From: Early and late Iron supplementation for low birth weight infants: a meta-analysis
Study # | 1st AU (year) | Study design | Inclusion criteria | Medical iron source | Group | Route ; dose | Number of subject | Gestation age (weeks) | Birth weight (kg) | Gender (male/female) | Evaluated time point |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Joy [17] | RCT | Intramural preterm (<37 weeks gestational age) VLBW infants (birth weight 1000–1500 g) who reached full enteral feeds of 180 mL/kg/day by 2 weeks postnatal age | colloidal ferric hydroxide | early | PO; 2 mg/kg/day start at 2 weeks postnatal age | 52 | 32.4 ± 1.7 | 1.35 ± 0.15 | 27/23 | 12 weeks |
late | PO; 2 mg/kg/day start at 6 weeks postnatal age | 52 | 32.4 ± 1.6 | 1.33 ± 0.14 | 24/26 | ||||||
2 | Sankar [18] | RCT | Preterm VLBW (<1500 g) infants who reached at least 100 mL/kg/day of oral feeds by day 14 | colloidal iron | early | PO; 3–4 mg/kg/d at 2 weeks | 22 | 32.4 ± 1.8 | 1.189 ± 0.228 | 12/10 | 60 days |
late | PO; no iron until 60 days | 24 | 31.5 ± 2.6 | 1.213 ± 0.196 | 12/12 | ||||||
3 | Arnon [19] | RCT | All infants with a gestational age of 32 weeks who were fed human milk and reached enteral intake of 100 mL/kg/d | Iron trivalent (III)– hydroxide polymaltose complex | early | PO; 5 mg/kg/d enteral iron polymaltose complex at 2 weeks | 32 | 30 (27, 32)† | 1.248 (0.859, 1.960)† | 18/12 | 8 weeks |
late | PO; 5 mg/kg/d enteral iron polymaltose complex at 4 weeks | 36 | 29 (27, 32)† | 1.072 (0.830, 2.173)† | 14/16 | ||||||
4 | Franz [21] | RCT | All inborn infants with a birth weight of < 1301 g | ferrous sulfate | early | PO; 2–4 mg/kg/d oral iron once enteral feeding was tolerated | 105 | 26.7 (23, 33)* | 0.868 (0.380, 1.300)* | na | 61 days |
late | PO; started at 61 days of life at a dose of 2 mg/kg/day. | 99 | 26.9 (23, 35)* | 0.872 (0.370, 1.300)* | |||||||
5 | Jansson [20] | RCT | LBW infants with a birth weight ≦2000 g and/or a gestational age of ≦35 weeks | ferrous succinate | early | PO; 2–3 mg/kg/day from 3 weeks of age | 15 | All: 34 (29–37)* | 1.855 ± 0.430 | na | 1-2 days; 8–10 weeks; 6 months |
late | PO; 2–3 mg/kg/day from 2 months of age | 13 | 1.779 ± 0.327 |