Long-term Effects of Iron Deficiency in Early Infancy on Neurodevelopment

Anna Korczak, Emilia Wójcik, Ewa Olek, Olga Łopacińska, Katarzyna Stańczyk, Aleksandra Korn, Justyna Jędrzejczyk, Oliwia Szewczyk, Katarzyna Burda, Karolina Czarnecka
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Abstract

Introduction and  Purpose: Iron deficiency alongside anaemia is one of the most significant global health concerns with potentially long-lasting implications on child development and health outcomes. The period of infancy represents a crucial phase of central nervous system maturation, rendering infants particularly susceptible to the adverse effects of iron deficiency. It is therefore crucial to pay close attention to this issue.  The aim of this review is to elucidate the neurological implications of iron deficiency in infancy and emphasize the necessity of implementing preventive strategies to safeguard child development. State  of  Knowledge: Iron deficiency in infancy can result in impairments of brain development. Extensive research highlights the influence of this micronutrient on various physiological processes, including the synthesis of neurotransmitters, neuronal metabolism, myelination, synaptogenesis and gene expression. Furthermore, iron deficiency during infancy is associated with adverse developmental outcomes, including cognitive, motor, and socioemotional deficits. Long-term follow-up studies have elucidated the enduring neurological consequences of iron deficiency in infancy, with effects extending into childhood and beyond. Summary: Given that the changes that occur during the infantile period are often irreversible and have long-lasting implications for future development, it is of the utmost importance to prioritize prevention strategies.
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婴儿早期缺铁对神经发育的长期影响
引言和目的:缺铁和贫血是全球最重要的健康问题之一,可能会对儿童发育和健康结果产生长期影响。婴儿期是中枢神经系统成熟的关键时期,因此特别容易受到缺铁的不良影响。因此,密切关注这一问题至关重要。 本综述旨在阐明婴儿期缺铁对神经系统的影响,并强调实施预防策略以保障儿童发育的必要性。知识现状:婴儿期缺铁会导致大脑发育障碍。大量研究表明,这种微量元素对各种生理过程都有影响,包括神经递质的合成、神经元代谢、髓鞘化、突触生成和基因表达。此外,婴儿期缺铁与不良发育结果有关,包括认知、运动和社会情感缺陷。长期跟踪研究阐明了婴儿期缺铁对神经系统的持久影响,这种影响会延续到儿童期及以后。小结:鉴于婴儿期发生的变化往往是不可逆的,并对未来的发展产生长期影响,因此优先采取预防策略至关重要。
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