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印度尼西亚学龄儿童的每日和每周铁补充与身体生长

Daily and weekly iron supplementation and physical growth of school age Indonesian children.

作者信息

Soemantri A G, Hapsari D E, Susanto J C, Rohadi W, Tamam M, Irawan P W, Sugianto A

机构信息

Department of Pediatrics, Medical School, Diponegoro University, Semarang, Indonesia.

出版信息

Southeast Asian J Trop Med Public Health. 1997;28 Suppl 2:69-74.

PMID:9561637
Abstract

OBJECTIVE

To investigate the effect of 3 months iron supplementation on physical growth among anemic school children given daily and weekly and to know the response based on hemoglobin level.

SUBJECT

One hundred forty-four children were measured for height, weight and hemoglobin level. Ninety seven children were anemic (67.36%) with Hb level < 12 g/dl and forty seven children were non anemic. anemic children were divided into 2 subgroups and randomly assigned to either daily and weekly Fe treatment for 12 weeks. The non anemic group were treated with weekly iron supplementation, which was accepted by the parents.

OUTCOME MEASURES

Children's height, weight, and hemoglobin of T1 and T2 food recall method was used to know calorie, protein, vitamin C and iron intake in both daily and weekly subgroups. Three days food recall was performed in the second and third months by a nutritionist.

RESULT

After iron supplementation, the hemoglobin level in both group increased significantly. The average change of hemoglobin between the 2 groups gave no significant difference. W/A and H/A after iron supplementation showed significantly increased in both groups. The average change of W/A and H/A between the 2 groups gave no significant difference.

CONCLUSION

Daily and weekly iron supplementation showed no significant difference in increasing of hemoglobin level and physical growth. Further research must be done with appropriate sample size and well design.

摘要

目的

研究每日和每周补铁3个月对贫血学童身体生长的影响,并了解基于血红蛋白水平的反应。

对象

对144名儿童进行身高、体重和血红蛋白水平测量。97名儿童贫血(67.36%),血红蛋白水平<12g/dl,47名儿童非贫血。贫血儿童分为2个亚组,随机分配接受每日或每周补铁治疗12周。非贫血组接受每周补铁治疗,家长同意。

观察指标

采用T1和T2儿童身高、体重及血红蛋白食物召回法了解每日和每周亚组的热量、蛋白质、维生素C和铁摄入量。在第二个月和第三个月由营养师进行三天食物召回。

结果

补铁后,两组血红蛋白水平均显著升高。两组之间血红蛋白的平均变化无显著差异。补铁后两组的体重/年龄(W/A)和身高/年龄(H/A)均显著增加。两组之间W/A和H/A的平均变化无显著差异。

结论

每日和每周补铁在提高血红蛋白水平和身体生长方面无显著差异。必须进行样本量合适且设计良好的进一步研究。

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