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Intermittent iron supplementation for reducing anaemia and its associated impairments in menstruating women

  1. Ana C Fernández-Gaxiola1,
  2. Luz Maria De-Regil2,*

Editorial Group: Cochrane Developmental, Psychosocial and Learning Problems Group

Published Online: 7 DEC 2011

Assessed as up-to-date: 4 NOV 2011

DOI: 10.1002/14651858.CD009218.pub2


How to Cite

Fernández-Gaxiola AC, De-Regil LM. Intermittent iron supplementation for reducing anaemia and its associated impairments in menstruating women. Cochrane Database of Systematic Reviews 2011, Issue 12. Art. No.: CD009218. DOI: 10.1002/14651858.CD009218.pub2.

Author Information

  1. 1

    Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico

  2. 2

    Micronutrient Initiative, Ottawa, ON, Canada

*Luz Maria De-Regil, Micronutrient Initiative, 180 Elgin Street, Suite 1000, Ottawa, ON, K2P 2K3, Canada. lderegil@micronutrient.org.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 7 DEC 2011

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
Agarwal 2003 (C) {published data only}
  • Agarwal KN, Gomber H, Bisht H, Som M. Anemia prophylaxis in adolescent school girls by weekly or daily iron-folate supplementation. Indian Pediatrics 2003;40:296-301.
Ahmed 2001 {published data only}
  • Ahmed F, Rahman K, Jackson AA. Concomitant supplemental vitamin A enhances the response to weekly supplemental iron and folic acid in anemic teenagers in urban Bangladesh. American Journal of Clinical Nutrition 2001;74:108-15.
Angeles-Agdeppa 1997 {published data only}
  • Angeles-Agdeppa I, Schultink W, Sastromidjojo S, Gross R, Karyadi D. Weekly micronutrient supplementation to build iron stores in female Indonesian adolescents. American Journal of Clinical Nutrition 1997;66:177-83.
Beasley 2000 {published data only}
Dos Santos 1999 {published data only}
  • Dos Santos Lopes MC, Cardoso-Ferreira LO, Batista-Filho M. Use of daily and weekly ferrous sulfate to treat anemic childbearing-age women [Uso diário e semanal de sulfato ferroso no tratamento de anemia em mulheres no período reprodutivo]. Cadernos de Saúde Pública 1999;15(4):799-808.
Februhartanty 2002 {published data only}
Gilgen 2001 {published data only}
Gonzalez-Rosendo 2002 {published data only}
  • Gonzalez-Rosendo G. Comparación de la dosis única semanal de hierro con la dosis diaria para el tratamiento y prevención de la anemia ferropénica en mujeres adolescentes Mexicanas (Doctoral Thesis).. Barcelona, Spain: Universitat Autonoma de Barcelona, 2002.
  • González-Rosendo G, Fernández-Ballart JD, Rodríguez-Jerez JJ, Sánchez-Muñoz J, Quintero-Gutiérrez AG. Weekly iron single dose for adolescent girls in Morelos (Mexico) [Dosis semanal de hierro en mujeres adolescentes de Morelos (Mexico)]. Ciencia y Tecnologia Alimentaria 2008;6(2):37-142.
Hall 2002 (C) {published and unpublished data}
  • Hall A, Roschnik N, Ouattara F, Toure I, Maiga F, Sacko M, et al. A randomised trial in Mali of the effectiveness of weekly iron supplements given by teachers on the haemoglobin concentrations of schoolchildren. Public Health Nutrition 2002;5(3):413-8.
Jayatissa 1999 (C) {published data only}
  • Jayatissa R, Piyasena P. Adolescent schoolgirls: daily or weekly iron supplementation. Food and Nutrition Bulletin 1999;20(4):429-34.
Kianfar 2000 {published data only}
  • Kianfar H, Kimiagar M, Ghaffarpour M. Effect of daily and intermittent iron supplementation on iron status of high school girls. International Journal of Vitamin and Nutriton Research 2000;70(4):172-77.
Leenstra 2009 {published data only}
  • Leenstra T, Kariuki SK, Kurtis JD, Oloo AJ, Kager PA, ter Kuile FO. The effect of weekly iron and vitamin A supplementation on hemoglobin levels and iron status in adolescent schoolgirls in western Kenya. European Journal of Clinical Nutrition 2009;63:173-82.
Mozaffari 2010 (C) {published data only}
  • Mozaffari-Khosravi H, Noori-Shadkam M, Fatehi F, Naghiaee Y. Once-weekly low dose iron supplementation effectively improved iron status in adolescent girls. Biological Trace Elements Research 2010;135:22-30.
Muro 1999 (C) {published data only}
  • Muro GS, Gross U, Gross R, Wahyuniar L. Increase in compliance with weekly iron supplementation of adolescent girls by an accompanying communication programme in secondary schools in Dar-es-Salaam, Tanzania. Food and Nutrition Bulletin 1999;20(4):435-44.
Nguyen 2008 {published data only}
  • Nguyen P, Grajeda R, Melgar P, Marcinkevage J, Flores R, Martorell R. Weekly may be as efficacious as daily folic acid supplementation in improving folate status and lowering serum homocysteine concentrations in guatemalan women. Journal of Nutrition 2008;138:1491-8.
  • Nguyen PH, Grajeda R, Melgar P, Marcinkevage J, DiGirolamo AM, Flores R, Martoreel R. Micronutrient supplementation may reduce symptoms of depression in Guatemalan women. Archivos Latinoamericanos de Nutrición 2009;3:278-86.
Riuvard 2006 {published data only}
  • Ruivard M, Feillet-Coudray C, Rambeau M, Gerbaud L, Mazur A, Rayssiguier Y, et al. Effect of daily versus twice weekly long-term iron supplementation on iron absorption and status in iron-deficient women: a stable isotope study. Clinical Biochemestry 2006;39(7):700-7.
Roschnik 2003 (C) {unpublished data only}
  • Roschnik N, Phiri V, Mukaka M. The impact of weekly school-based iron supplementation. Mangochi District, Malawi (Report). Save the Children, USA February 2003.
Shah 2002 {published data only}
  • Shah BK, Gupta P. Weekly vs daily iron and folic acid supplementation in adolescent Nepalese girls. Archives of Pediatric and Adolescent Medicine 2002;156:131-5.
Shobha 2003 {published data only}
  • Shobha S, Sharada D. Efficacy of twice weekly iron supplementation in anemic adolescent girls. Indian Pediatrics 2003;40:1186-90.
Soekarjo 2004 (C) {published data only}
  • Soekarjo DD, De Pee S. Effectiveness of weekly vitamin A (10,000 IU) and iron (60mg) supplementation for adolescent boys and girls through schools in rural and urban East Java, Indonesia. European Journal of Clinical Nutrition 2004;58:927-37.
Zavaleta 2000 {published data only}
  • Zavaleta N, Respicio G, Garcia T. Efficacy and acceptability of two iron supplementation schedules in adolescent school girls in Lima, Peru. Journal of Nutrition 2000;130:462S-4S.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
Ahmed 2005 {published data only}
  • Ahmed F, Khan MR, Akhtaruzzaman M, Karim R, Marks GC, Banu CP, et al. Efficacy of twice-weekly multiple micronutrient supplementation for improving the hemoglobin and micronutrient status of anemic adolescent schoolgirls in Bangladesh. American Journal of Clinical Nutrition 2005;82:829-35.
Ahmed 2010 {published data only}
  • Ahmed F, Khan MR, Akhtaruzzaman M, Karim R, Williams G, Torlesse H, et al. Long-term intermittent multiple micronutrient supplementation enhances hemoglobin and micronutrient status more than iron + folic acid supplementation in Bangladeshi rural adolescent girls with nutritional anemia. Journal of Nutrition 2010;140(10):1879-86.
Beaton 1999 {published data only}
  • Beaton G, McCabe G. Efficacy of intermittent iron supplementation in the comparison of iron deficiency anemia in developing countries: an analysis of experience. Ottawa, Canada, Micronutrient Initiative 1999; Vol. 123.
Berger 2005 {published data only}
  • Berger J, Thanh HTK, Cavalli-Sforza T. Community mobilization and social marketing to promote weekly iron-folic acid supplementation in women of reproductive age in Vietnam: impact on anaemia and iron status. Nutrition Reviews 2005;63:S95-108.
  • Khan NC, Thanh HTK, Berger J, Hoa PT, QuangND, Smitasiri S, Cavalli-Sforza T. Community mobilization and social marketing to promote weekly iron-folic acid supplementation: a new approach toward controlling anemia among women of reproductive age in Vietnam. Nutrition Reviews 2005;63(1):87-94.
Bruner 1996 {published data only}
Casey 2009 {published data only}
  • Casey GJ, Phuc TQ, MacGregor L, Montresor A, Mihrshahi S, Thach TD, et al. A free weekly iron-folic acid supplementation and regular deworming program is associated with improved hemoglobin and iron status indicators in Vietnamese women. BMC Public Health 2009;9:261.
Cook 1995 {published data only}
Crape 2005 {published data only}
  • Crape CL, Kenefick E, Cavalli-Sforza T, Busch-Hallen J, Milani S, Kanal K. Positive impact of a weekly iron-folic acid supplement delivered with social marketing to Cambodian women: compliance, participation, and hemoglobin levels increase with higher socioeconomic status. Nutrition Reviews 2005;63:S134-8.
  • Kanal K, Busch-Hallen J, Cavalli-Sforza T, Crape B, Smitasiri S. Weekly iron-folic acid supplements to prevent anemia among Cambodian women in three settings: process and outcomes of social marketing and community mobilization. Nutrition Reviews 2005;63(1):109-115.
Deshmukh 2008 {published data only}
  • Deshmukh PR, Garg BS, Bharambe MS. Effectiveness of weekly supplementation of iron to control anaemia among adolescent girls of Nashik, Maharashtra, India. Journal of Health, Popularion and Nutrition 2008;26(1):74-78.
Dwividi 2006 {published data only}
  • Dwividi A, Schultink W. Reducing anaemia among Indian Adolescent girls through once-weekly supplementation with iron and folic acid. 2006 SCN News;31:19-23.
Horjus 2005 {published data only}
  • Horjus P, Aguayo VM, Roley JA, Pene MC, Meershoek SP. School-based iron and folic acid supplementation for adolescent girls: findings from Manica Province, Mozambique. Food and Nutrition Bulletin 2005;26(3):281-6.
Jackson 2003 {published data only}
  • Jackson R, Al-Mousa Z. Effect of short-term weekly supplementation on anemia and symptoms in adolescent Kuwaiti girls. Kuwait Medical Journal 2003;35(4):275-80.
López de Romaña 2006 {published data only}
  • Gross U, Valle C, Diaz MM. Effectiveness of distribution or multimicronutrient supplements in children and in women and adolescent girls of childbearing age in Chiclayo, Peru. Food and Nutrition Bulletin 2006;27(1):S122-9.
  • López de Romaña D, Verona S, Aquino O, Gross R. Protective effect of multimicronutrient supplementation against anemia among children, women, and adolescent girls in lower-income areas of Chiclayo, Peru. Food and Nutrition Bulletin 2006;27(4):S143-50.
Pasricha 2009 {published data only}
  • Pasricha SR, Casey GJ, Phuc TQ, Mihrshashi S, MacGregor L, Montresor A, et al. Baseline iron indices as predictors of hemoglobin improvement in anemicVietnamese women receiving weekly iron-folic acid supplementation and deworming. American Journal of Tropical Medicine and Hygiene 2009;81(6):1114-9.
Perrin 2002 {published data only}
  • Perrin E, Rothman R, Coyne-Beasley T, Ford C. Is weekly iron and folic acid supplementation as effective as daily supplementation for decreasing incidence of anemia in adolescent girls?. Archives of Pediatrics and Adolescent Medicine 2002;156:128-30.
Siddiqui 2004 {published data only}
  • Siddiqui IA, Jaleel A, Rahman MA. Preventive strategy to control iron deficiency anemia in children and adults. Journal of the Pakistan Medical Association 2003;53(4):131-3.
  • Siddiqui IA, Rahman MA, Jaleel A. Efficacy of daily vs. weekly supplementation of iron in schoolchildren with low iron status. Journal of Tropical Pediatrics 2004;5:276-8.
Taylor 2001 {published data only}
  • Taylor M, Jinabhai CC, Couper I Kleinschmidt I, Jogessar VB. The effect of different anthelmintic treatment regimens combined with iron supplementation on the nutritional status of schoolchildren in KwaZulu-Natal, South Africa: a randomized controlled trial. Transactions of the Royal Society of Tropical Medicine and Hygiene 2001;95(2):211-6.
Tee 1999 {published data only}
  • Tee ES, Kandiah M, Awin N, Chong SM, Satgunasingam N, Kamarudin L, et al. School-administered weekly iron-folate supplements improve hemoglobin and ferritin concentrations in Malaysian adolescent girls. American Journal of Clinical Nutrition 1999;69:1249-56.
Vir 2008 {published data only}
  • Vir SC, Singh N, Nigam AK, Jain R. Weekly iron and folic acid supplementation with counseling reduces anemia in adolescent girls: A large-scale effectiveness study in Uttar Pradesh, India. Food and Nutrition Bulletin 2008;29(3):186-94.
Viteri 1999 {published data only}
  • Viteri FE, Ali F, Tujague J. Long-term weekly iron supplementation improves and sustains nonpregnant women's iron status as well or better than currently recommended short-term daily supplementation. Journal of Nutrition 1999;129:2013-20.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
Olsen 2000 {published data only}
  • Olsen A, Nawiri J, Friis H. The impact of iron supplementation on reinfection with intestinal helminths and Schistosoma mansoni in western Kenya. Transactions of the Royal Society of Tropical Medicine and Hygiene 2000;94:493-9.
  • Olsen A, Nawiri J, Magnussen P, Krarup H, Friis H. Failure of twice-weekly iron supplementation to increase blood haemoglobin and serum ferritin concentrations: results of a randomized controlled trial. Annals of Tropical Medicine and Parasitology 2006;100(3):251-63.
Sharma 2000 {published data only}
  • Sharma A, Prasad K, Rao KV. Identification of an appropriate strategy to control anemia in adolescent girls of poor communities.. Indian Pediatrics 2000;37:261-7.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
Brabin 2010 {unpublished data only}
  • Long-term Iron Supplements and Malaria Risk in Early Pregnancy: a Randomized Controlled Trial (PALUFER). Ongoing study April 2011, currently recruiting participants..
Ramakrishan 2011 {unpublished data only}
  • Impact of Pre-Pregnancy Micronutrient Supplementation on Maternal and Child Health Outcomes. Ongoing study Women recruitment started on September 2011.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
Ahmed 2008
  • Ahmed F, Khan MR, Banu CP, Qazi MR, Akhtaruzzaman M. The coexistence of other micronutrient deficiencies in anaemic adolescent schoolgirls in rural Bangaldesh. European Journal of Clinical Nutrition 2008;62(3):365-72.
Allen 2009
  • Allen LH, Peerson JM, Maternal Micronutrient Supplementation Study Group (MMSSG). Impact of multiple micronutrient versus iron-folic acid supplements on maternal anemia and micronutrient status in pregnancy. Food and Nutrition Bulletin 2009;30(4):S527-32.
Allen 2009a
  • Allen LH, Peerson JM, Olney DK. Provision of multiple rather than two or fewer micronutrients more effectively improves growth and other outcomes in micronutrient deficient children and adults. Journal of Nutrition 2009;139(5):1022-30.
Alleyne 2008
Anah 2008
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Beard 2005
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Bentley 2003
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