• Pediatric blood & cancer · Aug 2012

    Review

    Micronutrients and sickle cell disease, effects on growth, infection and vaso-occlusive crisis: a systematic review.

    • Louise H Dekker, Karin Fijnvandraat, Bernard J Brabin, and Michael Boele van Hensbroek.
    • Department of Public Health, Academic Medical Center, Amsterdam, The Netherlands. l.h.dekker@amc.uva.nl
    • Pediatr Blood Cancer. 2012 Aug 1; 59 (2): 211-5.

    AbstractPatients with Sickle cell disease (SCD) exhibit signs of poor growth, increased susceptibility to infection and recurrent episodes of painful vaso-occlusive crises. Micronutrient deficiencies may increase susceptibility to these outcomes. We conducted a systematic review to assess the strength of evidence for improved outcomes related to micronutrient interventions. Six randomized-controlled trials of moderate quality met the inclusion criteria. Zinc supplementation was associated with improved growth and decreased incidence of infection and is a promising intervention in the management of SCD patients. Omega-3 fatty acid supplementation was associated with limited reduction in vaso occlusive crises. This review identifies key knowledge gaps, which are important research priorities for nutritional interventions.Copyright © 2012 Wiley Periodicals, Inc.

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