A Functional Food for the Prevention of Iron-deficiency Anemia
الكلمات الدالة
نبذة مختصرة
وصف
Rationale Iron deficiency anemia is considered to be one of the most prevalent forms of malnutrition in Europe (Stoltzfus, 2003 & Hercberg et al., 2001). Pregnant mothers are particularly susceptible to the onset of iron deficiency anemia (Daily & Wylie, 2008). It has been estimated that 1 in 2 pregnant women will be diagnosed with iron deficiency (Scholl, 2005). During pregnancy maternal plasma volume expands, increasing iron requirements (Scholl et al., 2000) whilst dietary intakes generally remain unchanged (Milman, 2006). Physiologically, intestinal iron absorption may increase during pregnancy but only after iron depletion has already commenced (Milman, 2006). Research strongly suggests that pregnant women are not meeting dietary guidelines for iron (Derbyshire et al., 2009).
A Sheffield (UK) study has reported that pregnant women consume around 10.2mg of iron per day (Mouratidou et al., 2006). Another investigation undertaken in a London population found that expectant mothers had a mean intake of 10.7mg iron per day (Rees et al., 2005). A further study investigating the diet of educated, Caucasian pregnant mothers reported similar figures (Derbyshire et al., 2006). Diets deficient in iron during gestation may subsequently affect infant health, in both the short and longer term (Scholl & Reilly, 2000). Iron deficiencies in pregnancy have been linked to preterm deliveries, reduced infant birth weight, length and iron stores (Daily & Wylie, 2008). Low iron stores during periods of infant brain growth may permanently impede cognitive development (Lozoff, 2007 & Lozoff & Georgieff, 2006).
Teff (Eragrostis tef) is a staple food consumed in northern, western and central Ethiopia; usually in the form of Enjera (flat bread prepared using a range of cereals, including Eragrostis tef) (Umeta et al., 2005). Research has shown that Teff is a rich source of bioavailable iron which may be attributed to its low phytate content. Bread made with Tef enjera contains around 30mg of iron per 100g and up to 35mg when the food is fermented (Umeta et al., 2005). The iron content dramatically exceeds that of common Western foods (Corn flakes 7.9mg, boiled brown rice, 0.5mg and brown bread, 2.2mg, all per 100g consumed) (FSA, 2006). Furthermore, studies have shown that the prevalence of pregnancy iron deficiency anemia is relatively low in Ethiopia (Gies et al., 2003) which may be attributed to Eragrostis tef forming a staple part of the diet (Haidar et al., 1999).
Incorporation of Teff into the daily diet of expectant mothers may help to reduce the incidence of iron-deficiency anemia. Research shows that women do not adhere to taking large tablet supplements (Nguyen et al., 2008). Teff may therefore provide an alternative source of dietary iron that can be easily incorporated into the daily diet of both pregnant mothers and the lay public.
تواريخ
آخر التحقق: | 06/30/2010 |
تم الإرسال لأول مرة: | 01/21/2010 |
تم إرسال التسجيل المقدر: | 01/21/2010 |
أول نشر: | 01/24/2010 |
تم إرسال آخر تحديث: | 07/28/2014 |
آخر تحديث تم نشره: | 07/29/2014 |
تاريخ بدء الدراسة الفعلي: | 09/30/2009 |
تاريخ الإنجاز الأساسي المقدر: | 06/30/2011 |
التاريخ المتوقع لانتهاء الدراسة: | 06/30/2011 |
حالة أو مرض
التدخل / العلاج
Other: Control
Other: Teff bread
مرحلة
مجموعات الذراع
ذراع | التدخل / العلاج |
---|---|
Placebo Comparator: Control Control bread | Other: Control Control bread |
Active Comparator: Teff bread Teff bread | Other: Teff bread Teff bread |
معايير الأهلية
الأعمار المؤهلة للدراسة | 18 Years إلى 18 Years |
الأجناس المؤهلة للدراسة | Female |
يقبل المتطوعين الأصحاء | نعم |
المعايير | Inclusion Criteria: - Caucasian - Primiparous - Singleton pregnancy (wk 20 to wk 30) - Non smokers - Pre pregnancy BMI between 19.8 and 26 - Healthy, free from iron metabolism disorders (pregnancy induced hypertension - Not taking medicines known to influence iron status - Not taking iron supplements (multivitamins will be accounted for) - Free from gastrointestinal disorders - No allergies Exclusion Criteria: - Pregnancy haemoglobin concentrations are not within the normal range (below 70g/l or over 160g/l) |
النتيجة
مقاييس النتائج الأولية
1. To develop Teff bread that is rich in iron (per slice). [2 years]
2. To establish whether iron from Teff is bioavailable. [2 years]
3. To conclude whether daily Teff consumption prevents iron-deficiency anemia in pregnancy. [2 years]
مقاييس النتائج الثانوية
1. To use a range of different biomarkers to determine iron status. [2 years]
2. To compare dietary intakes of iron and iron status between the Teff/control group. [2 years]