The effect of low dose iron and zinc intake on child micronutrient status and development during the first 1000 days of life: A systematic review and meta-analysis

cg.authorship.typesCGIAR single centreen
cg.contributor.crpAgriculture for Nutrition and Health
cg.creator.identifierErick Boy: 0000-0002-0271-1725
cg.identifier.dataurlhttps://www.mdpi.com/2072-6643/8/12/773/s1en
cg.identifier.doihttps://doi.org/10.3390/nu8120773en
cg.identifier.projectIFPRI - HarvestPlus
cg.identifier.publicationRankNot ranked
cg.isijournalISI Journalen
cg.issn2072-6643en
cg.issue12en
cg.journalNutrientsen
cg.reviewStatusPeer Reviewen
cg.volume8en
dc.contributor.authorPetry, Nicolaien
dc.contributor.authorOlofin, Ibironkeen
dc.contributor.authorBoy, Ericken
dc.contributor.authorAngel, Moira Donahueen
dc.contributor.authorRohner, Fabianen
dc.date.accessioned2024-06-21T09:24:37Zen
dc.date.available2024-06-21T09:24:37Zen
dc.identifier.urihttps://hdl.handle.net/10568/148412
dc.titleThe effect of low dose iron and zinc intake on child micronutrient status and development during the first 1000 days of life: A systematic review and meta-analysisen
dcterms.abstractAdequate supply of micronutrients during the first 1000 days is essential for normal development and healthy life. We aimed to investigate if interventions administering dietary doses up to the recommended nutrient intake (RNI) of iron and zinc within the window from conception to age 2 years have the potential to influence nutritional status and development of children. To address this objective, a systematic review and meta-analysis of randomized and quasi-randomized fortification, biofortification, and supplementation trials in women (pregnant and lactating) and children (6–23 months) delivering iron or zinc in doses up to the recommended nutrient intake (RNI) levels was conducted. Supplying iron or zinc during pregnancy had no effects on birth outcomes. There were limited or no data on the effects of iron/zinc during pregnancy and lactation on child iron/zinc status, growth, morbidity, and psychomotor and mental development. Delivering up to 15 mg iron/day during infancy increased mean hemoglobin by 4 g/L (p < 0.001) and mean serum ferritin concentration by 17.6 µg/L (p < 0.001) and reduced the risk for anemia by 41% (p < 0.001), iron deficiency by 78% (ID; p < 0.001) and iron deficiency anemia by 80% (IDA; p < 0.001), but had no effect on growth or psychomotor development. Providing up to 10 mg of additional zinc during infancy increased plasma zinc concentration by 2.03 µmol/L (p < 0.001) and reduced the risk of zinc deficiency by 47% (p < 0.001). Further, we observed positive effects on child weight for age z-score (WAZ) (p < 0.05), weight for height z-score (WHZ) (p < 0.05), but not on height for age z-score (HAZ) or the risk for stunting, wasting, and underweight. There are no studies covering the full 1000 days window and the effects of iron and zinc delivered during pregnancy and lactation on child outcomes are ambiguous, but low dose daily iron and zinc use during 6–23 months of age has a positive effect on child iron and zinc status.en
dcterms.accessRightsOpen Access
dcterms.bibliographicCitationPetry, Nicolai; Olofin, Ibironke; Boy, Erick; Angel, Moira Donahue; and Rohner, Fabian. 2016. The effect of low dose iron and zinc intake on child micronutrient status and development during the first 1000 days of life: A systematic review and meta-analysis. Nutrients 8(12): 773. https://doi.org/10.3390/nu8120773en
dcterms.descriptionParts of data presented in this article were discussed during an expert consultation, organized by HarvestPlus on 31 March 2016, and we are thankful for all the comments from these participants.en
dcterms.issued2016-12-08
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherMDPI AGen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/5575en
dcterms.subjectnutritional statusen
dcterms.subjectzinc statusen
dcterms.subjectbiofortificationen
dcterms.subjectcapacity developmenten
dcterms.subjectnutritionen
dcterms.subjecttrace elementsen
dcterms.subjectinfant feedingen
dcterms.subjectchildrenen
dcterms.subjectnutrition statusen
dcterms.subjectironen
dcterms.subjectzincen
dcterms.typeJournal Article

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