A longitudinal study of iron status in healthy Danish infants: effects of early iron status, growth velocity and dietary factors

Acta Paediatr. 1995 Sep;84(9):1035-44. doi: 10.1111/j.1651-2227.1995.tb138212.x.

Abstract

In a cohort of term infants (n=91), followed from birth to 12 months, iron intake was examined by 24-h food records, and iron status by blood samples (haemoglobin (Hb)), mean corpuscular volume (MCV), serum values for iron, ferritin and transferrin, and erythrocyte protoporphyrin) at 2, 6 and 9 months. At 9 months of age, 5% had anaemia (Hb<105 g/l), but none had developed iron deficiency according to strict definitions used in this study (serum ferritin < 13 micrograms/l and transferrin saturation < 10%). Infants with high serum ferritin, serum transferrin and erythrocyte protoporphyrin values at one blood sampling also had high values at the following sample (tracking, r=0.45-0.80), suggesting that iron stores at delivery are an important determinant of iron stores during late infancy. Factors related to changes in serum ferritin were investigated by multiple linear regression. From 2 to 6 months, serum ferritin was negatively associated with knee-heel growth velocity (p=0.006) and positively with intake of infant formula (p=0.04). From 6 to 9 months it was negatively associated with intake of bread (p=0.001), and there was a trend for a positive association with intake of meat (p=0.07) and fish (p=0.08) and for a negative association with intake of cow's milk (p=0.07). In conclusion, those with a high growth velocity and a dietary pattern with a high intake of bread and a low intake of meat and fish had lower ferritin values and thereby an increased risk of depleting their iron stores later during infancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anemia, Iron-Deficiency / epidemiology
  • Child Development / physiology*
  • Denmark / epidemiology
  • Erythrocyte Indices
  • Ferritins / blood
  • Hemoglobins / analysis
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena*
  • Infant, Newborn
  • Iron / blood*
  • Nutritional Status*
  • Prospective Studies
  • Protoporphyrins / analysis
  • Transferrin / analysis

Substances

  • Hemoglobins
  • Protoporphyrins
  • Transferrin
  • Ferritins
  • Iron