Iron Deficiency Anemia In Adolescent Girls Research Articles

Efficacy of Giving Iron Tablets on the Incidence of Anemia in Senior High School Students in Klaten, Indonesia

Introduction: Iron deficiency anemia (IDA) is a common public health problem in adolescent girls. In Indonesia, the prevalence of IDA in adolescent girls reaches 37%. Iron tablets are an effective intervention to prevent and treat IDA.
 Methods: This research was a randomized controlled trial conducted on female senior high school students in Klaten, Indonesia. A total of 200 female students who met the criteria for anemia (hemoglobin levels < 12 g/dL) were randomized to receive iron tablets or placebo for 12 weeks.
 Results: At the end of the study, hemoglobin levels in the iron tablet group were significantly higher than those in the placebo group (mean difference 1.2 g/dL, 95% CI 0.8-1.6 g/dL). The prevalence of anemia in the iron tablet group was also significantly lower compared to the placebo group (20% vs 40%, p = 0.02).
 Conclusion: Giving iron tablets is effective in increasing hemoglobin levels and reducing the incidence of anemia in female senior high school students in Klaten, Indonesia.

Clinical and anamnestic features of the dynamics and transformation of iron-deficiency anemia in adolescent girls

According to the World Health Organization, in any population, for every person suffering from IDA, there are three with iron deficiency (ID). The risk group for the anemia development includes children, women of reproductive age and the elderly. A special group among them are girls of pubertal age, who have a high potential for the formation of various organ dysfunctions. The purpose of this work was to study the clinical and anamnestic features of the dynamics and transformation of iron deficiency anemia in adolescent girls. Object and methods of the study: adolescent girls aged 12-14 years (n=177) of the Uzbek population, respectively, with LID (45), mild IDA (56) and moderate IDA (25), and the control group (51). For the study, whole blood and serum of adolescent girls with IDA were used. General clinical, instrumental, biochemical and statistical methods were used. From the data of our material, it follows that the clinical picture of IDA in schoolgirls was somewhat transformed and among them the syndrome of decreased immunological resistance of the body and gastrointestinal syndrome began to prevail, their frequency increased by more than 2-5 times compared to the above authors. The clinical picture of iron deficiency anemia in adolescent girls is characterized by polymorphism of symptoms and syndromes, which indicates the involvement of many organs and systems in the pathological process. We’ve concluded that it is necessary to update data on the ID clinical symptoms in adolescent girls, depending on age, gender and regions of residence.

Fundamental Aspects of the Development of a Model of an Integrated Health Care System for the Prevention of Iron Deficiency Anemia among Adolescent Girls: A Qualitative Study.

Iron deficiency anemia (IDA) in adolescent girls is a problem that has not been resolved. This study aimed to explore the critical aspects of an integrated health care system model for preventing IDA in adolescent girls in a rural area of Indonesia. This qualitative research employed a grounded theory approach in order to build a substantive theory. This study used in-depth interviews with adolescents, parents, teachers, health workers, and persons in charge of adolescent programs at the health office, education office, and ministry of religion. Purposive sampling was performed until data saturation was achieved. Codes, categories, and themes were generated through thematic data analysis to develop a substantive theory. Data analysis was performed using MAXQDA 2022 software. A total of 41 people participated in this study. This investigation generated twenty-two categories and seven themes. These themes relate to policymaker commitments, stakeholder governance, quality, adolescents' lifestyles, adolescents' self-factors, adolescents' access to health services, and social support. The themes identified become fundamental aspects of the integrated health care system model for preventing IDA in adolescent girls. The model of the integrated health care system consists of several essential points, which include awareness and efforts from policymakers and adolescent girls, supported by parents, teachers, and the community.

Prevalence of Iron Deficiency and Iron Deficiency Anaemia in Adolescent Girls in a Tertiary Care Hospital.

Iron Deficiency Anaemia (IDA) is a global health problem. It involves population of all age group and sex. But adolescent girls are more vulnerable to it. The reasons may be increased iron demand, menstrual blood loss, infection, worm infestation etc. To find the prevalence of iron deficiency and IDA in adolescent girls in a Tertiary Care Hospital. This cross-sectional study was done in the biochemistry clinical laboratory of Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India for a period of six months (April 2015-October 2015). Haemoglobin estimation was done by Sahli's method. Total iron and Total Iron Binding Capacity (TIBC) estimation was done by Ferrozine method on fully automated chemistry analyzer Olympus AU 400 with the reagent kit available in the market. Ferritin estimation was done by chemiluminesence immunoassay method, using Access 2 (Beckman Coulter). Out of 200 girls, 50% adolescent girls were found to be anaemic. Of the total, 43.3% were mildly, 3.3% were moderately and 3.3% were severely affected by anaemia. As prevalence of anaemia is 50%, it needs intervention for its prevention and control. This study will help in planning and implementation of the policy for prevention of iron deficiency and IDA.

Education and Improved Iron Intakes for Treatment of Mild Iron-Deficiency Anemia in Adolescent Girls in Southern Benin

To our knowledge, the impact of a nutrition education program combined with an increase in bioavailable dietary iron to treat iron-deficiency anemia has never been studied in adolescent girls. To evaluate the impact of an intensive dietary program for the treatment of iron-deficiency anemia in 34 intervention and 34 control boarding-school girls aged 12 to 17 years from Benin. A quasi-experimental design consisting of 4 weeks of nutrition education combined with an increase in the content and bioavailability of dietary iron for 22 weeks was implemented in the intervention school, but not in the control school. Data were obtained from both groups from a nutrition knowledge questionnaire, 24-hour dietary recalls, anthropometric measurements, measurement of iron status indices, and screening for malarial and intestinal parasitic infections. Nutrition knowledge scores and mean intakes of nutrients, including dietary iron, absorbable iron, and vitamin C, were significantly higher in the intervention group (p < .05) than in the control group after 26 weeks. Mean hemoglobin and serum ferritin values were also significantly higher in the intervention group than in the control group (122 vs. 112 g/L [p = .0002] and 32 vs. 19 microg/L [p = .04], respectively), whereas the prevalence of anemia (32% vs. 85% [p = .005] and iron-deficiency anemia (26% vs. 56% [p = .04]) was significantly lower in the intervention group than in the control group. No significant differences between the groups were observed in intestinal parasitic infections or malaria status postintervention. A multidietary strategy aiming to improve available dietary iron can reduce iron-deficiency anemia in adolescent girls.

Iron-deficiency anemia in adolescent girls.

Iron-deficiency anemia in adolescent girls.