Neurocognitive Dysfunctions in Iron Deficiency Patients

E. Zhukovskaya, A. Karelin, A. Rumyantsev
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引用次数: 8

Abstract

In this chapter, the authors described the actuality of the investigations of neurocognitive dysfunctions in patients with iron deficiency. In infants, the incidence of iron deficiency is 73%; the probability of its transition to iron deficiency anemia is very high. The development of myelin at an early age reduces the production of myelin, and the formation of g-aminobutyric acid worsens the metabolism of dopamine in the striatal brain, which leads to slowing of motor function and behavioral problems in the child. Children with iron deficiency conditions are prone to developmental delays, reduced school performance, and behavioral disorders. In older adults, cognitive dysfunctions depend on complications of the vascular nature, complicated by comorbid iron deficiency. Concomitant pathology also influences iron homeostasis. The regulating mechanisms of iron deficiency, as the same cognitive deficiency, despite the age involve more than 200 proteins from iron homeostasis, appropriate cofactors: derivatives of vitamin B, copper, manganese, zinc ions, enzymes, cell growth factors, etc. All these partners could influence separately or together to the development of iron deficiency and a complication of it neurocognitive dysfunctions. The combination of iron deficiency anemia and iron deficiency with comorbid pathology often exacerbates cognitive problems and requires a weighted approach to the choice of therapeutic correction tactics.
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缺铁患者的神经认知功能障碍
在本章中,作者描述了铁缺乏患者神经认知功能障碍的研究现状。在婴儿中,缺铁的发生率为73%;其转变为缺铁性贫血的可能性非常高。早期髓磷脂的发育减少了髓磷脂的产生,g-氨基丁酸的形成恶化了大脑纹状体中多巴胺的代谢,从而导致儿童运动功能减慢和行为问题。缺铁儿童容易出现发育迟缓、学习成绩下降和行为障碍。在老年人中,认知功能障碍取决于血管性质的并发症,并发缺铁。伴随的病理也影响铁的体内平衡。铁缺乏的调节机制,与认知缺陷一样,涉及超过200种蛋白质,从铁稳态,适当的辅助因子:维生素B衍生物,铜,锰,锌离子,酶,细胞生长因子等。所有这些伴侣都可能单独或共同影响缺铁的发展及其并发症神经认知功能障碍。缺铁性贫血和铁缺乏症合并共病病理常常加剧认知问题,需要加权方法来选择治疗纠正策略。
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