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Iron Deficiency Anemia Recommended Guidelines for the Prevention, Detection, and Management Among U.S. Children and Women of Childbearing Age (1993) / Chapter Skim
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RECOMMENDED GUIDELINES FOR PREVENTION, DETECTION, AND MANAGEMENT OF IRON DEFICIENCY ANEMIA
Pages 11-19

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From page 11...
... For all populations, the committee prefers and recommends dietary sources of iron over supplemental sources when possible, because food has physiological factors that improve iron absorption and other factors beneficial to overall health (NRC, 1989~. In this report, dietary sources of iron include meat; iron-fortified infant formula; iron-fortified infant cereals; and iron-forti
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From page 12...
... 12 I_ ._ a a o Cal _ ·= ~ ~ ·5 A V ID ~ A a ~ Do 1 ~0 ~!
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From page 13...
... 13 ~ ~ ~ ~ fi ~ ~ t]
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From page 14...
... After weaning from the breast, supplemental iron should stop being delivered and dietary sources of iron and iron-fortified formula should be used until the child is 12 months of age. For formula-fed infants, the committee recommends the use of an iron-fortif~ed infant formula until the infant consumes solid food or until age 12 months.
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From page 15...
... The committee recommends that all nonpregnant women of childbearing age be screened for anemia at least once between IS and 25 years of age. If other biologic risk factors for anemia are present (i.e., high menstrual blood loss, frequent blood donation, high parity or there is a previous diagnosis of iron deficiency anemia, more frequent screening is warranted (i.e., every 2-3 years)
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From page 16...
... Severe anemia is unusual in nonpregnant women of childbearing age and may not be due to iron deficiency. A complete medical history, including dietary history, a more thorough physical examination, and additional laboratory studies (i.e., complete blood count, reticulocyte count, and serum ferritin conceneration)
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From page 17...
... The clinician should prescribe 6~120 mg of supplemental iron per day when the hemoglobin level is between 9.0 and 10.9 g/dl and the serum ferritin concentration is less than 12 ~g/liter. Similar adjustments for hemoglobin and hematocrit levels in blacks should be made, as outlined above in the guidelines for nonpregnant women of childbearing age.
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From page 18...
... However, the committee wishes to make it clear that it views serum ferritin values as being more precise in determining iron deficiency anemia. It also urges the development of more economical, uncomplicated serum ferritin concentration determination kits for use in many settings.
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Key Terms

  • deficiency anemia
  • serum ferritin
  • supplemental iron
  • ferritin concentration
  • hemoglobin level

  • childbearing age
  • nonpregnant women
  • hematocrit level
  • pregnant women
  • dietary sources

  • hemoglobin concentration
  • infant formula
  • previously published
  • cutoff values
  • iron supplementation

  • developing iron
  • iron absorption
  • iron status
  • ferritin values
  • low hemoglobin

  • blood specimen
  • recommended guidelines
  • published guidelines
  • screening guidelines
  • suggest iron

  • concentration determination
  • adolescent girls
  • sections below
  • infant cereals
  • significant portions


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