Treatment and Prevention of Anemia With Ferrous Sulfate Plus Folic Acid in Children in Goiania - Goias, Brazil
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Purpose
Iron deficiency anemia is the most common nutritional problem in the world. The objectives of this study are to evaluate the prevalence of anemia in children from 6 to 24 months of age and the therapeutic and prophylactic response to ferrous sulfate plus folic acid on hemoglobin levels.
Study hypothesis: The ferrous sulfate plus folic acid can improve the response on hemoglobin levels.
| Condition | Intervention |
|---|---|
|
Anemia |
Drug: ferrous sulfate Drug: folic acid Drug: placebo (folic acid) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) |
| Official Title: | Nutritional Anemia: Prevention and Treatment in Early Childhood |
- Iron status [ Time Frame: Approximately three months ] [ Designated as safety issue: No ]
- Prevalence of anemia [ Time Frame: Approximately three months ] [ Designated as safety issue: No ]
| Enrollment: | 196 |
| Study Start Date: | April 2005 |
| Study Completion Date: | March 2006 |
| Primary Completion Date: | March 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: I
I Treatment: a daily dose (5 times a week) of either 4,2 mg/kg/day of ferrous sulfate + folic acid (50 mcg)
|
Drug: ferrous sulfate Drug: folic acid |
|
Placebo Comparator: II
II Treatment of anemic children with 4,2 mg/kg/day of ferrous sulfate and folic acid placebo.
|
Drug: ferrous sulfate Drug: placebo (folic acid) |
|
Experimental: III
Prevention of anemia in non-anemic children ( 5 times a week)- 1,4 mg/kg/day of ferrous sulfate and folic acid
|
Drug: ferrous sulfate Drug: folic acid |
|
Placebo Comparator: IV
1,4 mg/kg/day of ferrous sulfate plus folic acid placebo, five days a week.
|
Drug: ferrous sulfate Drug: placebo (folic acid) |
Detailed Description:
Purpose
The objective of this study was to assess the prevalence of anemia and the therapeutic and prophylactic response to ferrous sulfate and folic acid.
A double-blind, randomized, controlled clinical trial was conducted with 196 children 6 to 24 months of age enrolled in municipal daycare centers in Goiânia, Goiás State, Brazil. The children were assigned to two treatment groups that received a daily dose (5 times a week) of either 4.2mg/kg/day of ferrous sulfate + folic acid (50μg) or 4.2mg/kg/day of ferrous sulfate + folic acid placebo. One of the prevention groups received 1.4mg/kg/day of ferrous sulfate + folic acid (50μg/day) and the other 1.4mg/kg/day of ferrous sulfate + folic acid placebo. Supplementation lasted approximately three months.
Eligibility| Ages Eligible for Study: | 6 Months to 24 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- from 6 to 24 months
- born at term
- non-twins
- with parental approval for participation in the study
- attending municipal daycare centers with mor than four children each
Exclusion Criteria:
- Children with special needs
- low birth weight (<2.500g)
- with growth-impairing heart diseases
- neurological syndromes
- sickle-cell anemia
- sickle-cell trait
- under treatment for anemia at the time of the first interview or screening performed by the pediatrician
- those no longer attending the daycare center
- the clinical trial excluded children with hemoglobin >=7 amd <=8g/dL.
Contacts and Locations| Brazil | |
| Universiadade Federal de Goias | |
| Goiânia, Goiás, Brazil, 74605-080 | |
| Principal Investigator: | Maria Claret CM Hadler, PhD Sciences | Universidade Federal de Goias |
| Principal Investigator: | Dirce M Sigulem, MD, PhD | Federal University of São Paulo |
| Principal Investigator: | Maria de Fátima C Alves, PhD | Universidade Federal de Goias |
| Principal Investigator: | Vinícius M Torres, MD | Vila São José Bento Cotolengo |
More Information
Additional Information:
Publications:
| Responsible Party: | Profa Maria Claret Costa Monteiro Hadler, PhD, Universiadade Federal de Goias |
| ClinicalTrials.gov Identifier: | NCT00701246 History of Changes |
| Other Study ID Numbers: | FANUT 302004 |
| Study First Received: | June 18, 2008 |
| Last Updated: | January 13, 2009 |
| Health Authority: | Brazil: Ethics Committee |
Keywords provided by Universidade Federal de Goias:
|
Anemia Iron deficiency anemia Infants Children Clinical trials Ferrous sulfate |
Folic acid Daycare centers Anaemia in children born at term non-twins with parental approval for participation in the study |
Additional relevant MeSH terms:
|
Anemia Hematologic Diseases Folic Acid Vitamin B Complex Hematinics Vitamins |
Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Hematologic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013