Physical work capacity of young underprivileged school girls: Impact of daily vs intermittent iron-folic acid supplementation – A randomized controlled trial.

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Date
2009-10
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Abstract
Objectives: To assess impact of daily and intermittent iron-folate (IFA) supplementation on physical work capacity of underprivileged schoolgirls in Vadodara. Design: Randomized controlled trial. Setting: Municipal Primary schools. Participants: Schoolgirls (n=163) in the age group of 9-13 years. Intervention: Three randomly selected schools were given IFA tablets (100 mg elemental iron + 0.5 mg folic acid) either once weekly or twice weekly or daily for one year. The fourth was the control school. Outcome Measures: Hemoglobin, modified Harvard's Step test for physical work capacity. Results: All three IFA supplemented groups showed significant improvement in number of steps climbed and recovery time compared to controls; with impact being relatively better in girls with higher Hb gain (>1 g/dL) vs. lower Hb gain. Similarly, higher the frequency of dosing better was the impact- it being the best in daily IFA group. Twice weekly IFA was as good as daily IFA under conditions of good compliance. Conclusion: Twice weekly IFA supplementation is comparable to daily IFA in terms of beneficial effects on physical work capacity in young girls.
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Anemia, Iron-folate supplementation, Physical work capacity, School girls
Citation
Sen A, Kanani S J. Physical work capacity of young underprivileged school girls: Impact of daily vs intermittent iron-folic acid supplementation – A randomized controlled trial. Indian Pediatrics. 2009 Oct; 46(10): 849-854.