Increase in Compliance with Weekly Iron Supplementation of Adolescent Girls by An Accompanying Communication Programme in Secondary Schools in Dar-Es-Salaam, Tanzania

Muro, Grace S.; Groß, Ursula; Gross, Rainer; Wahyuniar, Lely

doi:10.1177/156482659902000408

Cited by 23 publications

(49 citation statements)

References 19 publications

(19 reference statements)

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“…We found no systematic review on the supplementation of IFA in adolescents, but we identified two reviews on pregnant women . In our search for primary trials on adolescents, we identified 23 moderate‐quality studies from Bangladesh, Kenya, India, Indonesia, Iran, Mali, Malaysia, Mozambique, Nepal, Sri Lanka, and Tanzania . Iron dosages across those studies ranged from 60 to 120 mg/day, and folic acid ranged from 3.5 to 500 mg/day.…”

Section: Resultsmentioning

confidence: 99%

Systematic review on evidence‐based adolescent nutrition interventions

Lassi

Moin

Das

et al. 2017

Annals of the New York Academy of Sciences

105

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Adolescence is a critical stage in the life cycle, and adequate nutrition is necessary for the proper growth and development of individuals and their offspring. Here, we comprehensively review all published systematic reviews (through October 2016) on adolescents (10-19 years) and women of reproductive age, including pregnant women, which targeted interventions related to nutrition. For interventions where there was no existing systematic review on adolescents, we reviewed primary studies/trials. We included interventions on micronutrient supplementation (iron, folic acid, iron-folic acid (IFA), calcium, vitamin D, vitamin A, zinc, iodine, and multiple micronutrients), food/protein energy supplementation, nutrition education for pregnant adolescents, obesity prevention and management, and management of gestational diabetes. We identified a total of 35 systematic reviews, of which only five were conducted on adolescents, and 107 primary studies on adolescents. Our review suggests that iron alone, IFA, zinc, and multiple micronutrient supplementation in adolescents can significantly improve serum hemoglobin concentration. While zinc supplementation in pregnant adolescents showed improvements in preterm birth and low birth weight, we found a paucity of trials on calcium, vitamin D, vitamin A, and iodine supplementation. We found limited evidence on food/protein energy supplementation in adolescents. Interventions to prevent and manage obesity showed a nonsignificant impact on reducing body mass index. This review underscores the importance of adolescent nutrition interventions. It is imperative that countries design nutritional interventions, particularly for adolescents.

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Section: Resultsmentioning

confidence: 99%

Systematic review on evidence‐based adolescent nutrition interventions

Lassi

Moin

Das

et al. 2017

Annals of the New York Academy of Sciences

105

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“…All these studies reported maternal outcomes. There were nine RCTs [60][61][62][63][64][66][67][68][69][73][74][75] and one quasi-experimental natural experiment [65]. The primary outcome reported was anemia.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Of the ten included trials, eight took place in Asia: two in Bangladesh [61,63], two in India [60,68], three in Indonesia [62,65,69], and one in Nepal [67]. Two trials took place in Africa: one in Mali [64] and one in Tanzania [66]. Seven trials were conducted in schools [60,62,64,[66][67][68][69].…”

Section: Description Of Studiesmentioning

confidence: 99%

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Effects of Preconception Care and Periconception Interventions on Maternal Nutritional Status and Birth Outcomes in Low- and Middle-Income Countries: A Systematic Review

et al. 2020

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Pregnancy in adolescence and malnutrition are common challenges in low- and middle-income countries (LMICs), and are associated with many complications and comorbidities. The preconception period is an ideal period for intervention as a preventative tactic for teenage pregnancy, and to increase micronutrient supplementation prior to conception. Over twenty databases and websites were searched and 45 randomized controlled trials (RCTs) or quasi-experimental interventions with intent to delay the age at first pregnancy (n = 26), to optimize inter-pregnancy intervals (n = 4), and supplementation of folic acid (n = 5) or a combination of iron and folic acid (n = 10) during the periconception period were included. The review found that educational interventions to delay the age at first pregnancy and optimizing inter-pregnancy intervals significantly improved the uptake of contraception use (RR = 1.71, 95% CI = 1.42–2.05; two studies, n = 911; I2 = 0%) and (RR = 2.25, 95% CI = 1.29–3.93; one study, n = 338), respectively. For periconceptional folic acid supplementation, the incidence of neural tube defects were reduced (RR = 0.53; 95% CI = 0.41–0.77; two studies, n = 248,056; I2 = 0%), and iron-folic acid supplementation improved the rates of anemia (RR = 0.66, 95% CI = 0.53–0.81; six studies; n = 3430, I2 = 88%), particularly when supplemented weekly and in a school setting. Notwithstanding the findings, more robust RCTs are required from LMICs to further support the evidence.

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“…1992 However, the ideal strategy to prevent iron deficiency would be to achieve desirable changes in food habits through education, since this would improve the nutritional status of the adolescents themselves as well as that of their families and ensure that they enter pregnancy with a satisfactory nutritional status. Also, compliance with iron supplements is likely to be greater if they are given after an appropriate health education session (Schultink et al 1993;Muro et al 1999).…”

Section: Iron Supplementation In Adolescencementioning

confidence: 99%

The Effects of Iron Deficiency on Cognitive Function and Neurophysiological Function in Early Adolescent Females

Wimalasekera¹

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Increase in Compliance with Weekly Iron Supplementation of Adolescent Girls by An Accompanying Communication Programme in Secondary Schools in Dar-Es-Salaam, Tanzania

Cited by 23 publications

References 19 publications

Systematic review on evidence‐based adolescent nutrition interventions

Systematic review on evidence‐based adolescent nutrition interventions

Effects of Preconception Care and Periconception Interventions on Maternal Nutritional Status and Birth Outcomes in Low- and Middle-Income Countries: A Systematic Review

The Effects of Iron Deficiency on Cognitive Function and Neurophysiological Function in Early Adolescent Females

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