Give children iron supplements: They don't increase malaria risk

Jul 08, 2009

Iron supplements do not increase the likelihood of contracting malaria and should not be withheld from children at risk of the disease, despite World Health Organisation (WHO) guidelines to the contrary, a new review by Cochrane Researchers suggests.

"Based on our review, should not be denied iron supplements, even if they are living in areas where malaria is prevalent," says lead researcher, Juliana Ojukwu of the Department of Paediatrics at the Ebonyi State University in Ebonyi State, Nigeria. "Iron is important for growth and development, and maintaining a healthy ."

Until 2007, WHO guidelines recommended that all children should be given iron supplements to help prevent iron deficiency and anaemia, which are significant public health problems in developing countries. It is estimated that is the cause of 726,000 childhood deaths each year. However, a recent large trial in Zanzibar prompted the WHO to change its guidelines, which now recommend that iron supplements are withheld from children under two years in areas where they are at high risk of contracting malaria. The argument against giving iron is that it could help promote the growth of malarial parasites circulating in the blood.

In response to this, Cochrane researchers reviewed data from 68 different trials involving 42,981 children. They concluded that iron did not increase the risk of malaria, as long as regular surveillance and treatment services were available, and that there should not be any need to screen for anaemia before giving supplements. They say WHO guidelines rely too heavily a single recent trial, whereas this current research drew its conclusions after giving appropriate weight to a wide range of studies.

Although the benefits of giving iron are greater for children with anaemia, any decision to withhold iron supplements should be carefully considered. "Any potential negative effects of giving iron have to be weighed against the quite serious implications of not giving it, namely anaemia and its contribution to childhood infection and death, especially in Sub-Saharan Africa," says Ojukwu.

Source: Wiley (news : web)

Explore further: World's first wearable blue LED light therapy device to treat skin disease psoriasis vulgaris

add to favorites email to friend print save as pdf

Related Stories

A genetic cause for iron deficiency

Apr 13, 2008

The discovery of a gene for a rare form of inherited iron deficiency may provide clues to iron deficiency in the general population – particularly iron deficiency that doesn’t respond to iron supplements - and suggests ...

Iron supplements might harm infants who have enough

May 05, 2008

A new study suggests that extra iron for infants who don't need it might delay development -- results that fuel the debate over optimal iron supplement levels and could have huge implications for the baby formula and food ...

Iron and copper relationship is studied

Jul 24, 2007

U.S. scientists studying the relationship of iron and copper in the body have found when iron absorption by cells decreases, copper absorption increases.

Multivitamins in pregnancy reduce risk of low birth weights

Jun 08, 2009

Prenatal multivitamin supplements are associated with a significantly reduced risk of babies with a low birth weight compared with prenatal iron-folic acid supplementation, found a new study in the Canadian Medical Association Jo ...

Recommended for you

Motion capture examines dance techniques

Sep 29, 2014

WAAPA dance students are set to take part in a world-first biomechanical study that tracks their training, technique and injuries as they develop as professional performers.

User comments : 0