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Weekly iron supplementation for the prevention of anemia in pre-school children: a randomized, double-blind, placebo-controlled trial.

Journal of tropical pediatrics
December 1, 2011
Francisco Plácido Nogueira Arcanjo et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether weekly iron supplementation with ferrous sulphate heptahydrate (FeSO4) improves hemoglobin (Hb) and hematocrit (Ht) values and reduces anemia prevalence in 5-year-old children.

Results Summary

Iron supplementation significantly increased mean Hb and Ht values (p < 0.0001) and reduced anemia prevalence from 48.0% to 26.0% in the intervention group, while the placebo group showed no significant changes.

Population

5-year-old pre-school children (n = 135) from a public school in northeast Brazil.

Effective Dosage

50 mg elemental iron weekly

Duration

14 weeks

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
weekly iron supplementation with ferrous sulphate heptahydrate (FeSO4)
increase
Mean Hb values
5-year-olds
p < 0.0001
increased
#1
weekly iron supplementation with ferrous sulphate heptahydrate (FeSO4)
increase
Mean Ht values
5-year-olds
p < 0.0001
increased
#2
placebo
no change
Mean Hb and Ht values
5-year-olds
no statistically significant increase
no statistically significant increase
#3
weekly iron supplementation with ferrous sulphate heptahydrate (FeSO4)
decrease
anemia prevalence
5-year-olds
from 48.0% to 26.0%
reduced
#4
Abstract

OBJECTIVE: This study analyses the impact of weekly iron supplementation with ferrous sulphate heptahydrate (FeSO4) in 5-year-olds compared with placebo, on hemoglobin (Hb) and hematocrit (Ht) values and anemia. DESIGN: The study concerns a cluster-randomized, placebo-controlled double-blind trial. Intervention participants received 50 mg elemental iron for 14 weeks. SETTING: The study population comprised pre-school children (n = 135) from one randomly chosen public school in the northeast of Brazil. SUBJECTS: Participants were 5-year-old students from a public school. RESULTS: Mean Hb and Ht values increased after iron supplementation, with p < 0.0001. There was no statistically significant increase in the placebo group. After intervention, anemia prevalence reduced only in the intervention group, from 48.0% to 26.0%. CONCLUSIONS: Weekly iron supplementation was effective in reducing anemia in 5-year-olds.

Medical Subject Headings (MeSH)
Anemia, Iron-DeficiencyChild, PreschoolDietary SupplementsDouble-Blind MethodFemaleFerrous CompoundsHematinicsHematocritHemoglobinsHumansMaleTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations7
Citations/Year0.5
Relative Citation Ratio0.31
NIH Percentile16.5%
Research Impact Scores
APT Score0.50
Weight Score1.19
Normalized Score0.69
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