Iron

Iron is a mineral that has many functions. Iron helps red blood cells carry oxygen through the body and supports a child’s ability to learn. Having enough iron in the body can help prevent iron deficiency and iron deficiency anemia.

What Happens If My Child Does Not Get Enough Iron?

If your child does not get enough iron, your child may develop anemia. Anemia is when there are not enough red blood cells in the body or your child’s ability to carry oxygen throughout the body is lowered. There are many causes of anemia. In young children, one common cause is not enough iron. Children who do not receive enough iron either from iron-rich foods or supplements are at greater risk for developing anemia.

When Does My Child Need Iron? And How Much?

All children need iron. It is important at all stages of your child’s development. Babies fed only breast milk, only formula, or a mix of breast milk and formula have different needs when it comes to iron.

Talk to your child’s doctor or nurse about your child’s iron needs at his or her next check-up.

Preterm babies often need more iron than full-term babies.

In addition, preterm babies may need extra iron beyond what they get from breast milk or infant formula. Talk to your child’s doctor or nurse about your child’s iron needs at his or her next check-up.

Breast Milk

• Talk with your child’s nurse or doctor about if your child needs iron supplements before 6 months old.
• Once your child starts to eat foods, it is important to give foods with iron to meet nutritional needs.

Formula

• Your child’s iron needs can be met by standard infant formulas for the first 12 months of life.
• Choose a formula that is fortified with iron. Most commercial infant formulas sold in the U.S. contain iron.
• Standard iron-fortified infant formulas contain enough iron (12mg/L) to support your growing child’s needs.
• Once your child starts to eat foods, introduce your child to foods that contain iron.

Mix of Breast Milk and Formula

• Once your child starts to eat foods, it is important to give foods with iron to meet nutritional needs [PDF-30.6MB] .

Once My Child Starts to Eat Solid Foods, How Can I Make Sure My Child Gets Enough Iron?

When your child is about 6 months old, you can start giving solid foods to your child. Make sure to choose foods that contain iron. Iron found in foods comes in two forms: heme and non-heme iron.

Heme iron is commonly found in animal products and is more easily absorbed by the body. Sources of heme iron include:

• Red meat (for example, beef, pork, lamb, goat, or venison)
• Seafood (for example, fatty fish )
• Poultry (for example, chicken or turkey)
• Eggs

Your child needs to be screened for anemia.

At around 12 months, your child’s doctor or nurse will likely test to see if your baby has anemia. Anemia can occur among children who do not get enough iron. Talk to your child’s doctor or nurse about anemia and iron at your baby’s next check-up.

Non-heme iron can be found in plants and iron-fortified products. This type of iron is less easily absorbed by the body and will require careful planning to get enough iron for your baby. Sources of non-heme iron include:

• Iron-fortified infant cereals
• Tofu
• Beans and lentils
• Dark green leafy vegetables

Pairing non-heme iron sources with foods high in vitamin C can help your baby absorb the iron he or she needs to support development. Vitamin C-rich fruits and vegetables include:

• Citrus fruits like oranges
• Berries
• Papaya
• Tomatoes
• Sweet potatoes
• Broccoli
• Cabbage
• Dark green leafy vegetables

Making sure your child is getting enough iron is important. Some children may need more iron than others. Talk to your child’s doctor or nurse about iron at your child’s next check-up.