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[Preventing iron deficiency in breast-fed infants by suitable supplementary food. A prospective, controlled study].
Monatsschr Kinderheilkd. 1989 Dec; 137(12):775-9.MK

Abstract

Iron deficiency may develop in prolonged breast feeding. Introduction of beikost (supplementary nutrition) is recommended in Germany for infants after 4 months of age. In a prospective study 73 exclusively breastfed infants at the age of 16 weeks were assigned to one of two feeding groups: 35 infants received a meat vegetable dinner fortified with iron-2-sulfate (3 mg iron per 100 kcal) as their first supplementary food. At 20 weeks of age a milk based rice cereal (MBRC) without iron fortification was added as a second beikost meal. The other group comprised 38 infants who first received a MBRC fortified with iron-3-pyrophosphate (3 mg iron per 100 kcal). At 20 weeks of age a non iron fortified vegetable potato dinner was introduced. After 6 months of age the iron fortified meat vegetable dinner was offered to all infants once a day. 26 infants who did not receive this dinner but otherwise were consulted and treated identically served as controls at 12 months of age. At 6 months of age values of hemoglobin, MCV, serum iron, ferritin, and transferrin saturation were higher in the meat dinner group compared to the cereal first group. At 12 months of age this was also true for the meat dinner group compared to the controls. However, the differences were minor and statistically not significant. Whereas most of the indicators of iron nutritional status were within the lower normal range, and total iron intake was below the levels recommended by German and American authorities, recommending two iron fortified beikost meals between age 7 and 12 months appears to be justified.

Authors+Show Affiliations

Bergmann R
Kinderklinik der FU, Berlin.
Bergler H
No affiliation info available
Moshoudis E
No affiliation info available
Bergmann E
No affiliation info available
Lachmann E
No affiliation info available
Bergmann KE
No affiliation info available

MeSH

Anemia, HypochromicBreast FeedingErythrocyte IndicesFemaleFerritinsFerrous CompoundsHemoglobinometryHumansInfantInfant FoodInfant, NewbornIronMaleProspective Studies

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial

Language

ger

PubMed ID

2628746

Citation

Bergmann, R, et al. "[Preventing Iron Deficiency in Breast-fed Infants By Suitable Supplementary Food. a Prospective, Controlled Study]." Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde, vol. 137, no. 12, 1989, pp. 775-9.
Bergmann R, Bergler H, Moshoudis E, et al. [Preventing iron deficiency in breast-fed infants by suitable supplementary food. A prospective, controlled study]. Monatsschr Kinderheilkd. 1989;137(12):775-9.
Bergmann, R., Bergler, H., Moshoudis, E., Bergmann, E., Lachmann, E., & Bergmann, K. E. (1989). [Preventing iron deficiency in breast-fed infants by suitable supplementary food. A prospective, controlled study]. Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde, 137(12), 775-9.
Bergmann R, et al. [Preventing Iron Deficiency in Breast-fed Infants By Suitable Supplementary Food. a Prospective, Controlled Study]. Monatsschr Kinderheilkd. 1989;137(12):775-9. PubMed PMID: 2628746.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Preventing iron deficiency in breast-fed infants by suitable supplementary food. A prospective, controlled study]. AU - Bergmann,R, AU - Bergler,H, AU - Moshoudis,E, AU - Bergmann,E, AU - Lachmann,E, AU - Bergmann,K E, PY - 1989/12/1/pubmed PY - 1989/12/1/medline PY - 1989/12/1/entrez SP - 775 EP - 9 JF - Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde JO - Monatsschr Kinderheilkd VL - 137 IS - 12 N2 - Iron deficiency may develop in prolonged breast feeding. Introduction of beikost (supplementary nutrition) is recommended in Germany for infants after 4 months of age. In a prospective study 73 exclusively breastfed infants at the age of 16 weeks were assigned to one of two feeding groups: 35 infants received a meat vegetable dinner fortified with iron-2-sulfate (3 mg iron per 100 kcal) as their first supplementary food. At 20 weeks of age a milk based rice cereal (MBRC) without iron fortification was added as a second beikost meal. The other group comprised 38 infants who first received a MBRC fortified with iron-3-pyrophosphate (3 mg iron per 100 kcal). At 20 weeks of age a non iron fortified vegetable potato dinner was introduced. After 6 months of age the iron fortified meat vegetable dinner was offered to all infants once a day. 26 infants who did not receive this dinner but otherwise were consulted and treated identically served as controls at 12 months of age. At 6 months of age values of hemoglobin, MCV, serum iron, ferritin, and transferrin saturation were higher in the meat dinner group compared to the cereal first group. At 12 months of age this was also true for the meat dinner group compared to the controls. However, the differences were minor and statistically not significant. Whereas most of the indicators of iron nutritional status were within the lower normal range, and total iron intake was below the levels recommended by German and American authorities, recommending two iron fortified beikost meals between age 7 and 12 months appears to be justified. SN - 0026-9298 UR - https://www.unboundmedicine.com/medline/citation/2628746/[Preventing_iron_deficiency_in_breast_fed_infants_by_suitable_supplementary_food__A_prospective_controlled_study]_ DB - PRIME DP - Unbound Medicine ER -