Iron-deficiency anemia in young working women can be reduced by increasing the consumption of cereal-based fermented foods or gooseberry juice at the workplace.
Study Goal
The researchers aimed to determine whether dietary changes, including increased consumption of fermented food (iddli), could improve iron-deficiency anemia in young working women.
Results Summary
The study found that consuming iddli four times a week significantly improved hemoglobin levels (from 11.10 to 12.30 g/dl), comparable to other interventions. However, behavioral changes were not sustained despite knowledge gains.
Population
Young working women (18-23 years old) in periurban Bangalore, India.
Effective Dosage
Iddli four times a week.
Duration
180 days.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
iddli four times a week plus information, education, and communication (IEC) related to iron-deficiency anemia | increase | hemoglobin status | young working women 18 to 23 years of age | from 11.10 to 12.30 g/dl | improved significantly | #1 |
20 ml of gooseberry juice (containing 40 mg of vitamin C) three times a week plus IEC once a month | increase | hemoglobin status | young working women 18 to 23 years of age | from 11.20 to 12.70 g/dl | improved significantly | #2 |
400 mg albendazole once plus ferrous sulfate tablets (60 mg elemental iron) two times a week | increase | hemoglobin status | young working women 18 to 23 years of age | from 11.50 to 13.00 g/dl | improved significantly | #3 |
no intervention | no change | hemoglobin status | young working women 18 to 23 years of age | 10.90 g/dl before and after intervention | no change | #4 |
This efficacy for both employers and employees (young working women 18 to 23 years of age) was undertaken to determine whether culturally acceptable dietary changes in lunches in the workplace and at home could bring about a behavioral change and improvement in their iron-deficiency anemia status. Maximum weight was given to increasing consumption of iddli, a popular cereal-based-fermented food, or of gooseberry juice. Four small factories were selected in periurban Bangalore, with a sample of 302 women. The 180-day interventions were supervised at the workplace. In unit 1 (72 women), the intervention consisted of iddli four times a week plus information, education, and communication (IEC) related to iron-deficiency anemia. Unit 2 (80 women) received 20 ml of gooseberry juice (containing 40 mg of vitamin C) three times a week plus IEC once a month. Women in unit 3 (70 women), the positive control, received 400 mg albendazole once plus ferrous sulfate tablets (60 mg elemental iron) two times a week. No IEC was given. Unit 4 (70 women) served as the negative control and received no intervention. The pre-post impact measures were dietary and nutrient intake, knowledge and practice, and hemoglobin status. In units 1, 2, and 3, the hemoglobin status of the women improved significantly from 11.10 to 12.30 g/dl, 11.20 to 12.70 g/dl, and 11.50 to 13.00 g/dl, respectively. In unit 4 there was no change: the values were 10.90 g/dl before and after intervention. The results show that the type of workplace lunch was of greater significance than IEC. Knowledge gains were impressive, but behavioral change was not sustained. It was concluded that the hemoglobin levels of the workers can easily be improved by cost-effective workplace lunches that also lead to better employer-employee relations.