Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency

Iron deficiency in the fetal and neonatal period (perinatal iron deficiency) bodes poorly for neurodevelopment. Given its common occurrence and the negative impact on brain development, a screening and treatment strategy that is focused on optimizing brain development in perinatal iron deficiency is...

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Main Author: Raghavendra B. Rao
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/7/1092
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author Raghavendra B. Rao
author_facet Raghavendra B. Rao
author_sort Raghavendra B. Rao
collection DOAJ
description Iron deficiency in the fetal and neonatal period (perinatal iron deficiency) bodes poorly for neurodevelopment. Given its common occurrence and the negative impact on brain development, a screening and treatment strategy that is focused on optimizing brain development in perinatal iron deficiency is necessary. Pediatric societies currently recommend a universal iron supplementation strategy for full-term and preterm infants that does not consider individual variation in body iron status and thus could lead to undertreatment or overtreatment. Moreover, the focus is on hematological normalcy and not optimal brain development. Several serum iron indices and hematological parameters in the perinatal period are associated with a risk of abnormal neurodevelopment, suggesting their potential use as biomarkers for screening and monitoring treatment in infants at risk for perinatal iron deficiency. A biomarker-based screening and treatment strategy that is focused on optimizing brain development will likely improve outcomes in perinatal iron deficiency.
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spelling doaj.art-edc7e01737404aab8ffd2d60180adb892024-04-12T13:24:35ZengMDPI AGNutrients2072-66432024-04-01167109210.3390/nu16071092Biomarkers of Brain Dysfunction in Perinatal Iron DeficiencyRaghavendra B. Rao0Division of Neonatology, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455, USAIron deficiency in the fetal and neonatal period (perinatal iron deficiency) bodes poorly for neurodevelopment. Given its common occurrence and the negative impact on brain development, a screening and treatment strategy that is focused on optimizing brain development in perinatal iron deficiency is necessary. Pediatric societies currently recommend a universal iron supplementation strategy for full-term and preterm infants that does not consider individual variation in body iron status and thus could lead to undertreatment or overtreatment. Moreover, the focus is on hematological normalcy and not optimal brain development. Several serum iron indices and hematological parameters in the perinatal period are associated with a risk of abnormal neurodevelopment, suggesting their potential use as biomarkers for screening and monitoring treatment in infants at risk for perinatal iron deficiency. A biomarker-based screening and treatment strategy that is focused on optimizing brain development will likely improve outcomes in perinatal iron deficiency.https://www.mdpi.com/2072-6643/16/7/1092biomarkerbrainferritinhemoglobinironiron deficiency
spellingShingle Raghavendra B. Rao
Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
Nutrients
biomarker
brain
ferritin
hemoglobin
iron
iron deficiency
title Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
title_full Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
title_fullStr Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
title_full_unstemmed Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
title_short Biomarkers of Brain Dysfunction in Perinatal Iron Deficiency
title_sort biomarkers of brain dysfunction in perinatal iron deficiency
topic biomarker
brain
ferritin
hemoglobin
iron
iron deficiency
url https://www.mdpi.com/2072-6643/16/7/1092
work_keys_str_mv AT raghavendrabrao biomarkersofbraindysfunctioninperinatalirondeficiency