Will iron supplementation given during menstruation improve iron status better than weekly supplementation?

Februhartanty, Judhiastuty; Dillon, Drupadi; Khusun, Helda

doi:10.1046/j.1440-6047.2002.00264.x

Cited by 14 publications

(43 citation statements)

References 13 publications

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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

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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

View full text Add to dashboard Cite

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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].…”

Section: Description Of Studiesmentioning

confidence: 99%

“…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]. Soekarjo's [69] trial also included home intervention during school holidays.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Of the remaining trials, one was conducted in garment factories [61], and two in community settings [63,65,76]. Sample sizes ranged from 137 [62] to 3616 [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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