Vitamin and mineral supplements are often useful back-ups if you are worried your child is not getting all the nutrients they need from their diets. And for those who have particularly restrictive diets for behavioural or medical reasons, vitamin and mineral supplements can be crucial to maintaining good health and preventing deficiencies. That said, getting a child to take their supplements can be easier said than done.
Are you looking for information on the eating disorders anorexia nervosa, or bulimia nervosa, or support for overcoming an eating disorder?
Treatment of eating disorders often includes a dietitian who has had extra training and experience in specialist teams.
Whilst some of my work with people who have problems with bingeing and overeating, and in helping people become more intuitive eaters, is quite similar to the work used in eating disorders, I don’t feel I have enough experience in this specialist area to help treat you if you have a diagnosed eating disorder.
Links to sites that might help you find specialist help instead:
www.b-eat.co.uk – UK organisation with lots of information on eating disorders and where to get help, including support groups and online self-help courses for carers
Iron is a mineral which is an essential component of many of the proteins and enzymes that maintain good health in our bodies. It is involved in transporting oxygen to the body’s tissues and muscles and gives the red colour to our blood.
Iron deficiency Facts
Iron deficiency is caused by a diet low in iron or by blood loss e.g. in menstruation or illness. Deficiency is really common in the particular population groups of toddlers and teenage girls in the UK due to their high rates of growth and variable diets. Other people at risk of iron deficiency are:
premature and low birth weight babies
people with kidney failure
people with gastrointestinal disorders that affect their ability to absorb iron
long distance runners and other athletes who do regular intense exercise
Signs of iron deficiency include – feeling tired and weak, pale skin, breathlessness, decreased work and school performance, increased susceptibility to infections and decreased appetite.
If you think you might be iron deficient, ask your GP to do a blood test.
Our daily requirements for iron change with age and differ in men and women
According to government experts, these are our requirements:
6- to 12-month-olds – 7.8mg (8 stars)
1 to 3-year-olds – 6.9mg (7 stars)
4 to 6-year-olds – 6.1 mg (6 stars)
7 to 10-year-olds – 8.7mg (9 stars)
11 to 18-year-old boys – 11.3mg (11 stars)
11 to 18-year-old girls – 14.8mg (15 stars)
19 to 50-year-old women – 14.8mg (15 stars)
19 to 50-year-old men – 8.7mg (9 stars)
Adults older than 50 years – 8.7mg (9 stars)
Pregnant women – 14.8mg (15 stars)
NB – The stars can be used to count up how much iron from food you have a day in the table below – 1 star is approximately 1mg of iron.
SOURCES OF IRON IN OUR DIET
Iron is found both in foods that come from animals – meat, fish and eggs; and in plant foods such as green leafy vegetables, lentils, beans, dried fruit, nuts and seeds. White bread and breakfast cereals in the UK have iron added to them, and so are also good sources of iron. Iron from animal foods (haem iron) is absorbed by our stomachs more efficiently than that from plant foods (non-haem iron).
Newborns get an easily absorbed form of iron from breast milk, which is usually enough for the first 6 months of life. Infant formula contains iron too. Cow’s milk is very low in iron so is not a recommended drink in the first year of life.
Eating a varied and balanced diet based on the Eatwell Plate should ensure you get sufficient iron in your diet. The ready reckoner below can help you to ensure you are including some iron rich foods every day. Note that liver is not recommended during pregnancy due to high vitamin A levels
Iron Ready Reckoner:
Iron stars (1 star = 1mg – approximately)
Liver (chicken),2 slices (70g)
Liver (lamb), 2 slices (80g)
Liver pate, 1 serving (50g)
Kidney (lamb),1 kidney (35g)
Beef / lamb (roast), 3 oz (80g)
Pork / chicken (roast), 3oz (80g)
Black pudding, 1 portion
Corned beef, thick slice (50g)
Sardines, small tin (100g)
Pilchards, canned in tomato sauce (55g)
Herring, 1 medium fillet (120g)
Tuna, small can (100g)
Prawns, average portion (60g)
Mussels, average portion (40g)
Egg (boiled),1 average (50g)
Spinach, boiled (120g)
Fenugreek (methi) (25g)
Watercress, 1 bunch (80g)
Broccoli / peas, 2-3 tablespoons (80g)
6 Apricots or 3 Figs, dried (60g)
Raisins/ sultanas, 1 tablespoon (30g)
Bread, wholemeal, 2 slices
Bread, white, 2 slices
Bran flakes, 3 tablespoons (25g)
Fortified cereals, 3 tablespoons (25g) e.g. special K, cheerios, weetabix (2 biscuits)
Foods rich in vitamin C increase the absorption of iron from plant foods:
Foods rich in vitamin C are oranges, lemons, grapefruits and limes; blackcurrants and strawberries; Kiwi fruit, mango, papaya and guava; fruit juices, or fruit drinks fortified with vitamin C; and fresh or frozen vegetables, eaten raw or lightly cooked. To maximise your iron absorption, drink fruit juice, or eat fruit or vegetables with meals that contain plant sources of iron.
Other foods decrease the amount of iron we absorb from plant foods:
Tannins: in tea or coffee – so avoid drinking with meals
Fibre: in high quantities – avoid unprocessed bran
Calcium: in high quantities – so avoid taking calcium supplements with meals
Should I be taking iron supplements?
Your doctor or dietitian will advise you if you do need to take iron supplements. It’s not wise to take iron supplements if you don’t have a medical need for them.
As a dietitian with a special interest in helping families and individuals on the autistic spectrum, and having recently moved back to South Warwickshire, I thought it would be useful to compile a list of local services for those on the autism spectrum and their families.