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Prevention and Treatment of Anemia in Infants through Supplementation, Assessing the Effectiveness of Using Iron Once or Twice Weekly.

Journal of tropical pediatrics
April 1, 2016
Tárcio Aragão Matos et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of once weekly versus twice weekly iron supplementation on hemoglobin levels and anemia prevalence in infants.

Results Summary

Both once and twice weekly iron supplementation increased mean hemoglobin levels, but twice weekly supplementation showed more significant improvements in hemoglobin concentration and greater reduction in anemia prevalence.

Population

Infants aged 6-18 months.

Effective Dosage

25 mg elemental iron once weekly (Group-A) or twice weekly (Group-B).

Duration

16 weeks.

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
once weekly iron supplementation (IS)
increase
mean Hb concentration
infants aged 6-18 months
from 10.8 ± 1.18 g/dl to 11.2 ± 1.07 g/dl
increased
#1
once weekly iron supplementation (IS)
no change
anemia prevalence
infants aged 6-18 months
from 52.5% to 37.5%
no significant change
#2
twice weekly iron supplementation (IS)
increase
mean Hb concentration
infants aged 6-18 months
from 10.7 ± 1.04 g/dl to 11.3 ± 0.91 g/dl
increased
#3
twice weekly iron supplementation (IS)
decrease
anemia prevalence
infants aged 6-18 months
from 57.9% to 36.8%
reduced
#4
twice weekly iron supplementation (IS)
increase
mean Hb concentration
infants aged 6-18 months
-
provided more significant results
#5
Abstract

BACKGROUND: The objective of this study was to compare the effect of once weekly iron supplementation (IS) versus twice weekly, on hemoglobin (Hb) levels and anemia prevalence. METHODS: In this cluster-randomized clinical trial study, we evaluated infants aged 6-18 months. Length of intervention: 16 weeks. Infants were cluster randomized to either 25 mg elemental iron once weekly (Group-A) or twice weekly (Group-B). Primary outcome variables were change in Hb concentration and anemia prevalence. Two biochemical evaluations were performed to determine Hb concentrations, before and after intervention. RESULTS: For Group-A, at baseline, mean Hb concentration was 10.8 ± 1.18 g/dl and after intervention 11.2 ± 1.07 g/dl,p = 0.12; anemia prevalence was 52.5% at baseline and 37.5% after intervention,p = 0.18; Group-B, mean baseline Hb was 10.7 ± 1.04 g/dl, and 11.3 ± 0.91 g/dl after intervention,p = 0.002; anemia prevalence reduced from 57.9 to 36.8%. CONCLUSIONS: Both once and twice weekly IS increased mean Hb concentration; however, twice weekly supplementation provided more significant results.

Medical Subject Headings (MeSH)
Anemia, Iron-DeficiencyBrazilCluster AnalysisDietary SupplementsDose-Response Relationship, DrugDrug Administration ScheduleFemaleFerritinsFerrous CompoundsHemoglobinsHumansInfantIron, DietaryMalePrevalenceSocioeconomic FactorsTime FactorsTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations4
Citations/Year0.4
Relative Citation Ratio0.24
NIH Percentile12.5%
Research Impact Scores
APT Score0.25
Weight Score1.66
Normalized Score0.66
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