Gangguan Kognitif pada Anemia Defisiensi Besi

Lily Irsa

Sari


Anemia defisiensi besi masih merupakan masalah kesehatan terutama di negara yang
sedang berkembang. Zat besi banyak dibutuhkan otak karena metabolisme oksidasinya
yang tinggi. Beberapa enzim dalam proses oksidasi dan metabolisme sel membutuhkan
besi. Gangguan kognitif pada anemia defisiensi besi telah banyak diteliti. Beberapa hal
yang berhubungan dengan gangguan kognitif pada anemia defisiensi telah dikemukakan;
terganggunya enzim-enzim yang berperan dalam metabolisme otak, gangguan dalam
mielinisasi dan terganggunya oksigenasi sel. Pada pemeriksaan terhadap bayi yang
menderita anemia defisiensi besi didapatkan skor Mental Development Index (MDI)
yang rendah dan Infant Behavior Record (IBR) memperlihatkan perbedaan emosi. Pada
anak usia sekolah didapatkan prestasi belajar yang rendah dan konsentrasi belajar yang
singkat.


Kata Kunci


anemia defisiensi besi; gangguan kognitif

Teks Lengkap:

PDF

Referensi


Lukens JN. Iron metabolism and iron deficiency. Dalam:

Miller DR, Bachner RL, Miller LP, penyunting. Blood

diseases of infancy and childhood. Edisi ketujuh.

Toronto: Mosby, 1995. h. 193-219.

Wintrobe MM dkk,. Clinical hematology. Edisi

kedelapan. Washington: Lea & Febiger,1981. h. 617-41.

Hanifi S, Unsal O, Mustafa B, Pukrii A, Soner S. Iron

deficiency and iron deficiency anemia in infant and young children at different socioeconomic groups in

Istanbul Blood 2001; 18:19-25.

Herbert V. Anemias. Dalam: Paige DM, penyunting. Clinical

nutrition. Edisi kedua. Toronto: Mosby,1988. h. 593-

Schultink WS, Gross R, Gliwitzki, Karyadi D, Matulessi

P. Effect of daily vs twice weekly iron suplementation in

Indonesian preschool children with low iron status. Am

J Clin Nutr 1995; 61:111-15.

Dalman PR. Iron deficiency and related nutritional anemias.

Dalam: Oski FA, Nathan GD, penyunting. Hematology

of infancy and childhood. Edisi ketiga. Philadelphia:

Saunders, 1987. h. 274-300.

Will AM. Iron metabolism, sideroblastic anemia and iron

overload. Dalam: Lilleyman JS, Hann IM, Blanchette

VS, penyunting. Pediatric hematology. Edisi kedua. New

York: Churchill Livingstone, 2000. h. 105-12.

Kresno SB. Pengantar hematologi dan imunohematologi.

Jakarta: FKUI,1988. h. 37-40.

Oski FA. Nutritional anemias of premature and full-term

infant. Dalam: Lebenthal E, penyunting. Textbook of

gastroenterology and nutrition in infancy. Edisi kedua.

New York: Raven, 1989. h. 613-20.

Dallman PR. Nutritional anemias in childhood. Iron,

folate, and vitamin B 12. Dalam: Suskind RM, Suskin

LL, penyunting. Textbook of pediatric nutrition. Edisi

kedua. New York: Raven,1993. h. 91-9.

Schwartz E. Anemias of in adequate production. Dalam:

Behrman RE, Kliegman RM, Arvin AM, penyunting.

Nelson textbook of pediatrics. Edisi kelima belas. Philadelphia:

Saunders,1996. h. 1387-89.

Gibson RS. Principles of nutritional assesment. New

York: Oxford University, 1990. h. 349-76.

Oski FA. Iron deficiency in infancy and childhood. N

Engl J Med 1993; 329:190-3.

Booth IW, Auket MA. Iron deficiency anaemia in infancy

and early childhood. Arch Dis Child 1997; 76:549-

Lozoff B dkk,. Iron deficiency anemia and therapy effects

on infant developmental test performance. Pediatrics

; 79:981-95.

Nokes C, Bosch C, Bundy DAP. The effects of iron deficiency

anemia on mental and motor performance, educational

achievement and behavior in children: An annotated

bibliography. Didapat dari; URL: http://

www.aii.ilsi.org/file/ACF179.pdf.

Connor JR, Benkovic SA. Iron regulation in the brain:

Histochemical, biochemical, and molecular consideration.

Ann Neurol 1992; 32:S51-S61.

Ungria M, Rao R, Wobken JD, LucianaM, Nelson CA,

Georgieff. Perinatal iron deficiency decreases cytochrome

c oxidase (CytOx) activity in selected regions of neonatal

rat brain. Pediatr Res 2000; 48:169-76.

Oski FA, Honig AS. The effects of therapy on developmental

score of iron deficient infant. J Pediatr 1978;

:21-5.

Soedjatmiko. Stimulasi psikososial pada bayi risiko tinggi.

Trihono PT, dkk. Penyunting Hot topic in pediatrics II.

Pendidikan kedokteran berkelanjutan Ilmu Kesehatan

Anak XLV. Jakarta: FKUI, 2002. h. 28-46.

Roncagliolo M, Garrido M, Walter T, Peirano D, Lozoff

B. Evidence of altered central nervous System development

in infants with iron deficiency anemia at 6 mo:

delayed maturation of auditory brainstem responses. Am

J Clin Nutr 1998; 68:683-90.

Yu GS, Steinkirchner TM, Rao GA, Larkin EC. Effect of

prenatal iron deficiency on myelination in rat pups. Am J

Pathol 1986; 125:620-4. Dikutip dari: McGregor SG, Ani

C. A riview of studies on effect of iron defisiency on cognitive

development in children. J Nutr 2001; 131:649S-68S.

McGregor SG, Ani C. A riview of studies on the effect

of iron deficiency on cognitive development in children.

J Nutr 2001; 131:649S-68S.

Soemantri AG. Hubungan anemi kekurangan zat besi

dengan konsentrasi dan prestasi belajar. Tesis. Semarang:

FK. Universitas Diponegoro,1978.

Atkinson RL, Atkinson RC, Hilgard ER. Pengantar

psikologi. Edisi ke delapan. Taufiq N, Barhana R, alih

bahasa. Dharma A, Adryanto M, penyunting. Jakarta:

Penerbit Erlangga,1999. h. 7-11.

Walter T, Kovalsky J, Stekel A. Effect of mild iron deficiency

on infant mental development scores. J Pediatr

; 102:519-22.

Aukett MA, Parks YA, Scott PH, Wharm BA. Treatment

with iron increases weight gain and psychomotor development.

Arch Dis Child 1986; 61:849-57.

Lozoff B, Wolf AW, Jimenes E. Iron-deficiency anemia

and infant development: Effects of extended oral iron

therapy. J Pediatr 1996; 129:382-9.

Idjradinata P, Pollitt E. Reversal of developmental delays

in iron-deficient anemic infants treated with iron.

Lancet 1993; 341:1-4.




DOI: http://dx.doi.org/10.14238/sp4.3.2002.114-8

Refbacks

  • Saat ini tidak ada refbacks.


##submission.copyrightStatement##

##submission.license.cc.by-nc-sa4.footer##

Informasi Editorial:
Badan Penerbit Ikatan Dokter Anak Indonesia
Jl. Salemba I No 5, Jakarta 10430, Indonesia
Phone/Fax: +62-21-3912577
Email: editorial [at] saripediatri.org

Lisensi Creative Commons
Sari Pediatri diterbitkan oleh Badan Penerbit Ikatan Dokter Anak Indonesia
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.