Iron-deficiency anaemia in rural Cambodia: community trial of a novel iron supplementation technique

European Journal of Public Health
Christopher V CharlesAlastair J S Summerlee

Abstract

More than 3.5 billion people are affected by iron-deficiency anaemia (IDA). Previous studies have shown that the use of iron pots in daily cooking ameliorates IDA. We report a study on the use of a novel treatment to address IDA in rural women in Cambodia, where the use of iron pots is not common. A community-wide randomized controlled trial was conducted in the village of Preak Ruessei, Kandal Province, Cambodia. Rural women (n = 189) were enrolled and randomly assigned by household to one of three groups: (i) control, (ii) iron treatment with no follow-up and (iii) iron treatment with follow-up visits to provide IDA education. Haemoglobin, serum iron and C-reactive protein concentrations were measured at baseline, 3 and 6 months. A reusable fish-shaped iron ingot was distributed to the two treatment groups and participants were directed to use them daily for cooking. We hypothesized that iron from the ingot would leach iron into food providing an effective iron source. Blood iron levels were higher in women in the iron fish plus follow-up at 3 months compared with controls, but this was not maintained. At 6 months, haemoglobin and serum iron had fallen in all groups and the proportion of anaemic women had increased. This stud...Continue Reading

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Citations

Sep 13, 2011·Tropical Medicine & International Health : TM & IH·Christopher V CharlesCate E Dewey
Apr 5, 2016·Hematology/oncology Clinics of North America·Sant-Rayn Pasricha, Hal Drakesmith
Jan 13, 2018·Indian Journal of Pediatrics·Francisco Plácido Nogueira ArcanjoCaio Plácido Costa Arcanjo
Jun 18, 2020·Nutrients·Matteo BriguglioGiuseppe Banfi
Jul 8, 2021·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Janelle L WindusMegan E Rollo

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