For preterm infants, what is the recommended elemental iron intake from 1-12 months of age?

• A. 0.5 mg/kg/d
• B. 1 mg/kg/d
• C. 2 mg/kg/d
• D. 4 mg/kg/d

Answer: (C)

Preterm infants have limited iron stores at birth and grow rapidly, which raises their daily iron needs to support red blood cell production and neurodevelopment. Because of these factors, the recommended elemental iron intake from 1 to 12 months is 2 mg/kg per day. This level helps prevent iron deficiency anemia during the crucial first year when needs exceed stores. Starting iron supplementation in early infancy and continuing through 12 months aligns with this requirement. Lower amounts would not meet the elevated needs of preterm infants, while a much higher amount could risk iron overload.