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Daily and Weekly Iron Supplementations are Effective in Increasing Hemoglobin and Reducing Anemia in Infants.

Journal of tropical pediatrics
June 1, 2013
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 compare the effects of daily and weekly iron supplementation versus control on hemoglobin levels and anemia prevalence in infants.

Results Summary

Both weekly (25 mg) and daily (12.5 mg) iron supplementation significantly increased hemoglobin levels and reduced anemia prevalence in infants, with daily supplementation showing a stronger effect. The control group also saw a modest improvement, though less pronounced.

Population

Infants aged 12-24 months from three public daycare centers.

Effective Dosage

25 mg elemental iron once weekly (Group A); 12.5 mg elemental iron once daily (Group B).

Duration

4 months.

Interactions

None mentioned.

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
25 mg elemental iron once weekly
increase
hemoglobin levels
infants aged 12-24 months
from 8.81 ± 0.89 g/dl to 10.03 ± 0.78 g/dl
effective in increasing
#1
25 mg elemental iron once weekly
decrease
anemia prevalence
infants aged 12-24 months
from 100% to 83.3%
reducing
#2
12.5 mg elemental iron once daily
increase
hemoglobin levels
infants aged 12-24 months
from 9.70 ± 1.56 g/dl to 10.65 ± 0.97 g/dl
effective in increasing
#3
12.5 mg elemental iron once daily
decrease
anemia prevalence
infants aged 12-24 months
from 75.0% to 41.7%
reducing
#4
0.5 ml of a natural color additive
increase
hemoglobin levels
infants aged 12-24 months
from 10.96 ± 0.92 g/dl to 11.30 ± 0.80 g/dl
-
#5
0.5 ml of a natural color additive
no change
anemia prevalence
infants aged 12-24 months
from 50.0% to 37.5%
-
#6
Abstract

OBJECTIVE: The objective of this study was to evaluate the effect of daily and weekly iron supplementation compared with control on hemoglobin values and anemia prevalence in infants. METHODS: In this cluster-randomized study, we evaluated infants aged 12-24 months (n = 210) from three public daycare centers, during 4 months. Intervention-group A was allocated 25 mg elemental iron once weekly; intervention-group B received 12.5 mg elemental iron once daily; control-group C received 0.5 ml of a natural color additive. Hemoglobin was assessed before and after intervention. RESULTS: Baseline mean hemoglobin was 8.81 ± 0.89 g/dl (group A), 9.70 ± 1.56 g/dl (group B) and 10.96 ± 0.92 g/dl (group C); after intervention, mean hemoglobin was 10.03 ± 0.78 g/dl (p < 0.0001), 10.65 ± 0.97 g/dl (p < 0.0001) and 11.30 ± 0.80 g/dl (p = 0.0034) for groups A, B and C, respectively. Anemia prevalence was as follows: group A, 100% at baseline and 83.3% at end of study, p = 0.0001; group, B 75.0% and 41.7%, p = 0.0002; group C, 50.0% and 37.5%, p = 0.182. CONCLUSIONS: Weekly and daily iron supplementation were effective in increasing hemoglobin levels and reducing anemia in infants.

Medical Subject Headings (MeSH)
Anemia, Iron-DeficiencyChild, PreschoolCluster AnalysisDietary SupplementsFemaleFerrous CompoundsHemoglobinsHumansInfantIron, DietaryMaleNutritional StatusPrevalenceProgram EvaluationSocioeconomic FactorsTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations5
Citations/Year0.4
Relative Citation Ratio0.22
NIH Percentile11%
Research Impact Scores
APT Score0.25
Weight Score1.32
Normalized Score0.69
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