Iron and micronutrients supplementation has been used widely to correct specific nutritional deficiencies linked to anemia. Oral iron supplements are the first-line treatment for iron deficiency and iron deficiency anemia in women of reproductive age. Gastrointestinal side effects from iron supplement intake are commonly reported, but can be decreased by following proper dosing regimens. Iron preparations available on the market vary widely in dosage, formulation, cost, and bioavailability.
Highly bioavailable ferrous iron is generally the most effective formulation for replenishing hemoglobin in patients with iron-deficiency anemia. However, the most commonly used formulation is the least expensive form, ferrous sulfate, which is more likely than ferrous iron to cause gastrointestinal discomfort. The bioavailability of another formulation, ferric iron is 3 to 4 times lower than that of ferrous sulfate. In areas with a high burden of viral, parasitic, and/or bacterial infections, aiming supplementation at children who are anemic or at risk of iron deficiency is suggested, accompanied by malaria prevention and disease treatment strategies. Vitamin A supplementation can improve hemoglobin concentrations.
The Effect of Iron Dosing Schedules on Plasma Hepcidin and Iron Absorption in Kenyan Infants
Journal Article published by Am J Clin Nutr in
This study assessed iron uptake in infants in Kenya who received three different regimens of iron supplementations via stable iron isotopes. The authors report that 12 mg doses of ferrous sulfate given in fortified meals as either morning or afternoon doses resulted in comparable absorption, while dosing of the same form of iron on consecutive…
Review of the Evidence Regarding the Use of Antenatal Multiple Micronutrient Supplementation in Low- and Middle-Income Countries
Literature Review published by Annals of the New York Academy of Sciences in
This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in low- and middle-income countries; the data from trials comparing multiple-micronutrient supplements that contain iron–folic acid with iron–folic acid supplements alone; the risks of reaching…
Maternal and Neonatal Outcomes Related to Iron Supplementation or Iron Status: A Summary of Meta-Analyses
Systematic Review published by The Journal of Maternal-Fetal and Neonatal Medicine in
This review was conducted to derive an umbrella summary of meta-analyses performed to evaluate the effects and associations of iron supplementation or iron status on maternal and birth/neonatal outcomes. Evidence from 16 meta-analyses suggests beneficial effects of multiple-micronutrient supplementation on some neonatal outcomes. Furthermore,…
Comprehensive Costing in Micronutrient Supplementation
Technical Report published by SPRING in
In this brief, SPRING present results from a cost-efficiency study of a pilot program of micronutrient powder (MNP) distribution in Namutumba district in Uganda. This brief discusses costing studies for nutrition interventions generally, and highlights how a cost-efficiency study can influence policy decisions.
Development and Rollout of National Maternal Anemia Materials: Experience from Mozambique
Information, Education and Communication Materials published by Maternal and Child Survival Program in
This case study describes the process of development of social and behavior change resources for the program to to reduce iron deficiency anemia in women in Mozambique
Point-of-Use Fortification of Foods with Micronutrient Powders Containing Iron in Children of Preschool and School-Age
Systematic Review published by Cochrane Library in
This systematic review synthesizes evidence on the effects of point‐of‐use fortification of foods with iron‐containing micronutrient powders alone, versus in combination with other vitamins and minerals, on nutrition, health, and development among children of preschool and school age, compared with no intervention, a placebo, or iron‐containing…
Iron and Cognitive Development: What Is the Evidence?
Literature Review published by Annals of Nutrition and Metabolism in
This review synthesizes the evidence on the effect of iron supplementation in infants and children on early and long-term child cognitive development. The findings indicate a potential benefit of oral iron treatment for cognitive performance in anemic primary-school children. However, antenatal and early childhood oral iron intervention studies…
Minerals in Pregnancy and Lactation: A Review Article
Literature Review published by Journal of Clinical and Diagnostic Research in
This review provides information on the role of minerals in pregnancy and lactation and their rate of consumption, as well as complications induced by their deficiency or excess use. The function of minerals, their recommended daily intake, as well as maximum allowable daily intake for adults, pregnant, and lactating women are described.