THE EFFECTIVENESS OF A SCHOOL-BASED INTERVENTION FOR THE TREATMENT OF IRON DEFICIENCY ANEMIA

Background: In Brazil, iron deficiency anemia is considered a public health problem, which has a direct impact on the process of child growth and development. To assess the impact of a powdered supplement added to food preparations, on hemoglobin (Hb) levels and other hematimetric parameters in children. Method: This study is a double-blind, community-controlled clinical trial conducted in education centers in the northeast of Brazil. In this trial, food preparations were offered with a powdered supplement, enriched with iron (intervention) and control (no supplementation), Monday through Friday, for 60 days. Two biochemical evaluations were performed to determine Hb, hematocrit (Ht), mean corpuscular volume and ferritin levels before and after the intervention. Results: For participants in the 6- to 59-month age range, we identified an increase in mean Hb concentrations and other hematimetric parameters. In the 5- to 11-year age group, there was a significant increase in both groups for Hb and Ht values, and mean Hb concentration was significantly greater in the intervention group (12.25±0.76 vs. 11.93±0.94, p<.0035). In the 12- to 14-year-olds, all variables analyzed presented an increase. Conclusions: This school-based intervention effectively increased Hb concentrations other hematimetric parameters and reduced the prevalence of anemia in children and adolescents.

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The Effect of Anemia Free Club Interventions to Improve Knowledge and Attitude of Nutritional Iron Deficiency Anemia Prevention among Adolescent Schoolgirls in Bandar Lampung City, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.3287 ◽

2020 ◽

Vol 8 (E) ◽

pp. 36-40

Author(s):

Reni Zuraida ◽

Nur Indrawati Lipoeto ◽

Masrul Masrul ◽

Judhiastuty Februhartanty

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Intervention Program ◽

Intervention Group ◽

Public Health Problem ◽

Developed Countries ◽

Deficiency Anemia ◽

Control Group ◽

Control Groups ◽

Knowledge And Attitude

BACKGROUND: Anemia in adolescent is a global public health problem affecting both developing and developed countries. Adolescents are at high risk of anemia. School-based interventions are important to decrease the anemia. AIM: This study was performed to determine the effect of anemia free club interventions to improve knowledge and attitude of nutritional iron deficiency anemia prevention among adolescent schoolgirls in Bandar Lampung City, Indonesia. METHODS: The authors conducted a quasi-experimental. The study sample consists of 55 intervention groups and 47 control groups of senior high schoolgirls in Bandar Lampung City. The intervention group attended nutrition education–based, namely, anemia free club sessions for 12 weeks, while the control group did not. The sampling technique is proportional random sampling. Before and after the intervention program, knowledge and attitude questionnaire were filled out for both the groups. A paired sample t-test was used for data analysis. p < 0.05 was considered as statistically significant effect. Finally, data were collected and analyzed by the SPSS program. RESULTS: This study known before the intervention, there were no significant differences regarding the knowledge and attitude in two groups (p > 0.05). After the intervention, there were significant differences in the levels of knowledge and attitude between intervention and control groups (p < 0.05). CONCLUSION: This analysis confirmed an effect of anemia free club interventions to improve knowledge and attitude of nutritional iron deficiency anemia prevention among adolescent schoolgirls.

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Role of Iron Supplementation in Reducing Severity of Depression: A Review

Asian Journal of Allied Health Sciences (AJAHS) ◽

10.52229/ajahs.v5i1.646 ◽

2020 ◽

pp. 67-76

Author(s):

OJS Admin

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Iron Supplementation ◽

Reproductive Age ◽

Deficiency Anemia ◽

Essential Nutrient ◽

Severity Of Depression ◽

The Impact ◽

Clinical Problems

Depression is a public health disorder, ranking third after respiratory and cardiac diseases. There were many evidences that iron deficiency anemia (IDA) is one of the foremost causes regarding nutritional pointof view for depression. We reviewed these evidences that IDAlinking to depression. We identified seventeen studies in four databases including randomized-controlled trials (RCTs) and observational studies assessing the impact of IDAand iron supplementation on the risk of depression. We extracted data on the basis of sample size, geographical region, measures of depression, hemoglobin, iron levels and intake of iron supplementation and critically appraised the results from the studies. Eleven out of sixty one studies were experimental, which indicated that dietary supplementation particularly iron supplementation had an association (r − 0.19 to −0.43 and ORs 1.70–4.64) with severity of depression. Evidences showed that women of reproductive age were more vulnerable to iron deficiency anemia than other population. Low ferritin and low hemoglobin level were associated with severity of depression. Iron is an essential nutrient for all living creatures, as a cofactor of various enzymes and plays significant role in environmental stimulant for the articulation of numerous virulence factors. Many clinical problems are caused by iron deficiency. Therefore, this review intended to highlight the important role of iron supplementation in reducing the severity of depression.

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The impact of Helicobacter pylori infection on iron deficiency anemia in pregnancy

Iraqi Journal of Hematology ◽

10.4103/ijh.ijh_19_17 ◽

2017 ◽

Vol 6 (2) ◽

pp. 60 ◽

Cited By ~ 3

Author(s):

EamanMarouf Muhammad ◽

MiamiAbdul Hassan Ali ◽

BanHadi Hameed ◽

HalaHashim Hasoobe

Keyword(s):

Helicobacter Pylori ◽

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Helicobacter Pylori Infection ◽

Deficiency Anemia ◽

Anemia In Pregnancy ◽

The Impact ◽

In Pregnancy

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Fighting Iron-Deficiency Anemia: Innovations in Food Fortificants and Biofortification Strategies

Foods ◽

10.3390/foods9121871 ◽

2020 ◽

Vol 9 (12) ◽

pp. 1871

Author(s):

Ângela Liberal ◽

José Pinela ◽

Ana Maria Vívar-Quintana ◽

Isabel C. F. R. Ferreira ◽

Lillian Barros

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Iron Content ◽

Public Health Problem ◽

Food Product ◽

Deficiency Anemia ◽

Special Focus ◽

Food Fortification ◽

Iron Form ◽

Scientific Challenge

Iron deficiency remains one of the main nutritional disorders worldwide and low iron intake and/or bioavailability are currently the major causes of anemia. To fight this public health problem, the scientific challenge is to find an iron form with sufficient bioavailability to increase its levels in humans through food fortification. In turn, biofortification appears as a comparatively advantageous and bearable strategy for the delivery of vitamins and other micronutrients for people without access to a healthy and diverse diet. This approach relies on plant breeding, transgenic techniques, or agronomic practices to obtain a final food product with a higher iron content. It is also known that certain food constituents are able to favor or inhibit iron absorption. The management of these compounds can thus successfully improve the absorption of dietary iron and, ultimately, contribute to fight this disorder present all over the world. This review describes the main causes/manifestations of iron-deficiency anemia, forms of disease prevention and treatment, and the importance of a balanced and preventive diet. A special focus was given to innovative food fortification and biofortification procedures used to improve the iron content in staple food crops.

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Pengaruh Aplikasi Android Aneminfo terhadap Pengetahuan dan Sikap Remaja Putri terkait Anemia Defisiensi Besi

JURNAL PROMOSI KESEHATAN INDONESIA ◽

10.14710/jpki.15.2.65-69 ◽

2020 ◽

Vol 15 (2) ◽

pp. 65-69

Author(s):

Rizki Septia Saraswati ◽

Apoina Kartini ◽

Farid Agushybana

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Young Women ◽

Intervention Group ◽

Deficiency Anemia ◽

Control Group ◽

Android Application ◽

Educational Media ◽

Knowledge And Attitudes ◽

Validated Questionnaire

Background: Iron deficiency anemia is one of the nutritional problems that still occur in Indonesia which is common in young women. Early nutrition education is needed to prevent these problems. The purpose of this study was to analyze the effect of the android-based educational media "Aneminfo" on the knowledge and attitudes of young women regarding iron deficiency anemia. Method: This research was conducted with a quasi-experimental design with a pre-post control group design with a sample of 37 people for each group taken from 2 vocational schools in the city of Semarang. The intervention was carried out using educational media in the form of the “Aneminfo” android application. Changes in knowledge and attitudes between before and after the intervention were measured using a validated questionnaire and tested using the Wilcoxon and Mann-Whitney tests. Results: The results showed a significant increase in knowledge in the intervention group (p = 0.001), and there was a significant increase in attitude in the intervention group (p = 0.011) compared to the control group. The conclusion of this study is the Aneminfo android application can be an alternative media for the government and health workers in providing education about iron deficiency anemia to increase adolescent knowledge and prevent anemia from an early age.

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Associations Between Iron Deficiency Anemia and Wages in India: A Secondary Data Analysis (P22-016-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz042.p22-016-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Sanchit Makkar ◽

Sumedha Minocha ◽

Kishor Bhat ◽

Anjaly John ◽

Sumathi Swaminathan ◽

...

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Least Square ◽

Sample Survey ◽

Deficiency Anemia ◽

Research Centre ◽

Iron Fortification ◽

Percentage Points ◽

Wide Range ◽

The Impact

Abstract Objectives Economic analyses add value beyond evidence to the implementation of any policy. The study explored the association between iron deficiency anemia (IDA) and the wages of adult men and women between 15- 49 years in India so that the possible monetary benefits of iron fortification policies could be evaluated. Methods National sample survey organization (NSSO) Employment- Unemployment data was statistically matched with the NSSO Consumer Expenditure data at an individual level for the year 2011–12. The anemia levels (assuming 50% of anemia was due to iron deficiency) was mathematically modelled in response to a wide range of nutrient intakes, including iron intake from heme and non-heme sources along with inhibitors and enhancers in the diet, adjusting for bioavailability, sanitation and menstrual losses in women. A two-stage Heckman selection model was used to establish the association between wages and IDA. In the first stage, a probit model was used to determine labour force participation and in the second stage, an ordinary least square model, corrected for sample selection bias, was used to determine the impact of IDA on wages. Results The presence of IDA resulted in a decline of 15.3 percentage points in wages of regular salaried employed men as compared to those without IDA. Similar patterns was observed for women but the impact of anemia on wages was lower in comparison to men. Among women, a decline of 8.0 percentage points was observed in the wages of regular salaried employed women compared to those without IDA. However, the presence of IDA had no significant impact on the wages of casual labourers. This indicated that there were other random factors that affected the wages of this segment of population. Conclusions There is an association between IDA and wages for a segment of working population. Addressing anemia through iron fortification programs such as the usage of double fortified salt could possibly change living standards of the population through improvement in earnings. Funding Sources International Development Research Centre, Canada; Tata Trusts, India.

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THE IMPACT OF OBESITY ON THE COURSE OF IRON DEFICIENCY ANEMIA IN WOMEN AND ASSESSMENT OF THEIR QUALITY OF LIFE

Likarska sprava ◽

10.31640/jvd.4.2019(4) ◽

2019 ◽

pp. 22-28

Author(s):

V. M. Nedoborenko ◽

I. P. Kaidashev

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Iron Deficiency ◽

Body Mass ◽

Iron Deficiency Anemia ◽

Reproductive Age ◽

Deficiency Anemia ◽

Control Group ◽

The Impact

Iron deficiency anemia (IDA) is one of the causes of chronic fatigue with a decrease in the quality of life, impaired cognitive function and poor labor productivity. Obesity as a condition of chronic low-intensity inflammation is one of the factors that increases the risk of anemia and impairs the quality of life in the general population. We drew attention to the high global prevalence of anemia among pregnant women of reproductive age in the world and the prevalence of high body mass index among women compared to men in most countries. The objective of the work was to determine the impact of obesity on clinical features and quality of life of women with ІDA. We analyzed the main markers of ІDA and hematologic indices in women with obesity (n = 30) compared with the control group (n = 10), where there were women with ІDA but without obesity. It was found that there was no statistical difference between these parameters, but nevertheless, the serum ferritin level in obese women was (4.70 ± 2.68) ng/ml compared to (3.50 ± 2.93) ng/ml and had a significant positive correlation with body mass index. The analysis of the questionnaires revealed that obesity is still a significant factor in women with ІDA and obesity, which determines the decrease in quality of life mainly in the physical aspect in the absence of significant influence on the psychosocial components of health.

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Effect of Different Complementary Feeding on Iron Deficiency Anemia and Growth in Breastfed Infants: Home-Made VS Commercial

Folia Medica Indonesiana ◽

10.20473/fmi.v55i2.14337 ◽

2019 ◽

Vol 55 (2) ◽

pp. 112

Author(s):

Roedi Irawan ◽

Nur Aisiyah Widjaja ◽

Meta Herdiana Hanindita

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Serum Iron ◽

Complementary Feeding ◽

Feeding Practices ◽

Child Growth ◽

Complementary Food ◽

Deficiency Anemia ◽

Complementary Foods ◽

Breastfed Infants

After approximately 6 months of age, term breastfed infants are increasingly depend on other sources of iron to avoid iron deficiency anemia, due to the depletion of the low concentration of iron in human milk. The appropriate complementary feeding must include a balance composition of foods containing an adequate amount of macro- and micronutrients to avoid iron deficiency anemia. This study aimed to compare the risk of iron deficiency and growth in breastfeed infants receiving commercial fortified complementary foods or home-made. A cross-sectional study was held on April-June 2016 to evaluate infants aged 6-24 months with breast feeding intake for 6 month of life. Complementary feeding practices were determined by questionnaire; an unquantified food frequency and feeding practices questionnaire was used to determine usual food intake. Biochemical assessment of haemoglobin (Hb), serum ferritin (SF) and serum iron (SI) level were measured. Anthropometric were assessed using WHO Child Growth Standard 2005. Statistical analysis used were Chi-square Test. Thirty eight infants were enrolled, mean age of 16.2 (SD 10.5) months. 17 infants consumed commercial complementary foods and 21 infants use home-made. Infants with home-made had lower Hb level, SF and SI than those receiving commercial complementary food, and had higher risk of underweight, stunted and wasted. Infants with home-made complementary food had lower haemoglobin, serum feritin and serum iron levels than those in fortified complementary food CF; and a higher risk of stunted and wasted than children with commercial fortified CF.

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A Life Course Approach to the Prevention of Iron Deficiency Anemia in Indonesia

Nutrients ◽

10.3390/nu14020277 ◽

2022 ◽

Vol 14 (2) ◽

pp. 277

Author(s):

Ali Sungkar ◽

Saptawati Bardosono ◽

Rima Irwinda ◽

Nurul R. M. Manikam ◽

Rini Sekartini ◽

...

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

Life Stage ◽

Public Health Problem ◽

Nutritional Intervention ◽

Deficiency Anemia ◽

Clinical Psychologist ◽

Major Public Health Problem ◽

Nutritional Interventions ◽

Long Term Impact

Iron deficiency anemia (IDA) has a long-term impact on each life stage and remains worldwide a major public health problem. Eleven experts were invited to participate in a virtual meeting to discuss the present situation and the available intervention to prevent iron deficiency anemia in Indonesia. The experts consisted of obstetric gynecologists, pediatricians, nutritionists, midwives, a clinical psychologist, and an education expert. Existing interventions focus attention on preconception and early childhood stages. Considering the inter-generational effects of IDA, we call attention to expanding strategies to all life stages through integrating political, educational, and nutritional interventions. The experts agreed that health education and nutritional intervention should be started since adolescence. Further research to explore the effectiveness of these interventions would be important for many regions in the world. The outcome of this Indonesian consensus is applicable worldwide.

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Urinary schistosomiasis and iron deficiency anemia among Malian school children

African Journal of Food, Agriculture, Nutrition and Development ◽

10.18697/ajfand.30.3785 ◽

2009 ◽

Vol 9 (30) ◽

pp. 1845-1858

Author(s):

Mohamed Ayoya ◽

◽

KM Koné ◽

AK Traoré ◽

Keyword(s):

Iron Deficiency ◽

Iron Deficiency Anemia ◽

School Children ◽

Schistosoma Haematobium ◽

Public Health Problem ◽

Capital City ◽

Deficiency Anemia ◽

Sample Population ◽

Major Public Health Problem ◽

Urinary Schistosomiasis

Anemia continues to be a major public health problem in many countries. The prevalence and intensity of urinary schistosomiasis, which contributes to anemia, often peak at school age adding to that age group’s nutrition and disease burdens. However, unlike malaria and hookworm infections, little is known on the role of urinary schistosomiasis in iron deficiency anemia. The objective of this study was to assess the prevalence of iron deficiency anemia and the effect of iron supplementation on hemoglobin (Hb) and serum ferritin (SF) levels among school children infected with Schistosoma haematobium in Bamako, the capital city of Mali. A total of 150 anemic school children between 7 and 12 years were randomly assigned to receive either 40mg/kg of praziquantel or 40mg/kg of praziquantel (P) + daily 66 mg of iron (Fe), five days a week for three months. Hb and SF were measured at baseline and at 6 and 12 weeks of the intervention. Only children who had complete Hb and SF data at each stage of the trial were included in the statistical analyses (n = 74 in the P+Fe group; n = 66 in the P group). At baseline, mean Hb (g/dl) was 10.53±0.93 in the P group and 10.47±1.17 in the Fe+P group; mean SF (µg/l) was 34.39±37.58 in the P group and 29.82±23.34 in the Fe+P group, and the prevalence of iron deficiency was 17.2%. At 6 and 12 weeks of the intervention, there was an important reduction in anemia and in iron deficiency in both treatment groups. Mean Hb (g/dl) was higher in the Fe+P group (11.63±0.88 and 11.55±0.94) than in the P group (11.14±0.98 and 10.84±0.86) at 6 and 12 weeks, respectively. Mean SF (µg/l) was also higher in the P+Fe group (74.26±40 and 100.29±53.92) than in the P group(40.65±35.63 and 40.70±29.57) at 6 and 12 weeks, respectively. In these Schistosoma haematobium infected children, iron deficiency was prevalent and treatments with P alone or in combination with Fe supplementation were able to increase hemoglobin and iron stores. Neither P nor P+Fe by alone completely reversed anemia in this sample population.

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