0
September 25, 1987, Vol 258, No. 12 >
ARTICLE | September 25, 1987

Iron Deficiency Anemia: Have We Come Far Enough? FREE

James A. Stockman, III, MD
JAMA. 1987;258(12):1645-1647. doi:10.1001/jama.1987.03400120095033
Text Size: A A A
Published online
Article
References

In the progress of medical science, a disease is recognized, its manifestations are elucidated, and treatments or preventive measures are instituted; we then hope that the problem might become one of historical interest. Sometimes, however, we fail to realize when the problem still exists, and by our therapeutic misadventures create new problems. As demonstrated by the article of Yip et al1 in this issue of The Journal, we indeed have come a long way in dealing with the problem of iron-deficiency anemia in childhood. When viewing the declining prevalence of anemia among low-income children in the United States, we should ask, however, if we have come far enough. To answer, it is useful to understand where we have been, where we are now, and in what directions we could be moving with respect to the prevention of iron deficiency.

Iron is among the most common and useful of all

REFERENCES

1 +
Yip R, Binkin NJ, Fleshood L, et al:  Declining prevalence of anemia among low-income children in the United States . JAMA 1987;;258:1619-1623.
2 +
Beutler E, Fairbanks VF, Fahey JL: Clinical Disorders of Iron Metabolism . New York, Grune & Stratton, 1963;, pp 1-18.
3 +
Latham RG: The Works of Thomas Sydenham, M.D. London, C & S Allard, 1850;, p 98.
4 +
Bland P:  Sur les maladies chlorotiques, et sur un mode de traitement specifique dans ces affections . Rev Med Franc Etrang 1832;;45:341.
5 +
Whipple GH, Robscheit FS, Hooper CW:  Blood regeneration following simple anemia: IV. Influence of meat, liver, and various extractives, alone or combined with standard diets . Am J Physiol 1920;;53:236.
6 +
Beard JL:  Iron fortification: Rationale and effects . Nutr Today 1986;;21:17.
7 +
Committee on Nutrition:  Iron supplementation for infants . Pediatrics 1976;;58:765.
8 +
Miller V, Sevaney S, Deinard A:  Impact of the WIC program on the iron status of infants . Pediatrics 1985;;75:100.
9 +
Vasquez-Seoane P, Windom R, Pearson HA:  Disappearance of iron deficiency anemia in a high-risk infant population given supplemental iron . N Engl J Med 1985;;313:1239.
10 +
Foman SJ:  Bioavailability of supplemental iron in commercially prepared dry infant cereals . J Pediatr 1987;;110:660.
11 +
Rees JM, Monsen ER, Merrill JE:  Iron fortification of infant foods . Clin Pediatr 1985;;24:707.
12 +
Dallman PR, Yip R, Johnson C:  Prevalence and causes of anemia in the United States, 1976 to 1980 . Am J Clin Nutr 1984;;39:437.
13 +
Oski FA, Honig AS:  The effects of therapy on the developmental scores of iron-deficient infants . J Pediatr 1978;;92:21.
14 +
Lozoff B, Brittenham GM, Viteri FE, et al:  The effects of short-term oral iron therapy on developmental deficits in iron-deficient anemic infants . J Pediatr 1982;;100:351.
15 +
Oski FA, Honig AS, Helu B, et al:  Effect of iron therapy on behavior performance in nonanemic, iron-deficient infants . Pediatrics 1983;;71:877.
16 +
Lozoff B, Brittenham GM:  Behavioral aspects of iron deficiency . Prog Haematol 1985;;14:23.
17 +
Lozoff B, Brittenham GM, Wolf AW, et al:  Iron deficiency anemia and iron therapy effects on infant developmental test performance . Pediatrics 1987;;79: 981.
18 +
Crosby WH:  Yin, Yang and iron . Nutr Today 1986;;21:14.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Yip R, Binkin NJ, Fleshood L, et al:  Declining prevalence of anemia among low-income children in the United States . JAMA 1987;;258:1619-1623.
2 +
Beutler E, Fairbanks VF, Fahey JL: Clinical Disorders of Iron Metabolism . New York, Grune & Stratton, 1963;, pp 1-18.
3 +
Latham RG: The Works of Thomas Sydenham, M.D. London, C & S Allard, 1850;, p 98.
4 +
Bland P:  Sur les maladies chlorotiques, et sur un mode de traitement specifique dans ces affections . Rev Med Franc Etrang 1832;;45:341.
5 +
Whipple GH, Robscheit FS, Hooper CW:  Blood regeneration following simple anemia: IV. Influence of meat, liver, and various extractives, alone or combined with standard diets . Am J Physiol 1920;;53:236.
6 +
Beard JL:  Iron fortification: Rationale and effects . Nutr Today 1986;;21:17.
7 +
Committee on Nutrition:  Iron supplementation for infants . Pediatrics 1976;;58:765.
8 +
Miller V, Sevaney S, Deinard A:  Impact of the WIC program on the iron status of infants . Pediatrics 1985;;75:100.
9 +
Vasquez-Seoane P, Windom R, Pearson HA:  Disappearance of iron deficiency anemia in a high-risk infant population given supplemental iron . N Engl J Med 1985;;313:1239.
10 +
Foman SJ:  Bioavailability of supplemental iron in commercially prepared dry infant cereals . J Pediatr 1987;;110:660.
11 +
Rees JM, Monsen ER, Merrill JE:  Iron fortification of infant foods . Clin Pediatr 1985;;24:707.
12 +
Dallman PR, Yip R, Johnson C:  Prevalence and causes of anemia in the United States, 1976 to 1980 . Am J Clin Nutr 1984;;39:437.
13 +
Oski FA, Honig AS:  The effects of therapy on the developmental scores of iron-deficient infants . J Pediatr 1978;;92:21.
14 +
Lozoff B, Brittenham GM, Viteri FE, et al:  The effects of short-term oral iron therapy on developmental deficits in iron-deficient anemic infants . J Pediatr 1982;;100:351.
15 +
Oski FA, Honig AS, Helu B, et al:  Effect of iron therapy on behavior performance in nonanemic, iron-deficient infants . Pediatrics 1983;;71:877.
16 +
Lozoff B, Brittenham GM:  Behavioral aspects of iron deficiency . Prog Haematol 1985;;14:23.
17 +
Lozoff B, Brittenham GM, Wolf AW, et al:  Iron deficiency anemia and iron therapy effects on infant developmental test performance . Pediatrics 1987;;79: 981.
18 +
Crosby WH:  Yin, Yang and iron . Nutr Today 1986;;21:14.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems