title: Protective effect of multimicronutrient supplementation against anemia among children, women, and adolescent girls in lower-income areas of Chiclayo, Peru.
abstract: BACKGROUND
  The Integrated Food Security Program (Programa Integrado de Seguridad Alimentaria [PISA]) implemented a campaign to promote weekly multimicronutrient supplementation among women and adolescent girls of childbearing age and children under 5 years of age.
  
  
  OBJECTIVE
  To assess the impact of the campaign on the growth of children and on anemia among children and among women and adolescent girls of childbearing age.
  
  
  METHODS
  Weekly multimicronutrient supplementation was provided for 8 weeks. Weights, heights, and hemoglobin concentrations were assessed at the beginning and end of the campaign.
  
  
  CONCLUSIONS
  Although supplementation did not significantly increase the hemoglobin concentrations of children (p = .80) or women and adolescent girls (p = .65) in the intervention group, the hemoglobin concentrations of the comparison groups were significantly lower after 8 weeks (p = .001 for children and p = .03 for women and adolescent girls). Furthermore, the percentage of anemic children in the comparison group increased significantly (p <.001), and the final value was significantly higher than that for the intervention group (p = .004). There were no significant effects of weekly multimicronutrient supplementation on the growth of children, but the study was too short to reliably determine any effects on growth.
authors: Instituto de Investigación Nutricional, Lima, Peru. dromana@iin.sld.pe
authors: Daniel
authors: D
authors: López de Romaña
authors: Sara
authors: S
authors: Verona
authors: Oscar Aquino
authors: OA
authors: Vivanco
authors: Rainer
authors: R
authors: Gross
mesh_terms: D000293:Adolescent; D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000188:drug therapy* / Q000453:epidemiology; D001827:Body Height / Q000187:drug effects / Q000502:physiology; D001835:Body Weight / Q000187:drug effects / Q000502:physiology; D002648:Child; D002675:Child, Preschool; D016000:Cluster Analysis; D019587:Dietary Supplements; D005260:Female; D006128:Growth / Q000187:drug effects; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007501:Iron / Q000627:therapeutic use; D008297:Male; D018977:Micronutrients / Q000627:therapeutic use*; D009747:Nutritional Physiological Phenomena / Q000187:drug effects* / Q000502:physiology; D009752:Nutritional Status; D010568:Peru / Q000453:epidemiology; D011203:Poverty; D016896:Treatment Outcome
chemical_list: D006454:Hemoglobins; D018977:Micronutrients; D007501:Iron