Effect of a Dietary Iron Program on Iron Status and IQ in Children in Phatthalung Province, Thailand

NCT05878379 | Completed

• 1 other identifier: MUPH 2018-048
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Iron deficiency (ID) continues to be one of the most prevalent disorders, which can adversely affect cognitive ability in childhood. Our aim was to determine the effect of a dietary iron education program (DIP) on children's iron status and intelligence quotient (IQ) score. This pre-test (week 1) post-test (week 16) quasi-experimental study with follow-up (week 18) utilized constructs from the Health Belief Model. Children and caregivers participated in the DIP which incorporated group talks, presentations, brainstorming, game-based learning and cooking sessions from weeks 2-15. Knowledge of ID and dietary iron, perceived susceptibility and severity, benefits and barriers for changing behavior, dietary intake, iron status and IQ score were determined at all timepoints (weeks 1, 16, and 18).

Conditions

Iron Deficiency, Anaemia in Children

Keywords

Iron deficiency; Iron status; Cognitive function; education

Outcome Measures

Primary Outcomes (1)

• Iron Status

  For outcome 1, individuals were categorized as either: (1.) iron replete, (2.) Iron deficient, (3.) Iron deficient with mild-moderate anemia (4.) mild-moderately anemic

  Change from baseline (week 1) to post-test (week 16), and change from post-test (week 16) to follow-up (week 18)

Secondary Outcomes (1)

• Intelligence quotient (IQ) score

  Change from baseline (week 1) to post-test (week 16), and change from post-test (week 16) to follow-up (week 18)

Study Arms (1)

Dietary Iron Program

EXPERIMENTAL

The dietary iron program was administered from weeks 2 to 15 in between pre-test and post-test measurements

Behavioral: Dietary Iron Program

Interventions

Dietary Iron Program BEHAVIORAL

Teachers Lesson 1: Discuss about causes, prevention and effects of anemia and ID, dietary iron, dietary enhancers and inhibitors of iron absorption, and school lunch menu Lesson 2: Participate in and observe how to teach children in an iron curriculum Caregivers Lesson 1: Presentation and group talk about causes, prevention, and effects of anemia and ID, dietary iron, and dietary enhancers and inhibitors of iron absorption Lesson 2: Discuss benefits and barriers of changing to an iron-rich meal at home Lesson 3: Cooking class for preparing an iron-rich meal at home (2 times) Lesson 4: Home visit Children Lesson 1: Group talk about causes and effects of anemia and ID Games: "Where are you from?" Lesson 2: Presentation and group talk about dietary iron, and dietary enhancers and inhibitors of iron absorption, and iron-rich food Games: "What is the winner?" Assignment: Market assignment Lesson 3: Cooking class (2 times)

Dietary Iron Program

Eligibility Criteria

• Age: 9 Years - 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children who were studying in grades 4 and 5 of the selected school

You may not qualify if:

• Severe illness, including severe anemia (hemoglobin \<4.96 mmol/L or \<80 g/L)
• Post-menarche
• Use of vitamin or mineral supplements up to 30 days before program implementation

Sponsors & Collaborators

• Mahidol University: lead

Study Sites (1)

Ms Witchada Simla

Phatthalung, Phattalung Province, 93210, Thailand

Location

MeSH Terms

Conditions

Iron Deficiencies

Condition Hierarchy (Ancestors)

Iron Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Officials

• Witchada Simla, MSc

  Thaksin University (Phatthalung Campus), Thailand

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Quasi-experimental (pre-test post-test) design with follow-up / Behavioral intervention, based on the Health Belief Model

Study Record Dates

• First Submitted: April 5, 2023
• First Posted: May 26, 2023
• Study Start: May 2, 2018
• Primary Completion: October 30, 2018
• Study Completion: October 30, 2018
• Last Updated: May 26, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)