The Etiology, Treatment and Effective Prevention of Iron Deficiency and Iron Deficiency Anemia in Women and Young Children Worldwide: A Review

Gavin R. Armstrong, A. Summerlee
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引用次数: 9

Abstract

The current review identifies the root causes of the problem, assesses the clinical impact of iron deficiency and iron deficiency anemia with a specific focus on the condition in developing countries, and outlines the potential solutions to address the problem. Iron deficiency, the most common micronutrient deficiency in the world, results from an imbalance in the access and use of iron in the body. Although it is found in the developing and developed world, it predominantly affects women and children especially those living in poverty. The clinical effects of iron deficiency are profound: mild deficiency results in the loss of concentration in children – affecting their performance at school, and reduces work capacity in adults – affecting their ability to work a full week of work; more profound effects can seriously and permanently damage cognitive development and pose serious health issues in pregnancy and child birth. Despite substantial international efforts to address iron deficiency, the levels have continued to rise over the last decade. As we have the technology to solve this problem, the Copenhagen Consensus Centre (which meets every four years) has identified iron deficiency as the principal health challenge facing the world: the health and economic burden falling predominantly on women of reproductive age.
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全球妇女和幼儿缺铁和缺铁性贫血的病因、治疗和有效预防综述
目前的审查确定了问题的根本原因,评估了缺铁和缺铁性贫血的临床影响,特别关注发展中国家的情况,并概述了解决问题的潜在解决方案。缺铁是世界上最常见的微量营养素缺乏症,其原因是体内铁的获取和利用不平衡。虽然它存在于发展中国家和发达国家,但它主要影响妇女和儿童,特别是生活贫困的妇女和儿童。缺铁的临床影响是深远的:轻度缺铁会导致儿童注意力不集中——影响他们在学校的表现,并降低成人的工作能力——影响他们一周工作的能力;更深刻的影响可能严重和永久地损害认知发育,并在怀孕和分娩时造成严重的健康问题。尽管国际上为解决缺铁问题做出了大量努力,但在过去十年中,缺铁水平仍在继续上升。由于我们拥有解决这一问题的技术,哥本哈根协商一致中心(每四年召开一次会议)已确定缺铁是世界面临的主要健康挑战:健康和经济负担主要落在育龄妇女身上。
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