EFIKASI SUPLEMEN BESI-MULTIVITAMIN UNTUK PERBAIKAN STATUS BESI REMAJA WANITA
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Abstract
EFFICACY OF IRON-MULTIVITAMIN SUPPLEMENT FOR IMPROVING THE IRON STATUS OF ADOLESCENT FEMALES
The study was aimed to analyze the efficacy of supplementation iron-multivitamin for improving
the iron status of adolescent females through the double-blind trial. Subjects were 224 of the first
grade university students (IPB) who were randomly allocated to three study groups through a
double blind trial. The first group received only placebo (control group); the second group received
60 mg iron, 250 ug folate (B-F group); the third group received 60 mg iron,800 ug folate, 4200 ug
retinyl acetate, 500 mg vitamin C, and 16.8 ug vitamin B12 (B-MV group). All supplements were
distributed and consumed weekly during 25 weeks. The mean changes in Hb, STfR and SF
among the groups were tested with Ancova and adjusted with BMI; capsule compliance;
food/snack compliance; adequacy of energy, protein, vitamin A, vitamin C, iron; and baseline
value of Hb, STfR, SF. The results showed the demographics and nutritional characteristics of
samples were not significantly different. At the baseline, the mean of haemoglobin
(Hb=126.2±13.1 g/l) and serum ferritin (SF=18.3±15.9 ug/l) were not significantly different among
the three groups (p<0.05). However, the serum transferrin receptor (STfR) was lower in the control
(5.8 ± 3.2 mg/l) than B-F (7.9 ±4.4 mg/l) and B-MV (11.8±5.5 mg/l). After 25 week of
supplementation, the mean change of hemoglobin was not different among the three groups (10.1
g/l; p>0.05). The B-MV group significantly lower decreased in STfR (-4.2 mg/l) and higher
increased in SF (+13.4 ug/l) compared to B-F and control group (p<0.05). Meanwhile, only the
STfR in B-F group (-1.3 ug/l) was significantly lower than control group (p<0.05). This implied the
important of the multi-vitamin to complement the iron supplementation.
Keywords: haemoglobin (Hb), serum transferrin receptor (STfR), serum ferritin (SF), iron status,
iron-multivitamin, iron-folate, adolescent female
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