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.
Multiple-Micronutrient Supplementation for Women During Pregnancy
Systematic Review published by Cochrane Library in
This Cochrane Systematic Review synthesizes the evidence pertaining to the benefits to both mother and infant of multiple‐micronutrient supplements in pregnancy, and aims to assess the risk of adverse events as a result of supplementation. Evidence from 23 studies suggests that multiple‐micronutrient supplementation reduced the number of low…
Interventional Strategies for Prevention of Nutritional Anemia
Literature Review published by Nutritional Anemia in Preschool Children (Chapter 14 ) in
This book chapter discusses strategies for anemia prevention in children, including dietary approaches as well as prevention of diarrhea and helminth infection.
Guideline: Daily Iron Supplementation in Adult Women and Adolescent Girls
Guideline/Guidance published by World Health Organization in
This WHO guideline provides evidence-based recommendations on daily iron supplementation in menstruating adult women and adolescents, as a public health intervention for the prevention of anemia and iron deficiency. The recommendation in this guideline is intended for a wide audience, including policymakers, their expert advisers, and technical…
WHO Guideline: Use of Multiple Micronutrient Powders for Point-of-Use Fortification of Foods Consumed by Infants and Young Children Aged 6-23 Months and Children Aged 2-12 Years
Guideline/Guidance published by WHO in
This WHO guideline provides global, evidence-informed recommendations on the use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6–23 months and children aged 2–12 years. The guideline is intended to help Member States and their partners in their efforts to make evidence-…
Delaying Iron Therapy until 28 Days after Antimalarial Treatment Is Associated with Greater Iron Incorporation and Equivalent Hematologic Recovery after 56 Days in Children: A Randomized Controlled Trial
Journal Article published by Journal of Nutrition in
This randomized trial compares erythrocyte iron incorporation in 100 children in Mulago Hospital, Kampala, Uganda, who started iron supplementation either concurrently with antimalarial treatment or 28 days later.
Use of Multiple Micronutrient Powders for Point-of-Use Fortification of Foods Consumed by Pregnant Women
Guideline/Guidance published by WHO in
This WHO guideline provides evidence-based recommendations on the intermittent use of iron–folic acid supplements as a public health measure for the purpose of reducing anemia and improving iron status among menstruating women. The guideline is intended for a wide audience, including policymakers, expert advisers, and technical and program staff…
Guideline: Daily Iron Supplementation in Infants and Children
Guideline/Guidance published by WHO in
This WHO guideline provides evidence-based recommendations on daily iron supplementation in infants and children, as a public-health intervention for the prevention of anemia and iron deficiency. The recommendation in this guideline is intended for a wide audience, including policy-makers, their expert advisers, and technical and programme staff…