Daily Multivitamins with Iron to Prevent Anemia in Infancy: A Randomized Clinical Trial

This study assessed the effectiveness of multivitamins (MV) with iron as prophylaxis against iron deficiency (ID) and anemia in infancy. The study was a double-blind, randomized trial at 2 urban primary care clinics. Subjects included healthy, full-term infants enrolled at their 6-month well-child v...

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Veröffentlicht in:Clinical pediatrics 2001-10, Vol.40 (10), p.549-554
Hauptverfasser: Geltman, Paul L., Meyers, Alan F., Bauchner, Howard
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creator Geltman, Paul L.
Meyers, Alan F.
Bauchner, Howard
description This study assessed the effectiveness of multivitamins (MV) with iron as prophylaxis against iron deficiency (ID) and anemia in infancy. The study was a double-blind, randomized trial at 2 urban primary care clinics. Subjects included healthy, full-term infants enrolled at their 6-month well-child visit. Parents administered MV, either with iron or without iron, by mouth daily for 3 months. At 9 months of age, 28.3% of 310 had either anemia or ID without anemia. Among infants with any adherence, anemia was found in 11.1% of the iron group and 21.7% in the noniron group (RR=0.5, 95% CI=0.3-1.0). Iron deficiency without anemia was found in 18.5% of the iron group; 14.4% of the noniron group (p=0.46). When administered daily starting at age 6 months, standard-dose multivitamins with iron appear to reduce anemia prevalence at 9 months of age.
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The study was a double-blind, randomized trial at 2 urban primary care clinics. Subjects included healthy, full-term infants enrolled at their 6-month well-child visit. Parents administered MV, either with iron or without iron, by mouth daily for 3 months. At 9 months of age, 28.3% of 310 had either anemia or ID without anemia. Among infants with any adherence, anemia was found in 11.1% of the iron group and 21.7% in the noniron group (RR=0.5, 95% CI=0.3-1.0). Iron deficiency without anemia was found in 18.5% of the iron group; 14.4% of the noniron group (p=0.46). When administered daily starting at age 6 months, standard-dose multivitamins with iron appear to reduce anemia prevalence at 9 months of age.</description><subject>Anemia, Iron-Deficiency - prevention &amp; control</subject><subject>Anemias. Hemoglobinopathies</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Breast Feeding</subject><subject>Children</subject><subject>Diseases</subject><subject>Diseases of red blood cells</subject><subject>Double-Blind Method</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>General and cellular metabolism. Vitamins</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Iron - therapeutic use</subject><subject>Iron deficiency anemia</subject><subject>Iron deficiency anemia in children</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Compliance</subject><subject>Pharmacology. 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Hemoglobinopathies</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Breast Feeding</topic><topic>Children</topic><topic>Diseases</topic><topic>Diseases of red blood cells</topic><topic>Double-Blind Method</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>General and cellular metabolism. Vitamins</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Iron - therapeutic use</topic><topic>Iron deficiency anemia</topic><topic>Iron deficiency anemia in children</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Compliance</topic><topic>Pharmacology. Drug treatments</topic><topic>Prevention</topic><topic>Vitamins - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geltman, Paul L.</creatorcontrib><creatorcontrib>Meyers, Alan F.</creatorcontrib><creatorcontrib>Bauchner, Howard</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geltman, Paul L.</au><au>Meyers, Alan F.</au><au>Bauchner, Howard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Daily Multivitamins with Iron to Prevent Anemia in Infancy: A Randomized Clinical Trial</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>40</volume><issue>10</issue><spage>549</spage><epage>554</epage><pages>549-554</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>This study assessed the effectiveness of multivitamins (MV) with iron as prophylaxis against iron deficiency (ID) and anemia in infancy. 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subjects Anemia, Iron-Deficiency - prevention & control
Anemias. Hemoglobinopathies
Animals
Biological and medical sciences
Breast Feeding
Children
Diseases
Diseases of red blood cells
Double-Blind Method
Drug Combinations
Female
General and cellular metabolism. Vitamins
Hematologic and hematopoietic diseases
Humans
Infant
Iron - therapeutic use
Iron deficiency anemia
Iron deficiency anemia in children
Male
Medical sciences
Patient Compliance
Pharmacology. Drug treatments
Prevention
Vitamins - therapeutic use
title Daily Multivitamins with Iron to Prevent Anemia in Infancy: A Randomized Clinical Trial
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