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一项以社区为基础的随机对照试验提供每周铁叶酸补充剂,增加了埃塞俄比亚南部少女的血清铁蛋白、叶酸和血红蛋白浓度。

A community-based randomized controlled trial providing weekly iron-folic acid supplementation increased serum- ferritin, -folate and hemoglobin concentration of adolescent girls in southern Ethiopia.

机构信息

School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

Center for Food Science and Nutrition, College of Natural and Computational Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Sci Rep. 2021 May 6;11(1):9646. doi: 10.1038/s41598-021-89115-5.


DOI:10.1038/s41598-021-89115-5
PMID:33958657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8102612/
Abstract

Adequate micronutrient status during adolescence can break the inter-generational cycle of malnutrition. This study evaluated the effect of community-based weekly iron-folic acid supplementation (WIFAS) on serum ferritin (SF), serum folate (SFol) and hemoglobin concentration (Hb) among adolescent girls. A community-based, individually randomized-controlled trial (RCT) was conducted in four villages of Wolaita and Hadiya zones. Adolescent girls (n = 226) aged 10-19 years were recruited and randomly assigned (n = 113/group) into: (i) WIFAS and (ii) control (no intervention) groups. Anthropometry, Hb concentration, and serum ferritin (SF), SFol, and C-reactive protein (CRP) was analyzed at baseline and endline. Baseline Hb, SF, SFol and CRP concentrations were similar in both groups (P > 0.05). About 47-49% of adolescents had marginal iron store (< 50 µg/l). Hb, SF, and SFol concentrations increased in the intervention group, but not in the control group (P < 0.05). Marginal iron store decreased from 49 to 12% after 3-months of WIFAS; whereas, the proportion of adolescents with elevated SF (> 15 µg/l) was slightly higher in the WIFAS than in the control group (P = 0.06). After adjusting for confounding factors in the multiple linear regression model, a three-months WIFAS intervention was associated with an improvement of 4.10 ng/ml in serum folate, 39.1 μg/l in serum ferritin, and 1.2 g/dl in hemoglobin concentration relative to the control group (P < 0.001). WIFAS intervention for three-months was effective in reducing iron and folate deficiency in adolescent girls. Future studies should evaluate the long-term impact of intermittent WIFAS.

摘要

青春期充足的微量营养素状况可以打破营养不良的代际循环。本研究评估了社区每周补充铁叶酸(WIFAS)对青春期少女血清铁蛋白(SF)、血清叶酸(SFol)和血红蛋白浓度(Hb)的影响。在沃莱塔和哈迪亚地区的四个村庄进行了一项社区为基础的、个体随机对照试验(RCT)。招募了年龄在 10-19 岁的青春期女孩(n=226),并将她们随机分为(i)WIFAS 和(ii)对照组(无干预)(n=113/组)。在基线和终点时进行了人体测量学、Hb 浓度以及血清铁蛋白(SF)、SFol 和 C 反应蛋白(CRP)的分析。两组的基线 Hb、SF、SFol 和 CRP 浓度相似(P>0.05)。约 47-49%的青少年存在边缘铁储存量(<50μg/l)。干预组的 Hb、SF 和 SFol 浓度增加,但对照组没有(P<0.05)。经过 3 个月的 WIFAS 治疗后,边缘铁储存量从 49%降至 12%;而在 WIFAS 组中,血清铁蛋白升高(>15μg/l)的青少年比例略高于对照组(P=0.06)。在校正多元线性回归模型中的混杂因素后,与对照组相比,WIFAS 干预 3 个月与血清叶酸增加 4.10ng/ml、血清铁蛋白增加 39.1μg/l 和血红蛋白浓度增加 1.2g/dl 相关(P<0.001)。WIFAS 干预 3 个月对减少青春期少女的铁和叶酸缺乏有效。未来的研究应评估间歇性 WIFAS 的长期影响。

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[3]
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[4]
Weekly iron-folic acid supplementation and its impact on children and adolescents iron status, mental health and school performance: a systematic review and meta-analysis in sub-Saharan Africa.

BMJ Open. 2024-6-11

[5]
Micronutrient deficiency and supplements in schoolchildren and teenagers.

Curr Opin Clin Nutr Metab Care. 2024-5-1

[6]
Influence of intermittent iron and folic acid supplementation on cognitive abilities among adolescent girls in northwestern Tanzania.

PLOS Glob Public Health. 2023-10-18

[7]
Serum folate deficiency and associated factors among pregnant women in Haramaya District, Eastern Ethiopia: a community-based study.

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[8]
Folate deficiency among women of reproductive age in Ethiopia: A systematic review and meta-analysis.

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[9]
Fundamental Aspects of the Development of a Model of an Integrated Health Care System for the Prevention of Iron Deficiency Anemia among Adolescent Girls: A Qualitative Study.

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本文引用的文献

[1]
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Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study.

J Environ Public Health. 2015

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