Federal University of Ceara, Sobral Unit, Av. Comandante Maurocélio Rocha Ponte, 100 - Derby, 62.042-280 - Sobral - CE, Brazil.
J Trop Pediatr. 2012 Oct;58(5):370-4. doi: 10.1093/tropej/fms003. Epub 2012 Feb 16.
This study evaluates the impact of a milk-based cornstarch porridge fortified with iron, in 4-year olds, compared with control on hemoglobin levels and anemia prevalence. This trial was a cluster-randomized, double-blind one, and used milk-based cornstarch porridge fortified with 10 mg elemental iron (FeSO(4)), daily, during 14 weeks, compared with control. The study population comprised 4-year-old preschoolers (n = 131). Mean hemoglobin values at baseline were found to be 10.6 ± 0.61 g dl(-1) for intervention group, and after intervention 11.5 ± 0.80 g/dl, p < 0.0001. For control, mean hemoglobin values at baseline were 10.9 ± 0.53 g/dl, and after intervention 11.2 ± 0.73, p < 0.0001. The increase in mean hemoglobin was much greater in the intervention than in the control group, 0.86-0.26 g dl(-1), respectively (p < 0.0001). Anemia prevalence reduced from 75% to 20%, p < 0.0001, in the intervention group, with no reduction in the control group. Number needed for treatment was four. This study showed that milk-based cornstarch porridge fortified with ferrous sulfate increased hemoglobin levels and reduced anemia prevalence in 4-year-old preschoolers.
本研究评估了在 4 岁儿童中,与对照组相比,强化铁的牛奶基玉米淀粉粥对血红蛋白水平和贫血患病率的影响。这是一项集群随机、双盲试验,在 14 周内每天给儿童食用强化了 10 毫克元素铁(FeSO4)的牛奶基玉米淀粉粥,与对照组相比。研究人群包括 4 岁的学龄前儿童(n = 131)。干预组血红蛋白值的平均值在基线时为 10.6 ± 0.61 g/dl,干预后为 11.5 ± 0.80 g/dl,p < 0.0001。对照组血红蛋白值的平均值在基线时为 10.9 ± 0.53 g/dl,干预后为 11.2 ± 0.73 g/dl,p < 0.0001。干预组血红蛋白值的平均增加量明显大于对照组,分别为 0.86-0.26 g/dl(p < 0.0001)。贫血患病率从干预组的 75%降至 20%,p < 0.0001,而对照组则没有降低。治疗所需人数为 4 人。本研究表明,强化硫酸亚铁的牛奶基玉米淀粉粥可提高 4 岁学龄前儿童的血红蛋白水平并降低贫血患病率。