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Iron and Malaria Interactions: Programmatic Ways Forward

Around one-quarter of the world’s children suffer from iron deficiency anemia, and many of them live in malaria-endemic areas. However, there is evidence that iron supplements can increase risk of severe malaria morbidity. The dilemma is how to move forward with interventions to prevent iron deficie...

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Autor principal: Stoltzfus, Rebecca J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society for Nutrition 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649729/
https://www.ncbi.nlm.nih.gov/pubmed/22797995
http://dx.doi.org/10.3945/an.111.000885
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author Stoltzfus, Rebecca J.
author_facet Stoltzfus, Rebecca J.
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description Around one-quarter of the world’s children suffer from iron deficiency anemia, and many of them live in malaria-endemic areas. However, there is evidence that iron supplements can increase risk of severe malaria morbidity. The dilemma is how to move forward with interventions to prevent iron deficiency and its consequences in young children, using strategies that minimize risks of malaria and related infections. Screening for iron deficiency is problematic for several reasons. Two complementary strategies are suggested for moving forward with interventions to prevent iron deficiency in children exposed to malaria. The first is to reduce exposure to iron in the form of supplements by: adopting a lifecycle approach to pediatric iron deficiency beginning in utero, using the lowest adequate dose, and giving iron in or with foods. The second is to coordinate iron interventions with malaria control efforts. To stop all iron interventions in malaria-endemic areas is an unreasonable policy option. While research findings continue to increase our understanding, there are also programmatic ways forward with the knowledge at hand.
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spelling pubmed-36497292013-07-01 Iron and Malaria Interactions: Programmatic Ways Forward Stoltzfus, Rebecca J. Adv Nutr Symposium: Tackling Iron Deficiency and Anemia in Infants and Young Children in Malaria-Endemic Areas: Moving from Controversy towards Guidance for Safe, Effective and Feasible Policies and Programs Around one-quarter of the world’s children suffer from iron deficiency anemia, and many of them live in malaria-endemic areas. However, there is evidence that iron supplements can increase risk of severe malaria morbidity. The dilemma is how to move forward with interventions to prevent iron deficiency and its consequences in young children, using strategies that minimize risks of malaria and related infections. Screening for iron deficiency is problematic for several reasons. Two complementary strategies are suggested for moving forward with interventions to prevent iron deficiency in children exposed to malaria. The first is to reduce exposure to iron in the form of supplements by: adopting a lifecycle approach to pediatric iron deficiency beginning in utero, using the lowest adequate dose, and giving iron in or with foods. The second is to coordinate iron interventions with malaria control efforts. To stop all iron interventions in malaria-endemic areas is an unreasonable policy option. While research findings continue to increase our understanding, there are also programmatic ways forward with the knowledge at hand. American Society for Nutrition 2012-07-06 /pmc/articles/PMC3649729/ /pubmed/22797995 http://dx.doi.org/10.3945/an.111.000885 Text en © 2012 American Society for Nutrition This is a free access article, distributed under terms (http://www.nutrition.org/publications/guidelines-and-policies/license/) which permit unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Symposium: Tackling Iron Deficiency and Anemia in Infants and Young Children in Malaria-Endemic Areas: Moving from Controversy towards Guidance for Safe, Effective and Feasible Policies and Programs
Stoltzfus, Rebecca J.
Iron and Malaria Interactions: Programmatic Ways Forward
title Iron and Malaria Interactions: Programmatic Ways Forward
title_full Iron and Malaria Interactions: Programmatic Ways Forward
title_fullStr Iron and Malaria Interactions: Programmatic Ways Forward
title_full_unstemmed Iron and Malaria Interactions: Programmatic Ways Forward
title_short Iron and Malaria Interactions: Programmatic Ways Forward
title_sort iron and malaria interactions: programmatic ways forward
topic Symposium: Tackling Iron Deficiency and Anemia in Infants and Young Children in Malaria-Endemic Areas: Moving from Controversy towards Guidance for Safe, Effective and Feasible Policies and Programs
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649729/
https://www.ncbi.nlm.nih.gov/pubmed/22797995
http://dx.doi.org/10.3945/an.111.000885
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