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Treatment of iron deficiency anemia in children: a comparative study of ferrous ascorbate and colloidal iron.

Indian journal of pediatrics
May 1, 2013
Vijay N Yewale et al. (2 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

To compare the efficacy of ferrous ascorbate and colloidal iron in treating iron deficiency anemia in children.

Results Summary

Ferrous ascorbate resulted in a significantly higher mean rise in hemoglobin levels (3.59 g/dl) compared to colloidal iron (2.43 g/dl), with a higher proportion of children becoming non-anemic (64.86% vs. 31.03%).

Population

Children aged 6 months to 12 years diagnosed with iron deficiency anemia.

Effective Dosage

Elemental iron 3 mg/kg body weight per day.

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
ferrous ascorbate
increase
hemoglobin levels
children with iron deficiency anemia
3.59 ± 1.67 g/dl
significantly higher rise
#1
colloidal iron
increase
hemoglobin levels
children with iron deficiency anemia
2.43 ± 1.73 g/dl
rise
#2
ferrous ascorbate
decrease
anemia status
children with iron deficiency anemia
64.86 %
significantly higher proportion became non-anemic
#3
colloidal iron
decrease
anemia status
children with iron deficiency anemia
31.03 %
proportion became non-anemic
#4
Abstract

OBJECTIVE: To compare the efficacy of ferrous ascorbate and colloidal iron in the treatment of iron deficiency anemia in children. METHODS: Eighty one children, aged 6 mo to 12 y, were screened for iron deficiency anemia (IDA) and those diagnosed with IDA were randomized to receive ferrous ascorbate or colloidal iron for a period of 12 wk, such that each child received elemental iron 3 mg/kg body weight/d. Increase in hemoglobin (Hb) level was the primary outcome measure. Assessment was performed at baseline, wk 4, wk 8 and wk 12. RESULTS: Of 81 children screened, 73 were included in the study. The mean rise in Hb at the end of the 12 wk was significantly higher in ferrous ascorbate group than the colloidal iron group [3.59 ± 1.67 g/dl vs. 2.43 ± 1.73 g/dl; P < 0.01]. Significantly higher proportion of children receiving ferrous ascorbate (64.86 % vs. 31.03 %; P < 0.01) became non-anemic in comparison to colloidal iron. CONCLUSIONS: Ferrous ascorbate provides a significantly higher rise in hemoglobin levels in comparison to colloidal iron. The study supports the use of ferrous ascorbate in the pediatric age group, providing evidence for its role as an efficient oral iron supplement in the treatment of iron deficiency anemia.

Medical Subject Headings (MeSH)
Anemia, Iron-DeficiencyAscorbic AcidChildChild, PreschoolColloidsDietary SupplementsDrug Dosage CalculationsDrug MonitoringFemaleHemoglobinsHumansInfantIron CompoundsMaleTreatment OutcomeVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations13
Citations/Year1.1
Relative Citation Ratio0.65
NIH Percentile34.9%
Research Impact Scores
APT Score0.75
Weight Score1.42
Normalized Score0.69
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