Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2009-10-16
pubmed:abstractText
The long-term benefits of antenatal iron supplementation in child survival are not known. In 1999-2001, 4,926 pregnant women in rural Nepal participated in a cluster-randomized, double-masked, controlled trial involving 4 alternative combinations of micronutrient supplements, each containing vitamin A. The authors examined the impact on birth weight and early infant mortality in comparison with controls, who received vitamin A only. They followed the surviving offspring of these women at approximately age 7 years to study effects of in utero supplementation on survival. Of 4,130 livebirths, 209 infants died in the first 3 months and 8 were lost to follow-up. Of those remaining, 3,761 were followed, 150 died between ages 3 months and 7 years, and 152 were lost to follow-up. Mortality rates per 1,000 child-years from birth to age 7 years differed by maternal supplementation group, as follows: folic acid, 13.4; folic acid-iron, 10.3; folic acid-iron-zinc, 12.0; multiple micronutrients; 14.0; and controls, 15.2. Hazard ratios were 0.90 (95% confidence interval (CI): 0.65, 1.22), 0.69 (95% CI: 0.49, 0.99), 0.80 (95% CI: 0.58, 1.11), and 0.93 (95% CI: 0.66, 1.31), respectively, in the 4 supplementation groups. Maternal iron-folic acid supplementation reduced mortality among these children by 31% between birth and age 7 years. These results provide additional motivation for strengthening antenatal iron-folic acid programs.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1476-6256
pubmed:author
pubmed:issnType
Electronic
pubmed:day
1
pubmed:volume
170
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1127-36
pubmed:dateRevised
2010-11-2
pubmed:meshHeading
pubmed-meshheading:19778983-Body Weights and Measures, pubmed-meshheading:19778983-Child, pubmed-meshheading:19778983-Child Mortality, pubmed-meshheading:19778983-Diet, pubmed-meshheading:19778983-Dietary Supplements, pubmed-meshheading:19778983-Double-Blind Method, pubmed-meshheading:19778983-Female, pubmed-meshheading:19778983-Folic Acid, pubmed-meshheading:19778983-Follow-Up Studies, pubmed-meshheading:19778983-Humans, pubmed-meshheading:19778983-Iron, pubmed-meshheading:19778983-Male, pubmed-meshheading:19778983-Micronutrients, pubmed-meshheading:19778983-Nepal, pubmed-meshheading:19778983-Prenatal Care, pubmed-meshheading:19778983-Prospective Studies, pubmed-meshheading:19778983-Rural Population, pubmed-meshheading:19778983-Socioeconomic Factors, pubmed-meshheading:19778983-Vitamin A, pubmed-meshheading:19778983-Zinc
pubmed:year
2009
pubmed:articleTitle
Antenatal and postnatal iron supplementation and childhood mortality in rural Nepal: a prospective follow-up in a randomized, controlled community trial.
pubmed:affiliation
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Center for Human Nutrition, Baltimore, Maryland 21205, USA.
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural