Summary
• The true prevalence of nutritional iron deficiency (ID) in childhood is unclear because of the uncertainty over its definition and the insensitivity of markers of ID.
• The major cause in developed countries is likely to be the excessive and early use of cow’s milk and a diet poor in haem iron.
• Recent neuro-physiological observations support the many field studies correlating ID with cognitive and motor developmental delay in young children, although proof of causality has not been established because of environmental confounding.
• Population iron supplementation is a potentially effective means of prevention of ID but is limited by poor compliance and the risk of increased morbidity and mortality in malarious regions.
• Fortification of milk and essential infant foods is likely to be the most cost-effective means of improving the iron status of child populations.
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Moy, R.J. (2009). Nutritional Iron Deficiency in Early Childhood. In: Yehuda, S., Mostofsky, D. (eds) Iron Deficiency and Overload. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-462-9_18
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