Skip to main content

Duration of Exclusive Breastfeeding and Risk of Anemia in a Cohort of Mexican Infants

  • Conference paper
Protecting Infants through Human Milk

Abstract

Iron deficiency is the most common nutrient deficiency associated with anemia in childhood (CDC 1998), affecting more than half of infants in developing countries (WHO 2001). Bioavailability of iron in human milk is high, yielding about 50% absorption (Dallman 1988; Oski 1993; Saarinen et al. 1977; Krebs 2001). Iron available for absorption is at its highest in early transitional milk and steadily decreases over the course of lactation (Siimes et al. 1979). By six months, complementary foods are needed to provide the nutrients necessary for infant development (Picciano 2001; Dewey 2001). It is not known if a critical period of vulnerability towards iron deficiency exists in infants.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • [CDC] Centers for Disease Control and Prevention. Recommendations to prevent and control iron deficiency in the United States. MMWR 1998;47(RR-3):l–36.

    Google Scholar 

  • Dallman PR. Nutritional anemia of infancy: iron, folic acid, and vitamin B12. In: Tsang RC, Nichols BL, editors. Nutrition During Infancy. Philadelphia: Henley and Belfus, 1988; pp 216–235.

    Google Scholar 

  • de Andraca I, Castillo M, Walter T. Psychomotor development and behavior in iron-deficient anemic infants. Nutr Rev 1997;55:125–132.

    Article  PubMed  Google Scholar 

  • Dewey KG. Nutrition, growth, and complementary feeding of the breastfed infant. Pediatr Clin North Am 2001;48:87–104.

    Article  PubMed  CAS  Google Scholar 

  • Krebs NF. Bioavailability of dietary supplements and impact of physiologic state: infants, children and adolescents. JNutr2001;131:1351S–1354S.

    Google Scholar 

  • Leung AK, Chan KW. Iron deficiency anemia. Adv Pediatr 2001;48:385–408.

    PubMed  CAS  Google Scholar 

  • Lozoff B, Jimenez E, Wolf AW. Long-term developmental outcome of infants with iron deficiency. N Engl J Med 1991;325:687–694.

    Article  PubMed  CAS  Google Scholar 

  • Lozoff B, Wolf AW, Jimenez E. Iron-deficiency anemia and infant development: effects of extended oral iron therapy. J Pediatr 1996;129:382–389.

    Article  PubMed  CAS  Google Scholar 

  • Morrow AL, Guerrero ML, Shults J, Calva JJ, Lutter C, Bravo J, Ruiz-Palacios G, Morrow RC, Butterfoss FD. Efficacy of home-based peer counselling to promote exclusive breastfeeding: a randomised controlled trial. Lancet 1999;353:1226–1231.

    Article  PubMed  CAS  Google Scholar 

  • Oski FA. Iron deficiency in infancy and childhood. N Engl J Med 1993;329:190–193.

    Article  PubMed  CAS  Google Scholar 

  • Palti H, Meijer A, Adler B. Learning achievement and behavior at school of anemic and non-anemic infants. Early Hum Dev 1985;10:217–223.

    Article  PubMed  CAS  Google Scholar 

  • Picciano MF. Nutrient composition of human milk. Pediatr Clin North Am 2001;48:53–67.

    Article  PubMed  CAS  Google Scholar 

  • Saarinen UM, Siimes MA, Dallman PR. Iron absorption in infants: high bioavailability of breast milk iron as indicated by the extrinsic tag method of iron absorption and by the concentration of serum ferritin. J Pediatr 1977;91:36–39.

    Article  PubMed  CAS  Google Scholar 

  • Sherriff A, Emond A, Bell JC, Golding J. Should infants be screened for anaemia? A prospective study investigating the relation between haemoglobin at 8, 12, and 18 months and development at 18 months. Arch Dis Child 2001;84:480–485.

    Article  PubMed  CAS  Google Scholar 

  • Siimes MA, Vuori E, Kuitunen P. Breast milk iron—a declining concentration during the course of lactation. Acta Paediatr Scand 1979;68:29–31.

    Article  PubMed  CAS  Google Scholar 

  • Walter T, De Andraca I, Chadud P, Perales CG. Iron deficiency anemia: adverse effects on infant psychomotor development. Pediatrics 1989;84:7–17. Walter T. Infancy: mental and motor development. Am J Clin Nutr 1989;50:655–661; discussion 661–656.

    PubMed  CAS  Google Scholar 

  • [WHO] World Health Organization. The optimal duration of exclusive breastfeeding: Report of an expert consultation. Geneva: World Health Organization, 2001.

    Google Scholar 

  • Yip R. The changing characteristics of childhood iron nutritional status in the United States. In Filer LJ Jr, editor. Dietary Iron: Birth to Two Years. New York: Raven Press, 1989; pp 37–61.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer Science+Business Media New York

About this paper

Cite this paper

Meinzen-Derr, J.K., Guerrero, M.L., Altaye, M., Ruiz-Palacios, G.M., Morrow, A.L. (2004). Duration of Exclusive Breastfeeding and Risk of Anemia in a Cohort of Mexican Infants. In: Pickering, L.K., Morrow, A.L., Ruiz-Palacios, G.M., Schanler, R.J. (eds) Protecting Infants through Human Milk. Advances in Experimental Medicine and Biology, vol 554. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-4242-8_49

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-4242-8_49

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4419-3461-1

  • Online ISBN: 978-1-4757-4242-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics