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越南农村地区的产前铁补充

Prenatal iron supplementation in rural Vietnam.

作者信息

Aikawa R, Jimba M, Nguen K C, Binns C W

机构信息

School of Public Health, Curtin University of Technology, Perth, Australia.

出版信息

Eur J Clin Nutr. 2008 Aug;62(8):946-52. doi: 10.1038/sj.ejcn.1602812. Epub 2007 May 23.

Abstract

OBJECTIVE

To assess the potential impact of a national iron supplementation programme in rural Vietnam.

METHODS

The study included questionnaires, focus group discussions of pregnant women and key informant interviews, together with measurements of haemoglobin (Hb) and a stool examination for soil-transmitted helminths.

RESULTS

Iron supplementation significantly increased Hb concentration among participants in the second and third trimesters by 0.4 and 0.7 g/dl, respectively (P=0.017 and P<0.001). The risk of anaemia (Hb <10.0 g/dl) was increased significantly by hookworm infestation (P=0.041) and in summer season (P=0.001) and was decreased significantly by taking iron tablets (P=0.041).

CONCLUSIONS

The results of this study show that an iron supplementation programme is beneficial as a part of a comprehensive anaemia programme for pregnant women in these communities. These results will be useful for developing improved iron-deficiency anaemia control programs for pregnant women.

摘要

目的

评估越南农村地区一项全国性补铁计划的潜在影响。

方法

该研究包括问卷调查、孕妇焦点小组讨论和关键 informant 访谈,以及血红蛋白(Hb)测量和土壤传播蠕虫的粪便检查。

结果

补铁显著提高了孕中期和孕晚期参与者的 Hb 浓度,分别提高了 0.4 和 0.7 g/dl(P = 0.017 和 P < 0.001)。钩虫感染(P = 0.041)和夏季(P = 0.001)显著增加了贫血风险(Hb < 10.0 g/dl),而服用铁片显著降低了贫血风险(P = 0.041)。

结论

本研究结果表明,补铁计划作为这些社区孕妇综合贫血计划的一部分是有益的。这些结果将有助于制定改进的孕妇缺铁性贫血控制计划。

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