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铁锅在预防和治疗学龄前儿童贫血中的应用。

Iron Pots for the Prevention and Treatment of Anemia in Preschoolers.

机构信息

Department of Master's Degree in Family Health, Federal University of Ceará, Av. Comandante Maurocélio Rocha Ponte, 100 - Derby, Sobral, CE, 62.042-280, Brazil.

University of Fortaleza, Fortaleza, Brazil.

出版信息

Indian J Pediatr. 2018 Aug;85(8):625-631. doi: 10.1007/s12098-017-2604-x. Epub 2018 Jan 11.

Abstract

OBJECTIVE

To assess the effect of food cooked in iron pots for the prevention and treatment of iron deficiency anemia.

METHODS

In this cluster randomized clinical trial, authors evaluated preschoolers aged 4-5 y for 16 wk. Children were cluster randomized to either eating from iron pots (Group A) or aluminum pots (Group B). Primary outcome variables were change in hemoglobin concentration and anemia prevalence. Two biochemical evaluations were performed, to determine Hb concentrations, before and after intervention. This study was conducted in two public preschools, located in the municipality of Mucambo, Ceará, in the northeast of Brazil.

RESULTS

At baseline, for group A, mean hemoglobin concentration was 12.26 ± 1.02 g/dL and 12.29 ± 0.95 g/dL after intervention, p = 0.78. In group B, mean baseline hemoglobin was 12.34 ± 1.04 g/dL, and 12.13 ± 0.86 g/dL after intervention, p = 0.07. All ten participants, who were anemic at baseline, were no longer anemic after intervention.

CONCLUSIONS

Using iron cooking pots in developing countries could provide an innovative strategy to prevent and treat iron deficiency anemia.

摘要

目的

评估用铁锅烹饪食物对预防和治疗缺铁性贫血的影响。

方法

在这项整群随机临床试验中,作者评估了年龄为 4-5 岁的学龄前儿童,为期 16 周。儿童以整群随机方式分为使用铁锅(A 组)或铝锅(B 组)的两组。主要结局变量是血红蛋白浓度变化和贫血患病率。在干预前后进行了两次生化评估,以确定 Hb 浓度。本研究在巴西东北部塞阿拉州穆坎博姆市的两所公立幼儿园进行。

结果

在基线时,A 组的平均血红蛋白浓度为 12.26±1.02g/dL,干预后为 12.29±0.95g/dL,p=0.78。B 组的基线平均血红蛋白浓度为 12.34±1.04g/dL,干预后为 12.13±0.86g/dL,p=0.07。所有在基线时贫血的 10 名参与者在干预后均不再贫血。

结论

在发展中国家使用铁锅可能是预防和治疗缺铁性贫血的一种创新策略。

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