Document Detail


Effects of iron and zinc supplementation in Indonesian infants on micronutrient status and growth.
MedLine Citation:
PMID:  11694609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study the effects of supplementation of iron and zinc, alone or combined, on iron status, zinc status and growth in Indonesian infants is investigated. Micronutrient deficiencies are prevalent in infants in developing countries, and deficiencies often coexist; thus, combined supplementation is an attractive strategy. However, little is known about interactions between micronutrients. In a randomized, double-blind, placebo-controlled supplementation trial, 478 infants, 4 mo of age, were supplemented for 6 mo with iron (10 mg/d), zinc (10 mg/d), iron + zinc (10 mg of each/d) or placebo. Anthropometry was assessed monthly, and micronutrient status was assessed at the end of supplementation. Supplementation significantly reduced the prevalence of anemia, iron deficiency anemia and zinc deficiency. Iron supplementation did not negatively affect plasma zinc concentrations, and zinc supplementation did not increase the prevalence of anemia or iron deficiency anemia. However, iron supplementation combined with zinc was less effective than iron supplementation alone in reducing the prevalence of anemia (20% vs. 38% reduction) and in increasing hemoglobin and plasma ferritin concentrations. There were no differences among the groups in growth. The growth of all groups was insufficient to maintain the same Z-scores for height for age and weight for height. There is a high prevalence of deficiencies of iron and zinc in these infants, which can be overcome safely and effectively by supplementation of iron and zinc combined. However, overcoming these deficiencies is not sufficient to improve growth performance in these infants.
Authors:
M A Dijkhuizen; F T Wieringa; C E West; S Martuti; Muhilal
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nutrition     Volume:  131     ISSN:  0022-3166     ISO Abbreviation:  J. Nutr.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-11-05     Completed Date:  2001-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0404243     Medline TA:  J Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2860-5     Citation Subset:  IM    
Affiliation:
Division of Human Nutrition and Epidemiology, Wageningen University, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Anthropometry*
Dietary Supplements*
Double-Blind Method
Female
Growth / drug effects*
Humans
Indonesia
Infant
Iron / administration & dosage,  blood,  therapeutic use*
Male
Micronutrients / blood,  therapeutic use*
Nutritional Status
Zinc / administration & dosage,  blood,  therapeutic use*
Chemical
Reg. No./Substance:
0/Micronutrients; 7439-89-6/Iron; 7440-66-6/Zinc

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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