Importance of Dietary Sources of Iron in Infants and Toddlers: Lessons from the FITS Study

Nutrients. 2017 Jul 11;9(7):733. doi: 10.3390/nu9070733.

Abstract

Iron deficiency (ID) affects 13.5% of 1-2 years old children in the US and may have a negative impact on neurodevelopment and behavior. Iron-fortified infant cereal is the primary non-heme iron source among infants aged 6-11.9 months. The objective of this study was to compare iron intakes of infant cereal users with non-users. Data from the Feeding Infants and Toddlers Study 2008 were used for this analysis. Based on a 24-h recall, children between the ages of 4-17.9 months were classified as 'cereal users' if they consumed any amount or type of infant cereal and 'non-users' if they did not. Infant cereal was the top source of dietary iron among infants aged 6-11.9 months. The majority of infants (74.6%) aged 6-8.9 months consumed infant cereal, but this declined to 51.5% between 9-11.9 months and 14.8% among 12-17.9 months old toddlers. Infant cereal users consumed significantly more iron than non-users across all age groups. Infants and toddlers who consume infant cereal have higher iron intakes compared to non-users. Given the high prevalence of ID, the appropriate use of infant cereals in a balanced diet should be encouraged to reduce the incidence of ID and ID anemia.

Keywords: anemia; cereal; dietary intake; feeding practices; infant; iron; nutrition; weaning.

MeSH terms

  • Anemia, Iron-Deficiency / epidemiology*
  • Anemia, Iron-Deficiency / prevention & control
  • Cross-Sectional Studies
  • Diet
  • Edible Grain / chemistry
  • Female
  • Food, Fortified*
  • Humans
  • Incidence
  • Infant
  • Infant Nutritional Physiological Phenomena
  • Iron, Dietary / administration & dosage*
  • Male
  • Mental Recall
  • Nutritional Requirements
  • United States / epidemiology

Substances

  • Iron, Dietary