Effects of iron supplementation and nutrition education on haemoglobin, ferritin and oxidative stress in iron-deficient female adolescents in Palestine: randomized control trial

Undernutrition and hidden hunger threaten the survival, growth, and development of children, young people, economies, and nations. Inappropriate complementary feeding practice due to poor maternal knowledge and awareness in combination with low income and infectious disease is the contributing factor for child undernutrition. Hence, this study was aimed at determining the effect of nutrition education on improving the knowledge and practice of complementary feeding of the mothers with 6- to 23-month old children in daycare centers of Hawassa Town, Southern Ethiopia. An institution-based randomized control trial design was employed. Daycare centers were randomly allocated for the intervention group and the control group. Among the total daycare centers in the town, five were assigned to receive nutrition education and the rest five for the control group (CG). The simple random sampling technique used to select individual participants from each daycare center. Two hundred (200) mother-child pairs (100 for each group) were recruited. Sociodemographic and economic variables were collected by the structured questionnaire. Knowledge of appropriate complementary feeding was assessed by seven knowledge questions. Appropriate complementary feeding practice was assessed by adapting Alive and Thrive Infant and Young Child Feeding (IYCF) practice guidelines. Nutrition education was given for four consecutive months by using Alive and Thrive IYCF guidelines. Data were analyzed by the SPSS software program version 20. The chi-squared test was used to test the significant differences in the proportion of good knowledge and good practice of complementary feeding and good dietary diversity between two groups. The independent t test was used to test the significant differences in mean dietary diversity between two groups. At 95% confidence interval, p<0.05 was considered statistically significant. The results revealed that the proportion of mothers with good knowledge of appropriate complementary feeding was increased from 59% at pretest to 96% at posttest and the appropriate complementary feeding practice was improved from 54% at pretest to 86% at posttest in IG. There was no change in the knowledge and practice of complementary feeding practice in CG after four months. The proportion of mothers with good complementary knowledge was 54% both at pretest and at posttest and good complementary feeding practice was 51% and 52% at pre- and posttest in CG, respectively. There was no significant difference (p>0.05) on complementary feeding knowledge and practice between two groups at pretest, while the difference was highly significant (p<0.05) at the posttest. In conclusion, providing nutrition education improved the appropriate complementary feeding knowledge and practice of mothers. In recommendation, government and other partners working on sustainable child nutrition reduction should focus on the nutrition education to improve the knowledge and appropriate complementary feeding practice including daycare centers.

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Effect of iron supplementation on intestinal function and oxidative stress in piglets with induced colitis

Journal of Animal and Feed Sciences ◽

10.22358/jafs/66739/2007 ◽

2007 ◽

Vol 16 (2) ◽

pp. 205-213 ◽

Cited By ~ 4

Author(s):

Q. Chen ◽

G. Le ◽

Y. Shi ◽

Sh. Zhang ◽

X. Jin

Keyword(s):

Oxidative Stress ◽

Iron Supplementation ◽

Intestinal Function ◽

And Oxidative Stress

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Effect of iron supplementation during lactation on maternal iron status and oxidative stress: A randomized controlled trial

Maternal and Child Nutrition ◽

10.1111/mcn.12394 ◽

2016 ◽

Vol 13 (4) ◽

Cited By ~ 1

Author(s):

Josh M. Jorgensen ◽

Zhenyu Yang ◽

Bo Lönnerdal ◽

Caroline J. Chantry ◽

Kathryn G. Dewey

Keyword(s):

Oxidative Stress ◽

Randomized Controlled Trial ◽

Iron Supplementation ◽

Iron Status ◽

Controlled Trial ◽

Randomized Controlled ◽

Maternal Iron ◽

And Oxidative Stress

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Minimal Impact of Nutrition Education and Fruit and Vegetable Consumption on Biomarkers of Inflammation and Oxidative Stress

European Journal of Nutrition & Food Safety ◽

10.9734/ejnfs/2015/15994 ◽

2015 ◽

Vol 5 (3) ◽

pp. 179-189

Author(s):

Meredith Wagner ◽

Yeong Rhee ◽

Kerrie Hert-Honrath ◽

Elizabeth Salafia ◽

Donna Terbizan

Keyword(s):

Oxidative Stress ◽

Nutrition Education ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetable ◽

Minimal Impact ◽

And Oxidative Stress

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Effects of Culturally Tailored Nutrition Education on Dietary Quality of Hispanic Mothers: A Randomized Control Trial

Journal of Nutrition Education and Behavior ◽

10.1016/j.jneb.2019.06.017 ◽

2019 ◽

Vol 51 (10) ◽

pp. 1168-1176 ◽

Cited By ~ 5

Author(s):

Amber J. Hammons ◽

Bridget A. Hannon ◽

Margarita Teran-Garcia ◽

Maribel Barragan ◽

Elizabeth Villegas ◽

...

Keyword(s):

Nutrition Education ◽

Randomized Control Trial ◽

Dietary Quality ◽

Culturally Tailored ◽

Hispanic Mothers ◽

Randomized Control

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Effects Of 5-week Summer School Program On Inflammatory Markers And Oxidative Stress In Female Adolescents

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000519375.88634.a8 ◽

2017 ◽

Vol 49 (5S) ◽

pp. 877

Author(s):

Myung Dong Choi ◽

Kyung Shin Park

Keyword(s):

Oxidative Stress ◽

Inflammatory Markers ◽

Summer School ◽

Female Adolescents ◽

School Program ◽

And Oxidative Stress

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Improvement in Knowledge, Attitude and Practice of Iron Deficiency Anaemia among Iron-Deficient Female Adolescents after Nutritional Educational Intervention

Global Journal of Health Science ◽

10.5539/gjhs.v9n7p15 ◽

2017 ◽

Vol 9 (7) ◽

pp. 15 ◽

Cited By ~ 2

Author(s):

Marwan O. Jalambo ◽

Razinah Sharif ◽

Ihab A. Naser ◽

Norimah A. Karim

Keyword(s):

Iron Deficiency ◽

Nutrition Education ◽

Iron Deficiency Anaemia ◽

Intervention Group ◽

Female Adolescents ◽

Education Intervention ◽

Deficiency Anaemia ◽

Attitude And Practice ◽

Iron Deficient ◽

Knowledge Attitude And Practice

Anaemia and iron deficiency are very common worldwide among female adolescents. There is a dearth of literature concerning the knowledge, attitude and practice (KAP) regarding iron deficiency anaemia (IDA). The magnitude of anaemia as a health problem is enormous and can be engaged by increasing awareness and the promotion of correct attitudes and practices. The study aims to evaluate the effectiveness of a nutrition education intervention in iron deficiency anaemia on the knowledge, attitude, and practice (KAP) among iron-deficient female adolescents in the Gaza Strip. In this intervention study, 89 female adolescents aged 15–19 were recruited and randomly divided into intervention and control groups. Both of the groups received iron supplementation (ferrous fumarate 200 mg) weekly for three months. The intervention group attended nutrition education sessions for 3 months, while the control group did not. The two groups completed KAP questionnaires at baseline and after six months. The nutrition education intervention consisted of lectures, presentations, interactive discussions using posters, and the distribution of information booklets and brochures about proper nutrition, and was conducted for three months. KAP and overall scores before and after the intervention were compared using the Wilcoxon signed ranks test, as the scores did not show normal distribution. Our findings revealed that overall, the female adolescents’ knowledge improved significantly after a nutrition education intervention, as the percentage of good knowledge (≥50 %) was 22.7% pre-nutrition educational intervention, and increased to 90.9% post intervention (p <0.001) in the intervention group. Attitude and practice also improved from 36.4% and 54.5% at pre-test to 75.5 % and 75.5% (p <0.001 and p <0.002) at post-test, respectively. Nutrition education intervention has an impact on improving knowledge, attitude and practices of iron-deficient female adolescents compared with control. The nutrition programme should be adopted and integrated into comprehensive intervention programmes to target IDA among adolescents at various levels in Palestine.

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