Iron-Deficiency Anaemia

Iron is an essential mineral that performs various functions in the body. A lack of iron in the body can lead to iron-deficiency anaemia.

Functions of iron

  • An important component of haemoglobin in red blood cells, which carries oxygen throughout the body
  • Vital for healthy growth and development during childhood
  • Supports a fully- functioning immune system
  • Ensures normal production and function of various cells and hormones
  • Maintains healthy skin, hair, and nails

Iron-deficiency anaemia is one of the most common nutritional deficiencies in the world.

Common symptoms
90% of cases are asymptomatic. The following symptoms occur mainly in moderate to severe anaemia.

  • Extreme fatigue
  • Weakness
  • Pale skin
  • Shortness of breath, rapid heartbeat, or chest pain
  • Headaches
  • Poor appetite
  • Tinnitus (hearing ringing noises inside the head)
  • Pica (a craving for non-nutritive substances, e.g. ice, clay, paper)
  • Brittle nails or hair loss
  • Sore tongue

Possible causes

  • A lack of iron in diet
  • Pregnancy
  • Blood loss due to:
    • Heavy periods
    • Gastrointestinal conditions, e.g. ulcerative colitis, Crohn’s disease
  • Malabsorption due to:
    • Coeliac disease
    • Bariatric surgery

Potential complications

  • Growth or developmental problems in children
  • Heart problems, e.g. rapid heartbeat, enlarged heart, heart failure
  • Pregnancy complications,e.g. premature births, low birth weight

How to prevent iron deficiency?

  • Ensure sufficient intake of iron-rich foods
    • Red meat and poultry
    • Seafood
    • Dark green leafy vegetables, such as spinach
    • Beans, peas, and lentils
    • Dried fruit, such as raisins and apricots
    • Iron-fortified cereals, breads and pastas
  • Include foods containing vitamin C during mealtimes to enhance iron absorption
    • Oranges
    • Grapefruit
    • Strawberries
    • Tomatoes
    • Broccoli
    • Peppers
  • Control intake of foods with high levels of phytic acid and calcium during mealtimes, which can affect iron absorption
    • Wholegrain cereals
    • Seeds and legumes
    • Milk and dairy
  • Feed babies breastmilk or iron-fortified formula in the first year
    • At 6 months, start complementary feeding and include iron-fortified cereal or pureed meat at least twice a day

Iron deficiency is a serious issue, especially among high-risk groups, such as young children and pregnant women. In fact, screening for children below 5 years should be introduced at maternal child health clinic; don’t wait for symptoms to appear.However, if you notice any symptoms of iron-deficiency anaemia in your children or other family members, immediately consult a healthcare professional for a proper diagnosis and treatment.

References
https://ova.galencentre.org/experts-unite-to-combat-iron-deficiency-anaemia-among-children/
https://www.webmd.com/vitamins-and-supplements/understand-iron-role-body
https://nutritionsource.hsph.harvard.edu/iron/
https://www.nhs.uk/conditions/iron-deficiency-anaemia/
https://my.clevelandclinic.org/health/diseases/22824-iron-deficiency-anemia
https://www.mayoclinic.org/diseases-conditions/iron-deficiency-anemia/symptoms-causes/syc-20355034

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