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:: Volume 11, Issue 1 (3-2023) ::
Iran J Health Educ Health Promot 2023, 11(1): 20-30 Back to browse issues page
Effectiveness of Iron and vitamin D supplementary intervention program in high school girl students
Ali Alami , Mousa Ghelichi-Ghojogh , Zahra Hosseini , Alireza Jafari *
Abstract:   (234 Views)
Background and Object: One of the most common nutritional problems around the world is the deficiency of micronutrients, especially iron and vitamin D. Therefore, the purpose of this study was to determine the effectiveness of iron and vitamin D supplementation and the value of the clinical diagnosis of iron deficiency anemia in high school girls in Gonabad.

Materials and Methods: This research was a semi -experimental study and without control group study that conducted in 158 seventh grade high school girl students in Gonabad in 2016. The data collection tool in this study was a checklist that included two parts. The first part contained demographic variables and the second part included a student examination checklist that were filled by physicians. The data analysis was also performed through the Chi-squared test and Fisher's exact test. The significant level of the data in this study was less than 0.05.

Results: The use of iron supplements significantly reduces iron deficiency and reduced iron deficiency anemia in female students (P=0.020). In this study, vitamin D supplementation was able to significantly reduce the prevalence of vitamin D deficiency in students (P=0.040). Also, results showed that clinical examination has a negative news value, meaning that most of those who were diagnosed in a healthy clinical examination after blood tests also found that they were healthy and that they had no iron deficiency anemia.

Conclusion: According to the results obtained by conducting a clinical examination and diagnosing healthy people, people do not need blood tests to determine the condition of iron deficiency anemia and can be prevented from wasting funds.

Article number: 2
Keywords: Anemia, Students, Iron, Vitamin D
Full-Text [PDF 764 kb]   (124 Downloads)    
Type of Study: Research | Subject: Health Promotion Interventions
Received: 2022/09/6 | Accepted: 2023/01/2
1. Allen LH, De Benoist B, Dary O, Hurrell R, Organization WH. Guidelines on food fortification with micronutrients. 2006.
2. Jawarkar AK, Lokare PO, Kizhatil A, Jawarkar JA. Prevalence of anemia and effectiveness of iron supplementation in anemic adolescent school girls at Amravati City (Maharashtra). Journal of Health Research and Reviews. 2015;2(1):7. [DOI:10.4103/2394-2010.158122]
3. Hazavehei SMM, Pirzadeh A, Entezari MH, Hasanzadeh A. The effect of educational program based on BASNEF model on the nutritional behavior of students. Zahedan Journal of Research in Medical Sciences. 2011;13(1):23-9.
4. De‐Regil LM, Jefferds MED, Sylvetsky AC, Dowswell T. Intermittent iron supplementation for improving nutrition and development in children under 12 years of age. The Cochrane Library. 2011. [DOI:10.1002/14651858.CD009085.pub2] [PMID] [PMCID]
5. Organization WH. Iron deficiency anaemia: assessment, prevention and control: a guide for programme managers. 2001.
6. Zlotkin S. Clinical nutrition: 8. The role of nutrition in the prevention of iron deficiency anemia in infants, children and adolescents. Canadian Medical Association Journal. 2003;168(1):59-63.
7. Stevens GA, Paciorek CJ, Flores-Urrutia MC, Borghi E, Namaste S, Wirth JP, et al. National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data. The Lancet Global Health. 2022;10(5):e627-e39. [DOI:10.1016/S2214-109X(22)00084-5] [PMID]
8. Akbari M, Moosazadeh M, Tabrizi R, Khatibi SR, Khodadost M, Heydari ST, et al. Estimation of iron deficiency anemia in Iranian children and adolescents: a systematic review and meta-analysis. Hematology. 2017;22(4):231-9. [DOI:10.1080/10245332.2016.1240933] [PMID]
9. West CE. Iron deficiency: The problem and approaches to its solution. Food Nutr Bull. 1996;17:37-41. [DOI:10.1177/156482659601700108]
10. Fallahi E, Seifi M, Hasanvand M. The effect of zinc and iron supplementation on the status of iron and zinc in the primary schoolchildren. Journal of Shahrekord Uuniversity of Medical Sciences. 2006;8.
11. Organization WH. Prevention of iron deficiency anaemia in adolescents. WHO Regional Office for South-East Asia; 2011.
12. Fallahi E, Pouretemad H, Farhadi A. Effect of iron and zinc supplementation on academic performance of primary school children. Journal of Shahrekord Uuniversity of Medical Sciences. 2009;10.
13. Bain BJ, Bates I, Laffan MA. Dacie and lewis practical haematology e-book: Elsevier Health Sciences; 2016.
14. Ramzi M, Haghpanah S, Malekmakan L, Cohan N, Baseri A, Alamdari A, et al. Anemia and iron deficiency in adolescent school girls in kavar urban area, southern iran. Iranian Red Crescent Medical Journal. 2011;13(2):128.
15. Ghoreishi MS, Abusalehi A, Peyman N, Tehrani H. The effect of preventive educational intervention for promoting iron supplement use in high school female's students: an application of Health Belief Model. Razi Journal of Medical Sciences. 2018;25(6):31-42.
16. Sari P, Herawati DMD, Dhamayanti M, Hilmanto D. Anemia among Adolescent Girls in West Java, Indonesia: Related Factors and Consequences on the Quality of Life. Nutrients. 2022;14(18):3777. [DOI:10.3390/nu14183777] [PMID] [PMCID]
17. Tura MR, Egata G, Fage SG, Roba KT. Prevalence of anemia and its associated factors among female adolescents in Ambo Town, West Shewa, Ethiopia. Journal of Blood Medicine. 2020;11:279. [DOI:10.2147/JBM.S263327] [PMID] [PMCID]
18. Tesfaye M, Yemane T, Adisu W, Asres Y, Gedefaw L. Anemia and iron deficiency among school adolescents: burden, severity, and determinant factors in southwest Ethiopia. Adolescent health, medicine and therapeutics. 2015;6:189. [DOI:10.2147/AHMT.S94865] [PMID] [PMCID]
19. Rastad H, Mahdavi Gorabi A, Qorbani M, Seif E, Asayesh H, Motlagh ME, et al. Prevalence and determinants of vitamin D deficiency in Iranian children and adolescents: the CASPIAN-V study. Journal of Diabetes & Metabolic Disorders. 2021;20(1):383-9. [DOI:10.1007/s40200-021-00757-8] [PMID] [PMCID]
20. Alami A, Tavakoly Sany SB, Tehrani H, Lael-Monfared E, Hosseini Z, Jafari A. The effect of educational intervention on iron and vitamin D consumption based on the theory of planned behaviour in Iranian adolescent girls: a quasi-experimental study. International Journal of Health Promotion and Education. 2019;57(6):316-31. [DOI:10.1080/14635240.2019.1632732]
21. Al-Hussaini AA, Alshehry Z, AlDehaimi A, Bashir MS. Vitamin D and iron deficiencies among Saudi children and adolescents: A persistent problem in the 21st century. Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association. 2022;28(2):157. [DOI:10.4103/sjg.sjg_298_21] [PMID] [PMCID]
22. Gosdin L, Sharma AJ, Tripp K, Amoaful EF, Mahama AB, Selenje L, et al. A school-based weekly iron and folic acid supplementation program effectively reduces anemia in a prospective cohort of Ghanaian adolescent girls. The Journal of Nutrition. 2021;151(6):1646-55. [DOI:10.1093/jn/nxab024] [PMID] [PMCID]
23. Jausal AN, Zuraida R. Iron Consumption and Anemia in Adolescent Girls in Junior High School 1 Tanjung Sari, South Lampung. International Journal of Health, Education & Social (IJHES). 2022;5(8):1-13.
24. Rezaeian A, Ghayour-Mobarhan M, Mazloum SR, Yavari M, Jafari S-A. Effects of iron supplementation twice a week on attention score and haematologic measures in female high school students. Singapore medical journal. 2014;55(11):587. [DOI:10.11622/smedj.2014156] [PMID] [PMCID]
25. Bruner AB, Joffe A, Duggan AK, Casella JF, Brandt J. Randomised study of cognitive effects of iron supplementation in non-anaemic iron-deficient adolescent girls. The Lancet. 1996;348(9033):992-6. [DOI:10.1016/S0140-6736(96)02341-0] [PMID]
26. Habibesadat S, Ali K, Shabnam JM, Arash A. Prevalence of vitamin D deficiency and its related factors in children and adolescents living in North Khorasan, Iran. Journal of Pediatric Endocrinology and Metabolism. 2014;27(5-6):431-6. [DOI:10.1515/jpem-2013-0198] [PMID]
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Ethics code: IR.GMU.REC.1394.54
Clinical trials code: IRCT20180722040559N3

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Alami A, Ghelichi-Ghojogh M, Hosseini Z, Jafari A. Effectiveness of Iron and vitamin D supplementary intervention program in high school girl students. Iran J Health Educ Health Promot 2023; 11 (1) :20-30
URL: http://journal.ihepsa.ir/article-1-2255-en.html

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Volume 11, Issue 1 (3-2023) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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