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Other nutrients: Iron
Iron deficiency is the
most common nutritional deficiency in the United States. Iron is important
for at least three reasons:
-
to prevent
anemia
-
to
optimize intellectual development of children (iron deficient
children exhibit impaired cognitive and motor development)
-
to
decrease risk for lead toxicity (lead absorption is enhanced in the
presence of iron deficiency)
Not all
deficits from iron deficiency or lead toxicity are reversible with
treatment.
For the
first 12 months of life, babies need either the iron in breastmilk, or
iron-fortified formula. Why?
-
Cow's
milk contains only a negligible amount of iron, and it is poorly absorbed.
Iron-fortified formula is recommended.
-
Although
breast milk also contains only small amounts of iron, 50% of that
iron is absorbed by the baby.
-
Iron is
poorly absorbed from many common dietary sources such as iron-fortified
infant cereals.
-
Intake of
solid food decreases the bioavailability of iron in breastmilk.
Therefore, even breastfed infants should receive iron from supplementation
when they begin to eat solid foods.
-
Cow's
milk can cause colitis in some children with subclinical loss of blood in
the stool, further exacerbating iron deficiency.
WIC and Iron:
Because of high rates of iron deficiency in the US, in the
1970's, a federal nutritional supplementation program was developed for low
income - The Women, Infants and Children (WIC) program. The
mission of WIC is this:
To safeguard
the health of low-income women, infants, and children up to age 5 who
are at nutrition risk, by providing nutritious foods to supplement
diets, information on healthy eating, and referrals to health care.
WIC is
authorized to supply only iron-containing formulas.
WIC supplies dietary food vouchers for lactating mothers, and in many centers,
also electric breast pumps.
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