Childs F, Aukett A, Darbyshire P, Ilett S, Livera L N
Northern Birmingham Community NHS Trust, Child Health Medical Services, Worcester.
Arch Dis Child. 1997 Feb;76(2):144-7. doi: 10.1136/adc.76.2.144.
To assess if a dietary health education programme could be used within existing health resources to reduce the incidence of iron deficiency anaemia in an inner city population.
Prospective cohort study.
Inner city areas of west and south Birmingham.
A total of 1000 children recorded on the child health computer register.
Children were recruited at birth and randomised into control and intervention groups. Families in the intervention group received specific health education information at key ages by face to face contact using a range of materials. The control group received standard health education as delivered by the health visitors at the time.
Haemoglobin estimation and iron content of the diet at 18 months of age.
A total of 455 children completed the study. Sixty nine (27%) of the control group and 55 (28%) of the intervention group were anaemic as defined by haemoglobin less than 110 g/l. There was no difference in the iron content of the diets offered to the two groups of children.
In this deprived population we have shown no reduction in anaemia using a targeted nutritional programme and have highlighted the difficulties in conducting health education programmes within the scope of current health resources.
评估在现有卫生资源范围内，饮食健康教育计划能否用于降低市中心城区人群缺铁性贫血的发病率。
前瞻性队列研究。
伯明翰西部和南部的市中心城区。
儿童健康计算机登记册上记录的1000名儿童。
儿童在出生时被招募，并随机分为对照组和干预组。干预组的家庭在关键年龄段通过面对面接触，使用一系列资料接受特定的健康教育信息。对照组接受当时健康访视员提供的标准健康教育。
18个月大时的血红蛋白估计值和饮食中的铁含量。
共有455名儿童完成了研究。按照血红蛋白低于110g/L的定义，对照组中有69名（27%）儿童贫血，干预组中有55名（28%）儿童贫血。两组儿童所提供饮食中的铁含量没有差异。
在这个贫困人群中，我们发现使用有针对性的营养计划并不能降低贫血发生率，同时也凸显了在当前卫生资源范围内开展健康教育计划的困难。
