International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 9 | Case Series | Open Access DOI
Monjori Mitra*
Reddy NMBBS,MD, DNB, DCh (Paediatrics)1, Mitra MMBBS, DCH, DNB (Paediatrics)2* and Awasthi SMD, FNASc, FAMS, FNA, FRCP (Ch.)3
1MBBS, MD, DNB, DCh (Paediatrics), Princess Esra Hospital, Deccan College of Medical Sciences & Allied Hospitals, Hyderabad, Telangana 500002, India
2MBBS, DCH, DNB (Paediatrics), Department of Pediatrics, Institute of Child Health, 11, Dr. Biresh Guha Street, Kolkata 700017, India
3MD, FNASc, FAMS, FNA, FRCP (Ch.), Department of Pediatrics, King George’s Medical University, Lucknow, Uttar Pradesh 226003, India
*Correspondence to: Monjori Mitra
Fulltext PDFThis case report assessed eleven (11) Indian infants selected from published data to evaluate the effect of nutrient-fortified (rice-based) supplementation from six months of age for a 6-month weaning period. Anthropometric measurements (weight and length/height) and Body Mass Index (BMI) based on the Z-score were evaluated at four-time points at 6-weeks intervals and correlated with nutrient intake (energy, fat, carbohydrates, protein, iron, and vitamin A), haemoglobin, serum ferritin, and serum soluble Transferrin Receptor (sTfR). Of the 11 subjects, 5 were exclusively breastfeeding and 6 were on mixed feeding. On enrolment, all patients presented the following characteristics: mild/borderline anaemia (Hb at 10.3 g/dL ± 1.55 g/dL); mean gestational age of 36.45 ± 1.57 weeks, mean birth weight was 2.72 kg ± 0.31 kg, and male-to-female distribution was 6:5. Post 6-months follow-up with the multi-nutrient fortified feeds including iron, the Hb concentration increased to 11.5 µg/dL ± 1.3 µg/dL at 12-months. There was a significant correlation between Hb and serum ferritin, soluble transferrin receptor, and mean corpuscular volume. The individual composite score on the Bayley-III assessment (including cognitive and motor function) showed that 27% of the infants (3/11) at 6-months were below average [mean score: ≤ 70] and at 12-months all the infants were found to be average [mean score:100]. While supplementation is used for therapeutic purposes where anaemia has progressed to the severity necessitating treatment, fortified cereals are used to prevent the risk. Thus, good nutritional fortified feeds are of profound importance during the rapid growth and development of infants.
Infants; Fortified infant cereal; Anaemia; Iron deficiency; Haemoglobin
Reddy N, Mitra M, Awasthi S. Role of Fortified Cereals as Supplementary Food During the Complementary Feeding Period for Infants and their Impact on Iron Deficiency Status: A Retrospective Case Series with a Follow-up of 6 Months. Int Clinc Med Case Rep Jour. 2024;3(9):1-14.