Effectiveness of weekly vitamin A (10 000 IU) and iron (60 mg) supplementation for adolescent boys and girls through schools in rural and urban East Java, Indonesia

Soekarjo, Damayanti; Pee, Saskia de; Kusin, J. A.; Schreurs, W.H.P.; Schultink, Werner; Muhilal,; Bloem, Martin W.

doi:10.1038/sj.ejcn.1601914

Cited by 52 publications

(100 citation statements)

References 24 publications

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“…Recente estudo realizado na Índia mostrou prevalência de anemia de 45,0% em adolescentes do sexo feminino 15 . Na Indonésia as prevalências foram 26,0% e 11,0%, quando estudados adolescentes dos sexos feminino e masculino, respectivamente 16 . Estudo realizado na Jamaica revelou que 25,0% dos adolescentes de 12 a 15 anos apresentavam-se anêmicos 17 .…”

Section: N T R O D U ç ã Ounclassified

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Proporção de anemia de acordo com o estadiamento puberal, segundo dois critérios diagnósticos

et al. 2007

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OBJETIVO: Identificar a proporção de anemia ferropriva e sua distribuição por estadiamento puberal, em pacientes atendidos em ambulatório de adolescência, e comparar os valores de corte habitualmente utilizados na adolescência para esse diagnóstico. MÉTODOS: Estudo retrospectivo, por análise de 453 prontuários dos pacientes atendidos de janeiro a dezembro de 2003, no Centro de Atendimento e Apoio ao Adolescente do Departamento de Pediatria da Universidade Federal de São Paulo, Escola Paulista de Medicina. Destes, 215 (47,0%) rapazes e 238 (53,0%) moças. Utilizaram-se os testes de Kappa e McNemar para avaliar as concordâncias e discordâncias entre dois critérios distintos; teste "t" de Student para determinar as diferenças entre hemoglobina e índices hematimétricos nos grupos anêmico e não anêmico; e teste de Mann-Whitney para comparar os valores de hematócrito. RESULTADOS: A proporção de anemia, segundo os critérios adotados, foi de 7,50% (n=34) e 6,84% (n=31) na população; por estadiamento puberal encontrou-se, no sexo feminino, maior proporção nos estágios de mama 3 (30,00%) e 4 (50,00%) e no sexo masculino, em genitais 3 (40,00%), havendo concordância entre os dois critérios. CONCLUSÃO: Embora baixa, a proporção de anemia é relevante. A concordância obtida entre os valores propostos mostra que é possível usar qualquer um dos critérios. Há predomínio de anemia nas moças em estágio de mamas 3 e 4, justificado pela maior necessidade de ferro e perdas menstruais, que ocorrem nessas fases, respectivamente; nos rapazes, a proporção maior em estágio 3 (fase de aceleração de crescimento) pode sugerir que eles já estavam depletados antes de entrar na puberdade.

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Section: N T R O D U ç ã Ounclassified

“…Há poucos dados disponíveis sobre a prevalência de anemia ferropriva na adolescência, embora ela pareça ser elevada, principalmente, nas moças 2,11,15,16,21 . Os trabalhos existentes res- tringem-se a pequenas populações e a ambulató-rios.…”

Section: I S C U S S ã Ounclassified

Proporção de anemia de acordo com o estadiamento puberal, segundo dois critérios diagnósticos

et al. 2007

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“…As a result, resources have traditionally been directed to children and mothers especially pregnant women. The relative omission of the nutritional needs of adolescent girls is surprising considering the fact that developmental processes of adolescence exert significantly increased demands on both micro and macronutrients (9,10,11).…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Mulugeta¹,

Hagos²,

Stoecker³

et al. 2009

Ethiopian Journal of Health Development

105

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Background: Addressing the nutritional needs of adolescents could be an important step towards breaking the vicious cycle of intergenerational malnutrition. Objective: Assess nutritional status of rural adolescent girls. Design: Cross-sectional. Methods: Anthropometric and socio-demographic information from 211 adolescent girls representing 650 randomly selected households from thirteen communities in Tigray was used in data analysis. Height-for-age and BMI-for-age were compared to the 2007 WHO growth reference. Data were analyzed using SAS, Version 9.1. Results: None of the households reported access to adolescent micronutrient supplementation. The girls were shorter and thinner than the 2007 WHO reference population. The cross-sectional prevalence of stunting and thinness were 26.5% and 58.3%, respectively. Lack of latrine facilities was significantly associated with stunting (p = 0.0033) and thinness (p<0.0001). Age was strong predictor of stunting (r 2 = 0.8838, p<0.0001) and thinness (r 2 = 0.3324, p<0.0001). Conclusion: Undernutrition was prevalent among the girls. Strategies to improve the nutritional status of girls need to go beyond the conventional maternal and child health care programs to reach girls before conception to break the intergenerational cycle of malnutrition. Further, carefully designed longitudinal studies are needed to identify the reasons for poor growth throughout the period of adolescence in this population. IntroductionAdolescence is an intense anabolic period when requirements for all nutrients increase. During adolescence, 20% of final adult height and 50% of adult weight are attained, bone mass increases of 45% and dramatic bone remodeling occur and soft tissues, organs, and even red blood cell mass increase in size (1). This situation is further complicated when adolescents are often exposed to infections and parasites that can compromise nutritional status. Among those sexually active, there is also an increased risk of infection from sexually transmitted diseases.

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“…Menurut WHO (2008), prevalensi kejadian anemia di dunia antara tahun 1993 sampai 2005 sebanyak 24.8% dari total penduduk dunia. Penelitian yang dilakukan di berbagai wilayah indonesia menunjukkan prevalensi anemia pada semua kelompok umur bervariasi, yaitu 17.2-80.2% (Angeles-Agdeppa et al 1997Soekarjo et al 2004. Laporan hasil Riset Kesehatan Dasar (RISKESDAS) (2007) menyatakan bahwa prevalensi anemia pada tahun 2007 di Indonesia sebesar 11.9%.…”

Section: Pendahuluanunclassified

“…Hasil penelitian ini menunjukkan bahwa suplementasi multivitamin mineral yang diberikan secara harian selama 8 minggu belum mampu meningkatkan kadar Hb dan Ht subjek secara nyata (p>0.05). Belum berhasilnya suplementasi diduga disebabkan oleh berbagai hal, antara lain 1) rendahnya kepatuhan konsumsi suplemen (dalam hal volume takaran saji) (Briawan 2008;Soekarjo et al 2004), 2) tidak mencukupinya dosis zat besi suplemen dalam mencukupi kebutuhan (Depkes 2005;WNPG 2004;Zavaleta et al 2000) , 3) durasi kegiatan suplementasi yang relatif singkat (8 minggu) (Tee et al 1999;Kanani & Poojara 2000;Ahmed et al 2005;Hyder et al 2007;Marcia et al 2010 ) , dan 4) kondisi sampel yang sebagian besar tidak anemia (Ahmed et al 2005;Briawan 2008;Dwiriani 2012).…”

Section: Zat Gizi (%)unclassified

Efek Suplementasi Multivitamin Mineral Terhadap Kadar Hemoglobin Dan Hematokrit Mahasiswi TPB Ipb

2013

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ABSTRAKTujuan dari penelitian ini adalah untuk menganalisis efek suplementasi multivitamin mineral terhadap kadar hemoglobin dan hematokrit mahasiswi Tingkat Persiapan Bersama Institut Pertanian Bogor (TPB IPB). Penelitian ini menggunakan desain eksperimental semu, tersamar ganda, dengan jumlah subjek sebanyak 28 yang terbagi dalam dua kelompok. Kelompok intervensi terdiri dari 15 subjek, mendapatkan sirup suplemen 15 ml setiap hari selama delapan minggu. Kelompok kontrol terdiri dari 13 subjek mendapatkan sirup plasebo. Data dikumpulkan dengan wawancara terhadap subjek menggunakan kuesioner, pemeriksaan fisik, dan pemeriksaan biokimia darah. Hasil uji statistik (paired sample t-test) menunjukkan tidak terdapat peningkatan yang nyata masing-masing kadar hemoglobin dan hematokrit baik pada kelompok intervensi maupun kontrol (p>0.05). Namun, pada subset subjek yang anemia, peningkatan kadar hemoglobin dan hematokrit pada kelompok intervensi cenderung lebih besar dibandingkan pada kelompok kontrol.

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Effectiveness of weekly vitamin A (10 000 IU) and iron (60 mg) supplementation for adolescent boys and girls through schools in rural and urban East Java, Indonesia

Abstract: Supplementation with vitamin A increased serum retinol concentration of boys. Iron supplementation did not change Hb. This appeared to be due to poor compliance, and partly related to side effects.

Cited by 52 publications

References 24 publications

Proporção de anemia de acordo com o estadiamento puberal, segundo dois critérios diagnósticos

Proporção de anemia de acordo com o estadiamento puberal, segundo dois critérios diagnósticos

Nutritional Status of Adolescent Girls from Rural Communities of Tigray, Northern Ethiopia

Efek Suplementasi Multivitamin Mineral Terhadap Kadar Hemoglobin Dan Hematokrit Mahasiswi TPB Ipb

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