Document Detail

Impact of a multiple-micronutrient food supplement on the nutritional status of schoolchildren.
MedLine Citation:
PMID:  17542110     Owner:  NLM     Status:  MEDLINE    
BACKGROUND:. Multiple-micronutrient deficiencies exist in many developing nations. A system to deliver multiple micronutrients effectively would be of value in these countries. OBJECTIVE:. To evaluate the delivery of multiple micronutrients through the food route. The goal was to test the stability of the supplement during cooking and storage and then to test its bioefficacy and bioavailability in residential schoolchildren 5 to 15 years of age. METHODS: A pre- and post-test design was used to study children 5 to 15 years of age, with an experimental and a control group. The experimental group (n=211) consisted of children from two residential schools, and the control group (n=202) consisted of children from three residential schools. The experimental group received a micronutrient supplement containing vitamin A, vitamin B2, vitamin B6 vitamin B12, folic acid, niacin, calcium pantothenate, vitamin C, vitamin E, iron, lysine, and calcium daily for 9 months. There was no nutritional intervention in the control group. Children in the experimental and control groups were matched by socioeconomic status, age, and eating habits at baseline. All of the children in the experimental and control schools were dewormed at baseline, after 4 months, and at the endpoint. Biochemical measurements (hemoglobin, serum vitamin A, serum vitamin E, serum vitamin B12, and serum folic acid) were measured at baseline, after 4 months, and at the endpoint (after 9 months). The heights and weights of the children were also measured at baseline and endpoint. Serum vitamins A and E were measured in a subsample of 50% and vitamin B12 and serum folic acid measured in a subsample of 25% of the children. RESULTS: In the experimental group, the mean gains in hemoglobin, serum vitamin A, serum vitamin E, serum vitamin B12, and serum folic acid over 9 months were 0.393 g/dL, 6.0375 microg/dL, 1037.45 microg/dL, 687.604 pg/mL, and 1.864 ng/mL, respectively. In the control group, the mean losses in hemoglobin and serum vitamin A over 9 months were 0.9556 g/dL and 10.0641 microg/dL, respectively, and the mean gains in serum vitamin E, vitamin B12, and folic acid were 903.52 microg/dL, 233.283 pg/mL, and 0.0279 ng/mL. The mean gain in all biochemical measurements was significantly higher (p < .05) in the experimental group than in the control group. CONCLUSIONS: Vitamin A, vitamin E, vitamin B12, folic acid, and iron are bioavailable from the multiple-micronutrient food supplement used in this study. This method of micronutrient delivery has been beneficial. We believe the study intervention was beneficial because of small doses of the micronutrients added but delivered many times through meals throughout the day, over a period of 9 months.
Malavika Vinod Kumar; S Rajagopalan
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Food and nutrition bulletin     Volume:  27     ISSN:  0379-5721     ISO Abbreviation:  Food Nutr Bull     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-25     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7906418     Medline TA:  Food Nutr Bull     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  203-10     Citation Subset:  IM    
Sundar Serendipity Foundation, Chennai, India.
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MeSH Terms
Biological Availability
Blood Chemical Analysis
Child Nutrition Disorders / epidemiology,  therapy*
Child Nutritional Physiological Phenomena*
Child, Preschool
Food, Fortified*
India / epidemiology
Minerals / administration & dosage,  blood,  pharmacokinetics
Nutritional Status*
Social Class
Trace Elements / administration & dosage*,  blood,  deficiency,  pharmacokinetics
Treatment Outcome
Vitamins / administration & dosage*,  blood,  pharmacokinetics
Reg. No./Substance:
0/Minerals; 0/Trace Elements; 0/Vitamins

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