Iron Deficiency and Malaria Interactions in Pediatric Populations

Summary

Iron deficiency remains the most prevalent micronutrient deficit worldwide and disproportionately affects young children in low- and middle-income regions. In paediatric populations, insufficient iron impairs haemoglobin synthesis, growth and neurocognitive development, yet paradoxically confers a degree of protection against Plasmodium infection. Conversely, therapeutic iron interventions can reverse this protective effect and heighten vulnerability to clinical malaria and other infections. Central to this interplay is the hormone hepcidin, which regulates systemic iron distribution during inflammation and infection, modulating iron availability to both host and parasite. The bidirectional relationship between iron status and malaria pathogenesis has profound implications for public health strategies, highlighting the need to balance the benefits of correcting deficiency against the risks of exacerbating malaria morbidity. Optimal approaches now under investigation include targeted or intermittent supplementation, co-administration with antimalarial prophylaxis, food fortification matrices and integration of iron status screening with malaria control programmes.

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Iron Deficiency and Malaria Interactions in Pediatric Populations publication trend

The graph below shows the total number of articles in iron deficiency and malaria interactions in pediatric populations across all publications each year (not limited to Nature Index journals).

Technical terms

Iron deficiency anaemia: A condition in which insufficient iron impairs haemoglobin production, leading to reduced oxygen-carrying capacity of the blood.

Hepcidin: A liver-derived peptide hormone that controls systemic iron distribution by inhibiting intestinal absorption and iron release from macrophages during inflammation.

Parasitaemia: The presence and concentration of malaria parasites in the bloodstream, used as a measure of infection intensity.

Erythropoiesis: The process of red blood cell production in the bone marrow, driven by iron availability and erythropoietin signalling.

References

  1. The Importance of Iron Status for Young Children in Low- and Middle-Income Countries: A Narrative Review. Pharmaceuticals (2019).
  2. Iron, anemia and hepcidin in malaria. Frontiers in Pharmacology (2014).
  3. Iron Status Predicts Malaria Risk in Malawian Preschool Children. PLOS ONE (2012).
  4. Anemia Offers Stronger Protection Than Sickle Cell Trait Against the Erythrocytic Stage of Falciparum Malaria and This Protection Is Reversed by Iron Supplementation. EBioMedicine (2016).

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