中国实用儿科杂志
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铁元素是人体内基本的矿物质, 不仅是机体合成血红蛋白、 肌红蛋白所必需, 也是维持依赖铁的各种酶的功能所必需。大量研究发现, 早期缺铁通过改变脑结构、 神经递质功能和神经代谢, 伴随基因和蛋白组分的改变, 影响着感觉运动、 认知语言和社会情绪的发育; 生命早期合适的铁营养状态受出生前、 围生期、 出生后等时期多种因素的交互影响,铁需求量也因胎儿和婴儿生长发育需求的不同而不同。新的研究进展提示了生命早期的脑发育存在着铁依赖的关键期, 重申了早期不同时期合理补充铁的重要性。
关键词: 铁, 缺铁, 缺铁性贫血, 大脑发育, 认知, 行为
Abstract:
Iron is an essential mineral to human body. It is necessary for the synthesis of hemoglobin and myoglobin as well as for the function of many vital iron-dependent enzymes. Many studies have reported that the changes in brain structure,neurotransmitter,neurometabolism with altered gene and protein profiles related to early iron deficiency may result in changes in sensory/motor,cognitive/ language,and social-emotional development. Iron status in early life time should be determined by various factors during prenatal,perinatal and postnatal periods. The physiological needs for iron vary to meet the requirements for growth and development of fetus and infants. Updated research findings imply an iron-dependent time window existing for developing brain,emphasizing the importance of optimal supplementary of iron during different periods in early life time.
Key words: iron, iron deficiency, iron deficiency anemia, brain developing, cognition, behavior
邵洁. 胎婴儿期合理铁营养与儿童大脑发育[J]. 中国实用儿科杂志, DOI: 10.7504/ek2015120604.
SHAO Jie. Appropriate iron nutrition and the development of children’s brain and behavior in early life time[J]. CJPP, DOI: 10.7504/ek2015120604.
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