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印度贫血幼儿对铁叶酸补充剂的行为反应。

Behavioural responses of young anaemic Indian children to iron-folic acid supplements.

作者信息

Seshadri S, Hirode K, Naik P, Malhotra S

出版信息

Br J Nutr. 1982 Sep;48(2):233-40. doi: 10.1079/bjn19820109.

DOI:10.1079/bjn19820109
PMID:7115656
Abstract
  1. Behavioural responses of young anaemic Indian children to iron-folic acid supplements were assessed in two separate studies using the Indian adaptation of Wechsler's (1967) intelligence scale for children (WISC). 2. The first study was an exploratory study in which the cognitive behaviour of 5-8-year-old children of both sexes was assessed before and after supplementation with 20 mg elemental Fe and 0.1 mg folic acid given daily for a period of 60 d. 3. The supplemented children showed a significant improvement in haemoglobin (Hb) as well as the WISC scores while the control children who did not receive any supplements failed to show an improvement either in Hb or in the WISC scores. However, within the supplemented group when the initially-anaemic children were compared with the initially-non-anaemic ones, only the 7-year-old anaemic children performed significantly poor in the tests than the non-anaemic group of the same age. The study raised the possibility that in addition to increasing the blood Hb levels, Fe-folic acid supplements may have additional benefits in improving the cognitive performance of children. 4. In the second study, cognitive behaviour of fourteen matched pairs of anaemic children in the age-range of 5-6 years was assessed before and after supplementation with 40 mg Fe and 0.2 mg folic acid given daily in two divided doses or sugar placebos for a period of 60 d. The tester did not know the groups to which each child belonged. 5. The supplemented children showed a significant improvement in Hb as well as in the verbal and performance IQ of WISC. The control children showed no improvement in Hb but their verbal IQ improved significantly. However, there was no significant improvement in their performance IQ. 6. The results indicated that Fe-folic acid supplements to anaemic children not only raised Hb levels but also improved intelligence test results, particularly in the performance section.
摘要
  1. 在两项独立研究中,采用印度版韦氏儿童智力量表(WISC,1967年)对印度贫血幼儿补充铁叶酸后的行为反应进行了评估。2. 第一项研究为探索性研究,对5至8岁的男女儿童在每日补充20毫克元素铁和0.1毫克叶酸,为期60天前后的认知行为进行了评估。3. 补充铁叶酸的儿童血红蛋白(Hb)以及WISC分数均有显著提高,而未接受任何补充剂的对照儿童Hb和WISC分数均未提高。然而,在补充铁叶酸的儿童组中,将最初贫血的儿童与最初不贫血的儿童进行比较时,只有7岁贫血儿童在测试中的表现明显低于同年龄的非贫血组。该研究提出了一种可能性,即除了提高血液Hb水平外,铁叶酸补充剂可能在改善儿童认知能力方面还有其他益处。4. 在第二项研究中,对14对年龄在5至6岁的匹配贫血儿童在每日分两次补充40毫克铁和0.2毫克叶酸或糖安慰剂,为期60天前后的认知行为进行了评估。测试者不知道每个儿童所属的组别。5. 补充铁叶酸的儿童Hb以及WISC的言语和操作智商均有显著提高。对照儿童Hb没有提高,但他们的言语智商有显著提高。然而,他们的操作智商没有显著提高。6. 结果表明,给贫血儿童补充铁叶酸不仅提高了Hb水平,还改善了智力测试结果,特别是在操作部分。

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