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Treatment and Prevention of Anemia With Ferrous Sulfate Plus Folic Acid in Children in Goiania - Goias, Brazil

Not Applicable
Completed
Conditions
Anemia
Interventions
Drug: placebo (folic acid)
Registration Number
NCT00701246
Lead Sponsor
Universidade Federal de Goias
Brief Summary

Iron deficiency anemia is the most common nutritional problem in the world.

The objectives of this study are:

* to evaluate the prevalence of anemia in children from 6 to 24 months of age and the therapeutic and prophylactic response to ferrous sulfate plus folic acid on hemoglobin levels.

* to compare the effect of folic acid supplementation with ferrous sulfate on the linear and weight growth of anemic and non-anemic

Study hypothesis:

* The ferrous sulfate plus folic acid can improve the response on hemoglobin levels.

* The folic acid supplementation with ferrous sulfate have effect on the linear and weight growth of anemic and non-anemic.

Detailed Description

Purpose

The objective of this study were:

* to assess the prevalence of anemia and the therapeutic and prophylactic response to ferrous sulfate and folic acid.

* to compare the effect of folic acid supplementation with ferrous sulfate on the linear and weight growth of anemic and non-anemic.

A double-blind, randomized, controlled clinical trial was conducted with 196 children 6 to 24 months of age enrolled in municipal daycare centers in Goiânia, Goias State, Brazil. The children were assigned to two treatment groups that received a daily dose (5 times a week) of either 4.2mg/kg/day of ferrous sulfate + folic acid (50μg) or 4.2mg/kg/day of ferrous sulfate + folic acid placebo. One of the prevention groups received 1.4mg/kg/day of ferrous sulfate + folic acid (50μg/day) and the other 1.4mg/kg/day of ferrous sulfate + folic acid placebo. Supplementation lasted approximately three months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
196
Inclusion Criteria
  • from 6 to 24 months
  • born at term
  • non-twins
  • with parental approval for participation in the study
  • attending municipal daycare centers with mor than four children each
Exclusion Criteria
  • Children with special needs
  • low birth weight (<2.500g)
  • with growth-impairing heart diseases
  • neurological syndromes
  • sickle-cell anemia
  • sickle-cell trait
  • under treatment for anemia at the time of the first interview or screening performed by the pediatrician
  • those no longer attending the daycare center
  • the clinical trial excluded children with hemoglobin >=7 amd <=8g/dL.
  • For the second objective: incomplete anthropometric surveys

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Iferrous sulfateI Treatment: a daily dose (5 times a week) of either 4,2 mg/kg/day of ferrous sulfate + folic acid (50 mcg)
Ifolic acidI Treatment: a daily dose (5 times a week) of either 4,2 mg/kg/day of ferrous sulfate + folic acid (50 mcg)
IIferrous sulfateII Treatment of anemic children with 4,2 mg/kg/day of ferrous sulfate and folic acid placebo.
IIplacebo (folic acid)II Treatment of anemic children with 4,2 mg/kg/day of ferrous sulfate and folic acid placebo.
IIIferrous sulfatePrevention of anemia in non-anemic children ( 5 times a week)- 1,4 mg/kg/day of ferrous sulfate and folic acid
IIIfolic acidPrevention of anemia in non-anemic children ( 5 times a week)- 1,4 mg/kg/day of ferrous sulfate and folic acid
IVferrous sulfate1,4 mg/kg/day of ferrous sulfate plus folic acid placebo, five days a week.
IVplacebo (folic acid)1,4 mg/kg/day of ferrous sulfate plus folic acid placebo, five days a week.
Primary Outcome Measures
NameTimeMethod
Iron statusApproximately three months
Secondary Outcome Measures
NameTimeMethod
Prevalence of anemiaApproximately three months

Trial Locations

Locations (1)

Universidade Federal de Goias

🇧🇷

Goiânia, Goiás, Brazil

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