Dietary treatment of iron deficiency in women of childbearing age

Patterson, Amanda; Brown, Wendy J.; Roberts, David; Seldon, Michael

doi:10.1093/ajcn/74.5.650

Cited by 61 publications

(88 citation statements)

References 14 publications

(25 reference statements)

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“…Moreover, consumption of GLV was not associated with Hb level or prevalence of IDA probably due to the short recall period. Lack of significant changes in Fe intake even after supplementation of Fe for 9 months was attributed to inaccuracies and insufficient power to detect changes in dietary data (32) . Although lower intakes of micronutrient-rich foods like GLV, fruits and milk have been reported (19) in mothers from India, the social aspects associated with it have received little attention.…”

Section: Discussionmentioning

confidence: 99%

Social dimensions related to anaemia among women of childbearing age from rural India

Rao

Joshi

Bhide

et al. 2010

Public Health Nutr.

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Objective: To examine various sociodemographic aspects related to consumption of micronutrient-rich foods like green leafy vegetables (GLV), which will be helpful in modifying dietary habits, a strategy that merits consideration for prevention of anaemia. Design: Cross-sectional study for collecting data on socio-economic and anthropometric (weight, height) variables, Hb, dietary pattern (FFQ) and peripheral smear examination for classifying nutritional and iron-deficiency anaemia (IDA). Setting: Three villages near Pune city, Maharashtra, India. Subjects: Rural women (n 418) of childbearing age (15-35 years). Results: Mean Hb was 11?07 g/dl. Seventy-seven per cent of the women were anaemic (Hb , 12 g/dl) and 28 % had IDA, indicating that a large proportion of the women had nutritional anaemia. Higher prevalence of IDA was associated with several sociodemographic and maternal parameters, but multiple logistic regression analysis showed significant (P , 0?05) risk of IDA with lower body weight (,40 kg), short maternal height (,145 cm), younger age at marriage (,19 years) and higher parity ($2). Various socio-cultural reasons associated with low consumption of GLV included non-cultivation of GLV, priority for selling them rather than home consumption, dislike of GLV by husband and children, and lack of awareness about different recipes for GLV. Conclusions: Our findings highlight that low consumption of GLV, which are treasures of micronutrients including Fe, is associated with genuine social reasons. This indicates a need for developing action programmes to improve nutritional knowledge and awareness leading to enhanced consumption of Fe-rich foods for preventing anaemia in rural India.

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Section: Discussionmentioning

confidence: 99%

Social dimensions related to anaemia among women of childbearing age from rural India

Rao

Joshi

Bhide

et al. 2010

Public Health Nutr.

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“…Consumption of IFA tablets is mostly influenced by age, socioeconomic status, community awareness regarding importance of IFA tablets. A study of Patterson et al, (2001) have suggested that a diet rich in iron appears to be more advantageous over iron supplementations as it is cost-effective and shows higher efficacy and benefits in the long-term. Dietary iron absorption depends on bioavailability of iron i.e.…”

Section: Iron Bioavailability: Notes From the Fieldmentioning

confidence: 99%

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Dutta¹,

Sengupta²

2017

International Conference on Public Health

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This study examines socio-economic determinants associated with maternal mortality at disaggregated level in Assam, the state with highest maternal mortality ratio in India. An extensive door-to-door household survey was carried out during 2014-15 using multistage sampling to select villages in districts with high number of reported maternal deaths. The samples consist of currently pregnant women, mother with children 0-24 months and members of families who have experienced of maternal death. The study reveals that prevailing incidences of maternal mortality and maternal complications are the result of maternal anemia. Maternal complications are more likely to be associated with lower concentration of hemoglobin level, which is a proxy for maternal anemia. In addition, concentration of hemoglobin level is positively related to socioeconomic factors-literacy, land ownershipand habitat/occupation of the sample population. As a policy prescription, such findings should encourage the policymakers to identify context specific determinants of maternal anemia for appropriate interventions, instead of 'one-size-fits-all' type of approach.

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“…73 mmol/l, TFS , 20 %, Hb , 120 g/l, Ht , 37 %, MCV , 80 fl, MCHC , 300 g/l, MCH , 30 pg, CRP . 6 mg/l (15)(16)(17) .…”

Section: Anthropometric Datamentioning

confidence: 99%

Iron status of adolescent girls from two boarding schools in southern Benin

Alaofè

Zee

Dossa

et al. 2008

Public Health Nutr.

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Iron deficiency (ID) is the most prevalent micronutrient deficiency in the world, particularly in developing countries. Blood samples and a qualitative FFQ on Feand vitamin C-rich foods were obtained in 180 adolescent girls aged 12 to 17 years living in two boarding schools from south Benin. ID, defined as serum ferritin either ,20 mg/l or 20-50 mg/l, plus two of the following parameters: serum Fe , 11 mmol/l, total iron-binding capacity . 73 mmol/l or transferrin saturation , 20 %, was found in 32 % of subjects. Anaemia (Hb , 120 g/l) was found in 51 % of adolescents, while 24 % suffered from iron-deficiency anaemia (IDA) (ID and Hb , 20 g/l). After adjusting for confounding factors (age, mother's and father's occupation, household size) in a logistic regression equation, subjects having a low meat consumption (beef, mutton, pork) (,4 times/week) were more than twice as likely to suffer from ID (OR 5 2?43; 95 % CI 1?72, 3?35; P 5 0?04). Adolescents consuming less fruits (,4 times/week) also had a higher likelihood of suffering from ID (OR 5 1?53; 95 % CI 1?31, 2?80; P 5 0?03). Finally, subjects whose meat consumption was low were twice as likely to suffer from IDA (OR 5 2?24; 95 % CI 1?01, 4?96; P 5 0?04). The prevalence of ID represents an important health problem in these Beninese adolescent girls. A higher consumption of Fe-rich foods and of promoters of Fe absorption (meat factor and vitamin C) is recommended to prevent ID deficiency in these subjects.

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Dietary treatment of iron deficiency in women of childbearing age

Abstract: In iron-deficient women of childbearing age, a high-iron diet produced smaller increases in SF than did iron supplementation but resulted in continued improvements in iron status during a 6-mo. follow-up.

Cited by 61 publications

References 14 publications

Social dimensions related to anaemia among women of childbearing age from rural India

Social dimensions related to anaemia among women of childbearing age from rural India

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Iron status of adolescent girls from two boarding schools in southern Benin

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