Research paper
Once weekly is superior to daily iron supplementation on height gain but not on hematological improvement among schoolchildren in Thailand.
Study answer
What this study found
Once-weekly iron was superior to daily iron for height gain over 16 weeks, while hematologic improvement was broadly similar between regimens. Hemoglobin increased in both groups, from 121.3 to 127.8 g/L with daily iron and from 121.2 to 126.9 g/L with weekly iron; both active regimens improved hemoglobin versus placebo, with P < 0.001 for daily and P = 0.026 for weekly. Daily iron produced a larger serum ferritin increase than weekly iron (39.8 vs 13.4, P < 0.001), but this did not translate into better hemoglobin or anemia outcomes. Height gain was greater with weekly than daily iron (2.6…
- Study & population
- Randomized supplementation study in primary schoolchildren from two public schools in rural Songkhla Province, southern Thailand.
- Intervention
- Oral ferrous sulfate 300 mg tablets providing 60 mg elemental iron were given for 16 weeks.
- Key limitation
- The trial lasted only 16 weeks, so longer-term effects on growth and iron status are unknown.
Original abstract
Intermittent iron supplementation has been suggested as a replacement for daily iron supplements for reducing anemia in developing countries. The effects of once weekly and daily iron supplementation on hemoglobin (Hb), serum ferritin (SF), prevalenc…