乳铁蛋白治疗儿童缺铁性贫血:系统综述。

IF 0.8 4区 医学 Q4 PEDIATRICS
Devina June, Alvin Timothy Konstantin, Levina Arthauli Lumbanradja, Astria Aryani, Antoninus Hengky
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引用次数: 0

摘要

背景:贫血是儿童,尤其是五岁以下儿童常见的营养问题。乳铁蛋白(Lf)作为治疗缺铁性贫血(IDA)的补充剂已被研究,但其在儿童中的效果尚未审查。本综述旨在评价乳铁蛋白对儿童IDA的影响。方法:以乳铁蛋白、贫血和儿童为关键词,检索PubMed、ProQuest、EBSCO和Ovid数据库。所选文献必须以临床试验为基础。这些研究发表的年份仅限于2012年和2022年。结果:最终纳入11项研究,包括10项随机对照试验(rct)和1项非随机试验。血清铁蛋白(SF)和血红蛋白(Hb)发现,与只补充铁或安慰剂相比,服用铁或铁与元素铁联合治疗组的血清铁蛋白(SF)和血红蛋白(Hb)有所增加。出现便秘、呕吐、厌食、腹痛等不良事件;特别地,在低脂治疗组便秘显著减少。结论:本研究支持Lf在改善血液学和铁指标以及减少不良反应方面作为儿童IDA的优越治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lactoferrin as treatment for iron-deficiency anemia in children: a systematic review.

Background: Anemia is a common nutritional problem in children, especially those under five. Lactoferrin (Lf) as a supplement in treating iron deficiency anemia (IDA) has been studied, but its results in children have not been reviewed. This review aims to evaluate the effect of lactoferrin on children with IDA.

Methods: PubMed, ProQuest, EBSCO and Ovid databases were searched using a variation of keywords: lactoferrin, anemia, and children. The literature selected must be clinical trial-based in design. The years of the studies published were limited to 2012 and 2022.

Results: Eleven studies were included in the final systematic review, consisting of 10 randomized controlled trials (RCTs) and 1 non-randomized trial. Serum ferritin (SF) and hemoglobin (Hb) were found to be increased in groups treated with Lf or a combination of Lf and elemental iron compared to iron only or placebo supplementation. Adverse events such as constipation, vomiting, anorexia, and abdominal pain were found; particularly, a significant decrease in constipation is seen in Lf-treated groups.

Conclusions: This study supports Lf as a superior treatment for IDA in children regarding the improvement in hematological and iron indices and fewer adverse effects.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
122
审稿时长
6-12 weeks
期刊介绍: The Turkish Journal of Pediatrics is a multidisciplinary, peer reviewed, open access journal that seeks to publish research to advance the field of Pediatrics. The Journal publishes original articles, case reports, review of the literature, short communications, clinicopathological exercises and letter to the editor in the field of pediatrics. Articles published in this journal are evaluated in an independent and unbiased, double blinded peer-reviewed fashion by an advisory committee.
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