it with supplementation haven't been entirely successful, according to a Pan American Health Organization article published in the December 2008 "Journal of Nutrition." The article recommends early intervention and better methods of delivering iron to enhance supplementation. A Boston University School of Medicine study published in the May 2009 issue of the "Journal of Pediatrics" found that low-income parents did not fully comply when asked to give iron supplements in the form of drops or sprinkles to their 6-month-old infants, although adherence was higher with drops. Adherence rates ranged from 32 to 63 percent with drops and from 30 to 46 percent with sprinkles.

Iron-deficiency anemia causes more long-term health problems than once thought. In infancy and childhood, anemia causes lethargy, irritability and slowed mental and physical development childhood. Older children exhibit long-term decreases in mental functioning and behavior problems even after their deficiency has been completely corrected, Dr. Kazal warns.

Article reviewed by Jane Pine Last updated on: Feb 9, 2013

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Which Foods Are Important for a Baby?

A baby grows fast in the first year of life. A healthy infant will gain about 5 to 7 ounces a week from birth to six months and 3 to 5 ounces a week for the second six months, according to MayoClinic.com. By the time your baby is a year old, she will have tripled her birth weight. With that kind of growth rate, nutrition is important. A well-balanced diet for a baby should include protein, carbohydrates and fats as well as vitamins and minerals.

Breast feeding is the best source of nourishment for newborns, and the American Academy of Pediatrics recommends babies be exclusively breastfed for the first six months of life. Breast milk is easily digested, contains all of the nutrients a baby needs and helps protect your baby from infectious diseases. Breast milk contains lactose – a milk sugar – fat and proteins called casein and whey, as well as the vitamins and minerals your baby needs.

By the time your baby is about six months old, her digestive system is ready for solid foods. Cooked cereal is often the first food doctors recommend, and of the grains, rice is the least likely to cause allergies, according to Britain’s National Health Service. Oatmeal is another good cereal choice, as is barley. Other starchy foods such as mashed potatoes, sweet potatoes or yams can provide carbohydrates.

Fruits and vegetables are good sources of vitamins, minerals and fiber. Bananas are easy for a baby to chew, even without teeth, and can be mashed with a fork. Cooked apples, peaches and pears are also soft and easily digested. Pureed carrots, peas, green beans and squash provide variety as well as nutrition. As your baby becomes used to eating solid foods, you can offer cooked spears of broccoli or cauliflower, green beans and carrots. Diced cooked vegetables and diced soft fruits are other ways to serve fruits and vegetables.

Protein is important for strong muscles and other body tissues. Cooked pureed meats such as chicken, beef, turkey and lamb provide amino acids, vitamin B12 and minerals such as iron to your baby. Eggs can be served soft boiled or scrambled, or hard-boiled eggs can but cut into small pieces or mashed. Cottage cheese is another protein food that is high in calcium and easy for babies to eat. Cooked pureed or mashed beans also add protein to the diet.

The exact foods you feed your baby are less important than ensuring you offer a wide variety; a healthy diet should contain many different foods to ensure your baby gets all the nutrients she needs. It is best to avoid foods that are highly sweetened or salted, and foods with little nutrition such as soft drinks or sweets. Some foods increase the risk of choking, so raw carrot sticks, grapes, cherry tomatoes, popcorn and sausage should not be on the menu until your baby is older.

Article reviewed by J. Betherman Last updated on: Apr 25, 2012

 

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