STUDY EXAMINES EFFECT OF IRON DEFICIENCY ON CHILDREN'S AND ADOLESCENTS'
MATH TEST SCORES

School-age children and adolescents with iron deficiency receive lower
scores on standardized math tests than children and adolescents without
iron deficiency, according to a study published in the June issue of
Pediatrics.  The authors studied data on 5,398 children between the ages of
6 and 16 who participated in the National Health and Nutrition Examination
Survey III (NHANES III) to evaluate the relationship between iron
deficiency and standardized test scores.

The authors found that

*  The prevalence of iron deficiency was less than 3% among 6- to
11-year-olds, 8.7% among 12- to 16-year-old females, and greater than 5%
among Mexican-American children; children of races other than white, black,
or Mexican American; and children living below the poverty level.
*  Iron-deficient children, with or without anemia, had lower math test
scores than children with normal iron status.
*  Children with iron deficiency were not at increased risk for scoring
below average on reading, block design, and digit span tests.
*  Children with iron deficiency had greater than twice the risk of scoring
below average in math than children with normal iron status.

The authors state that this study suggests that iron deficiency, by
negatively affecting math performance among adolescent girls, may
contribute to the gender discrepancy found in other studies that females
perform better in math in elementary and middle school, but that males
perform better in math than females in high school.  They conclude, "It is
not yet clear whether identification of an at-risk group, general iron
supplementation, or a combination of these efforts would provide the best
approach to prevent the potentially negative cognitive effects of iron
deficiency."

Halterman JS, Kaczorowski JM, Aligne CA, et al.  Iron deficiency and
cognitive achievement among school-aged children and adolescents in the
United States.  2001.  Pediatrics 107(6):1381-1386.


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