I believe that the current screening and treatment recommendations of the American Academy of Pediatrics (AAP) have been inadequate and have failed to prevent iron-deficiency anemia (IDA) in a notable number of 1- to 2-year-old children. Eden and Mir1 recently reported a 10% IDA prevalence in 1- to 2-year-olds and 2 subsequent studies2,3 showed 11.5% and 8% rates. Iron-deficiency anemia during the first 2 years of life has been shown to be associated with impaired mental and psychomotor development.4 These deficits have proven to be long lasting despite correction of the anemia; thus, every attempt must be made to prevent IDA during this critical period.
Eden AN. The Prevention of Toddler Iron Deficiency. Arch Pediatr Adolesc Med. 2002;156(5):519. doi: