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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
agricultural and biological sciences
Relationship of the availability of micronutrient powder with iron status and hemoglobin among women and children in the Kakuma refugee camp, Kenya
Food and Nutrition Bulletin, Volume 32, No. 3, Year 2011
Notification
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Description
Background. Micronutrient powder is a potential strategy to improve iron status and reduce anemia in refugee populations. Objective. To evaluate the effect of the availability of home fortification with a micronutrient powder containing 2.5 mg of sodium iron ethylenediaminetetraacetate (NaFeEDTA) on iron status and hemoglobin in women and children in the Kakuma Refugee Camp in northwest Kenya. Methods. Hemoglobin and soluble transferrin receptor were measured in 410 children 6 to 59 months of age and 458 women of childbearing age at baseline (just before micronutrient powder was distributed, along with the regular food ration) and at midline (6 months) and endline (13 months) follow-up visits. Results. At the baseline, midline, and endline visits, respectively, the mean (± SE) hemoglobin concentration in women was 121.4 ± 0.8, 120.8 ± 0.9, and 120.6 ± 1.0 g/L (p = .42); the prevalence of anemia (hemoglobin < 120 g/L) was 42.6%, 41.3%, and 41.7% (p = .92); and the mean soluble transferrin receptor concentration was 24.1 ± 0.5, 20.7 ± 0.7, and 20.8 ± 0.7 nmol/L (p = .0006). In children, the mean hemoglobin concentration was 105.7 ± 0.6, 109.0 ± 1.5, and 105.5 ± 0.3 g/L (p = .95), respectively; the prevalence of anemia (hemoglobin < 110 g/L) was 55.5%, 52.3%, and 59.8% (p = .26); and the mean soluble transferrin receptor concentration was 36.1 ± 0.7, 29.5 ± 1.9, and 28.4 ± 3.2 nmol/L (p = .02), in models that were adjusted for age using least squares means regression. Conclusions. In children and in women of childbearing age, the availability of micronutrient powder was associated with a small improvement in iron status but no significant change in hemoglobin in this refugee camp setting. Copyright © Nevin Scrimshaw International Nutrition Foundation. All rights reserved.
Authors & Co-Authors
Ndemwa, Phillip
Kenya, Nairobi
Kenya Medical Research Institute
Klotz, Christine L.
Italy, Rome
World Food Program, Italy
Mwaniki, David Lemmy
Kenya, Nairobi
Kenya Medical Research Institute
Sun, Kai
Switzerland, Basel
Sight and Life
Muniu, Erastus M.
Kenya, Nairobi
Kenya Medical Research Institute
Andang'O, Pauline E.A.
Kenya, Nairobi
Kenya Medical Research Institute
Owigar, Joyce
Italy, Rome
World Food Program, Italy
Rah, Jee-hyun
Switzerland, Basel
Sight and Life
Kraemer, Klaus
Switzerland, Basel
Sight and Life
Spiegel, Paul B.
Switzerland, Geneva
United Nations High Commissioner for Refugees
Bloem, Martin W.
Italy, Rome
World Food Program, Italy
de Pee, Saskia
Italy, Rome
World Food Program, Italy
Semba, Richard D.
United States, Baltimore
Johns Hopkins School of Medicine
Statistics
Citations: 23
Authors: 13
Affiliations: 5
Identifiers
Doi:
10.1177/156482651103200314
ISSN:
03795721
Research Areas
Food Security
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Kenya
Participants Gender
Female