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Daily versus weekly iron supplementation and prevention of iron deficiency anaemia in lactating women.
East Afr Med J. 2003 Jan; 80(1):11-6.EA

Abstract

OBJECTIVE

To demonstrate the effectiveness and social feasibility of weekly versus daily iron supplementation in preventing and treating iron deficiency anaemia among anaemic mothers.

DESIGN

A longitudinal in nature.

SETTING

Seven urban slum communities in Teklehaimanot Wereda, Addis Ababa, Ethiopia.

SUBJECTS

Two hundred seven eligible mothers were assigned to the daily supplementation, weekly supplementation or control groups following randomisation between March and May 2001. The daily supplemented groups (n=71) received 60 mg of elemental iron containing 300 mg ferrous sulphate and 400 microg folic acid from Monday to Friday. The weekly group (n=68) received one tablet once a week every Monday supervised while the control group (n=68) was advised to take no medications without the knowledge of the investigators until the completion of the study. To eliminate a major source of variation, subjects participating in the study were de-wormed at the beginning of the study.

MAIN OUTCOME MEASURES

Haemoglobin and serum ferritin concentrations were compared before and after the intervention among the groups.

RESULTS

The mean haemoglobin (Hgb), and serum ferritin concentration (SFC) at baseline were practically similar among the groups. Haemoglobin levels significantly increased at the end of the study in all the groups and the proportion of anaemia decreased from 6.9% to 1.6% in the daily, 6.7% to 1.7% in the weekly supplemented and 6.7% to 6.1% in the control groups. The difference noted between the daily and weekly supplemented groups was not significant. The improvement of SFC concentration was better in the daily than the weekly group but not statistically significant. Daily supplementation schedule caused more side effects and lower compliance level than the weekly supplementation schedule.

CONCLUSION

Weekly supplementation is simple, comparable to daily supplementation and economically advantageous. Thus, it is recommended to adopt the strategy for controlling anaemia. Further because of higher compliance rate and lower side effects, it is deemed to be socially feasible.

Authors+Show Affiliations

Ethiopian Health and Nutrition Research Institute, P.O. Box 5654, Addis Ababa, Ethiopia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12755236

Citation

Haidar, J, et al. "Daily Versus Weekly Iron Supplementation and Prevention of Iron Deficiency Anaemia in Lactating Women." East African Medical Journal, vol. 80, no. 1, 2003, pp. 11-6.
Haidar J, Omwega AM, Muroki NM, et al. Daily versus weekly iron supplementation and prevention of iron deficiency anaemia in lactating women. East Afr Med J. 2003;80(1):11-6.
Haidar, J., Omwega, A. M., Muroki, N. M., & Ayana, G. (2003). Daily versus weekly iron supplementation and prevention of iron deficiency anaemia in lactating women. East African Medical Journal, 80(1), 11-6.
Haidar J, et al. Daily Versus Weekly Iron Supplementation and Prevention of Iron Deficiency Anaemia in Lactating Women. East Afr Med J. 2003;80(1):11-6. PubMed PMID: 12755236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Daily versus weekly iron supplementation and prevention of iron deficiency anaemia in lactating women. AU - Haidar,J, AU - Omwega,A M, AU - Muroki,N M, AU - Ayana,G, PY - 2003/5/21/pubmed PY - 2003/7/16/medline PY - 2003/5/21/entrez SP - 11 EP - 6 JF - East African medical journal JO - East Afr Med J VL - 80 IS - 1 N2 - OBJECTIVE: To demonstrate the effectiveness and social feasibility of weekly versus daily iron supplementation in preventing and treating iron deficiency anaemia among anaemic mothers. DESIGN: A longitudinal in nature. SETTING: Seven urban slum communities in Teklehaimanot Wereda, Addis Ababa, Ethiopia. SUBJECTS: Two hundred seven eligible mothers were assigned to the daily supplementation, weekly supplementation or control groups following randomisation between March and May 2001. The daily supplemented groups (n=71) received 60 mg of elemental iron containing 300 mg ferrous sulphate and 400 microg folic acid from Monday to Friday. The weekly group (n=68) received one tablet once a week every Monday supervised while the control group (n=68) was advised to take no medications without the knowledge of the investigators until the completion of the study. To eliminate a major source of variation, subjects participating in the study were de-wormed at the beginning of the study. MAIN OUTCOME MEASURES: Haemoglobin and serum ferritin concentrations were compared before and after the intervention among the groups. RESULTS: The mean haemoglobin (Hgb), and serum ferritin concentration (SFC) at baseline were practically similar among the groups. Haemoglobin levels significantly increased at the end of the study in all the groups and the proportion of anaemia decreased from 6.9% to 1.6% in the daily, 6.7% to 1.7% in the weekly supplemented and 6.7% to 6.1% in the control groups. The difference noted between the daily and weekly supplemented groups was not significant. The improvement of SFC concentration was better in the daily than the weekly group but not statistically significant. Daily supplementation schedule caused more side effects and lower compliance level than the weekly supplementation schedule. CONCLUSION: Weekly supplementation is simple, comparable to daily supplementation and economically advantageous. Thus, it is recommended to adopt the strategy for controlling anaemia. Further because of higher compliance rate and lower side effects, it is deemed to be socially feasible. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/12755236/Daily_versus_weekly_iron_supplementation_and_prevention_of_iron_deficiency_anaemia_in_lactating_women_ L2 - https://medlineplus.gov/breastfeeding.html DB - PRIME DP - Unbound Medicine ER -