Anemia in Peru: is there a need for universal supplementation and food fortification with iron?

Authors

  • Ernesto Bustamante Academia Nacional de Ciencias, Lima, Peru
  • Cinthya Vásquez-Velásquez Universidad San Ignacio de Loyola, Facultad de Ciencias de la Salud, Lima, Peru
  • Vilma Tapia Universidad Peruana Cayetano Heredia, Facultad de Ciencias e Ingeniería, Laboratorios de Investigación y Desarrollo, Laboratorio de Endocrinología y Reproducción, Lima, Peru
  • Gustavo F. Gonzales Academia Nacional de Medicina, Lima, Peru

DOI:

https://doi.org/10.15381/anales.v86i2.30580

Keywords:

Anemia, Dietary Supplements, Iron, Public Health Surveillance, Children, Peru

Abstract

For over 60 years the World Health Organization (WHO) has recommended iron supplementation for vulnerable populations in low- and middle-income countries due to the high prevalence of anemia. Despite these measures, childhood anemia remains a serious public health issue. Governments have implemented policies such as iron supplementation and food fortification, but the results have been limited. Advances in the understanding of iron physiology—particularly regarding regulatory hormones and the risks associated with excessive intake—have led to a rethinking of current approaches. In 2024, the WHO updated the hemoglobin thresholds for defining anemia, which has changed the global landscape. In Peru, this revision reduced the prevalence of anemia in children aged 6 to 35 months to 35,3%, meaning it is no longer considered a severe public health problem. This calls for a reassessment of the universal nature of current intervention strategies.

Author Biographies

  • Ernesto Bustamante, Academia Nacional de Ciencias, Lima, Peru

    Doctor en ciencias.

  • Cinthya Vásquez-Velásquez, Universidad San Ignacio de Loyola, Facultad de Ciencias de la Salud, Lima, Peru

    Maestra en fisiología y salud pública.

  • Vilma Tapia, Universidad Peruana Cayetano Heredia, Facultad de Ciencias e Ingeniería, Laboratorios de Investigación y Desarrollo, Laboratorio de Endocrinología y Reproducción, Lima, Peru

    Maestra en bioestadística.

  • Gustavo F. Gonzales, Academia Nacional de Medicina, Lima, Peru

    Doctor en ciencias y medicina.

Published

2025-05-12

Issue

Section

Artículo Especial

How to Cite

1.
Bustamante E, Vásquez-Velásquez C, Tapia V, Gonzales GF. Anemia in Peru: is there a need for universal supplementation and food fortification with iron?. An Fac med [Internet]. 2025 May 12 [cited 2025 May 25];86(2). Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/30580