Intermittent iron supplementation for reducing anaemia and its associated impairments in menstruating women

Fernández-Gaxiola, Ana Cecilia; De-Regil, Luz María

doi:10.1002/14651858.cd009218.pub2

Cited by 61 publications

(64 citation statements)

References 55 publications

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“…The most common source of information on folic acid in the present study was doctors (62%), followed by newspapers (21%); this result is in accordance with previously regional data (11,12,14,18). However, the fact that most women knew about folic acid but so few used it before conception ‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫والعرشون‬ ‫الثالث‬ ‫املجلد‬ ‫العارش‬ ‫العدد‬…”

Section: Discussionsupporting

confidence: 90%

“…For neural tube defects, folate deficiency is considered the most important nutritional risk factor, and supplementation with preconception folic acid has been associated with a reduced risk of neural tube defects (17,18). The World Health Organization recommends that all women when first trying to conceive should take a daily supplementation of 400 μg of folic acid and continue until 12 weeks of gestation (19).According to our study, despite the high level of awareness of folic acid, only 3.2% of the women used it before conception, which is lower than in other Middle East countries including Lebanon (6.2%) (12), Egypt (8.8%) (11), Jordon (16.9%) (14) and Israel (17.6%) (1) ( Table 5).…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with folic acid knowledge and intake among pregnant women in Sudan

Alsammani

Kunna

Adam

2017

East Mediterr Health J

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Facteurs associés aux connaissances et déterminants concernant l'apport en acide folique parmi les femmes en âge de procréer au SoudanRÉSUMÉ La consommation d'acide folique avant la conception est connue pour avoir un effet protecteur contre les anomalies du tube neural (ATD). La présente étude avait pour objectif d'évaluer les connaissances et déterminants de la sensibilisation à la consommation d'acide folique parmi les femmes enceintes à la maternité de l'hôpital d'Omdourman au Soudan en 2014. Un questionnaire, standardisé et anonyme, a été utilisé pour collecter des données. Près de 80 % des répondants avaient déjà entendu parler de l'acide folique. Les femmes ayant reçu une éducation universitaire (92,2 %) en savaient plus sur l'acide folique et en consommaient davantage souvent durant la période préconceptionnelle (8,3 %). Les médecins étaient la source d'information la plus courante sur l'acide folique (62 %). Un nombre inférieur de sujets (8,9 %) étaient conscients que l'acide folique permet de prévenir les malformations congénitales et 33,8 % des sujets savaient que les légumes vert à feuilles constituent une source d'acide folique. Parmi tous les sujets, seulement 3,2 % en consommaient avant la conception. La supplémentation préconceptionnelle en acide folique doit être prise en compte afin de réduire la forte incidence des ATD constatées au Soudan. ABSTRACT Preconceptual folic acid use is known to have a protective effect against neural tube defects (NTDs). This study assessed knowledge and determinants of awareness on folic acid use among pregnant women at Omdurman Maternity Hospital, Sudan during 2014. The standardized, anonymous questionnaire was used to collect data. Almost 80% of respondents had heard of folic acid. College-educated women (92.2%) knew more about folic acid and used it more often in the pre-conceptual period (8.3%). Doctors were the commonest source of information on folic acid (62%). Fewer subjects (8.9%) knew that it prevented birth defects, and 33.8% of subjects knew that green leafy vegetables are a source of folic acid. Of all subjects, only 3.2% use it preconceptually. Supplementation of folic acid preconceptually needs to be addressed in order to reduce the rate of NTDs found in Sudan. ‫السودان‬ ‫درمان،‬ ‫أم‬ ‫يف‬ ‫احلوامل‬ ‫النساء‬ ‫بني‬ ‫الفوليك‬ ‫محض‬ ‫تناول‬ ‫وحمددات‬ ‫معلومات‬

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Factors associated with folic acid knowledge and intake among pregnant women in Sudan

Alsammani

Kunna

Adam

2017

East Mediterr Health J

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“…The review also compared intermittent iron with daily iron and showed that compared with those receiving daily iron, women receiving intermittent iron had a 26% higher risk for anemia, although final mean hemoglobin concentrations were not dissimilar. 30 Although many authors have suggested that intermittent iron administration may improve adherence, the Cochrane review did not find evidence for this. 30 A Cochrane review has also compared intermittent (1 to 3 times/wk) with daily iron in pregnancy, with no evidence of difference in infant (birth weight, gestation duration) outcomes; mothers receiving intermittent iron experienced fewer adverse effects but had lower hemoglobin concentrations and increased risk for anemia and iron deficiency at term.…”

Section: Intermittent Iron Supplementationmentioning

confidence: 99%

Control of iron deficiency anemia in low- and middle-income countries

Pasricha

Drakesmith

Black

et al. 2013

Blood

354

297

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Despite worldwide economic and scientific development, more than a quarter of the world’s population remains anemic, and about half of this burden is a result of iron deficiency anemia (IDA). IDA is most prevalent among preschool children and women. Among women, iron supplementation improves physical and cognitive performance, work productivity, and well-being, and iron during pregnancy improves maternal, neonatal, infant, and even long-term child outcomes. Among children, iron may improve cognitive, psychomotor, and physical development, but the evidence for this is more limited. Strategies to control IDA include daily and intermittent iron supplementation, home fortification with micronutrient powders, fortification of staple foods and condiments, and activities to improve food security and dietary diversity. The safety of routine iron supplementation in settings where infectious diseases, particularly malaria, are endemic remains uncertain. The World Health Organization is revising global guidelines for controlling IDA. Implementation of anemia control programs in developing countries requires careful baseline epidemiologic evaluation, selection of appropriate interventions that suit the population, and ongoing monitoring to ensure safety and effectiveness. This review provides an overview and an approach for the implementation of public health interventions for controlling IDA in low- and middle-income countries, with an emphasis on current evidence-based recommendations.

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“…Post-menarche, females are at higher risk of developing iron deficiency because of menstrual losses, and if they do not have an adequate iron intake, this condition can progress to anemia known as iron deficiency anemia (IDA) [2].…”

mentioning

confidence: 99%

Impact of Aerobic Exercises on Iron Deficiency Anemia in Girls

Nahas¹

2017

IJPR

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Background: Iron deficiency anemia has recently been ranked as the third leading cause worldwide of loss of disability-adjusted life years for women aged from 15 to 44 years.Objectives: This study was conducted to determine the effect of aerobic exercises on anemia in girls. Participants and methods:Thirty girls participated in this study, their age ranged from 17 to 22 years. They were divided randomly into two groups equal in number: Study group (group A) performed aerobic exercises in form of bicycling (60-70% of HR max ), 30 minutes for each treatment session, for 3 sessions per week, for 12 weeks in addition to iron supplement (Ferro-6) and Control group (group B) received only iron supplement (Ferro-6) for 12 weeks. All participants in both groups (A and B) were assessed pre-and post-treatment through measuring hemoglobin level by blood analysis and scores of total symptoms of anemia by self-administered questionnaire. Results:The results showed that there was a non-statistical significant difference of Hb level between both groups (A and B) post-treatment, where the p values were (>0.05). Although, the percentage of improvement of Hb level was higher in group (A) (8.58%) than in group (B) (5.23%).There was highly statistical significant decrease in scores of total symptoms of anemia and scores of fatigue in group (A) post-treatment when compared with group (B) where the p values were (< 0.01). Also, the percentage of improvement in the total symptoms of anemia was higher in group (A) (42.9%) than in group (B) (16.7%). The percentage of improvement in scores of fatigue was higher in group (A) (50%). Conclusion:It could be concluded that adding aerobic exercises to medication has better effect on Hb level and scores of total symptoms of anemia than medication only.

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Intermittent iron supplementation for reducing anaemia and its associated impairments in menstruating women

Cited by 61 publications

References 55 publications

Factors associated with folic acid knowledge and intake among pregnant women in Sudan

Factors associated with folic acid knowledge and intake among pregnant women in Sudan

Control of iron deficiency anemia in low- and middle-income countries

Impact of Aerobic Exercises on Iron Deficiency Anemia in Girls

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