Anemia Clinical Trial
Official title:
Double Fortified Salt Intervention and Work Performance (Productivity) of Women Plantation Workers in West Bengal, India
The main objective of the present study is to assess the impact of double fortified salt
containing iron and iodine on work performance (productivity) of women plantation workers in
India. Efficacy studies have shown that salt double-fortified with iodine and iron can
significantly reduce the incidence rates of iron-deficiency anemia (IDA) and
iodine-deficiency disorders. Double-fortified salt (DFS) can be prepared by mixing
microencapsulated iron compounds into conventionally iodated salt (Yuan et al, 2008). Iron
deficiency anemia affects the work productivity and physical activity. Many studies have
shown that when the individuals with low Hb received iron supplement, their work performance
improved markedly. Animal studies have demonstrated that iron deficient anemic rats had a
lower work tolerance as measured by oxygen consumption than the adult rats with normal Hb
levels (Ohira et al, 1981). Several human studies have demonstrated the effect of iron
supplementation on endurance capacity and work productivity in women (Zhu and Haas, 1997,
1998; Edgerton et al., 1979). Many human studies have also examined the possible linkages
between iron deficiency and concurrent cognitive or behavioral outcomes. Iron
supplementation effective in reducing iron-deficiency anemia would also result in better
behavioral and developmental outcome. Many studies found that IDA had a great influence on
cognitive functions in infants and school children (Lozoff et al., 2003, 1998 and Friel et
al., 2003). However, studies of IDA and cognitive function in adults are few and
controversial.
This study will assess iron status and physical and mental performance at 2 time points,
before and after approximately 10 months during which a controlled intervention will take
place on tea estates at the Panighatta Tea Garden near Siliguri, West Bengal. Subjects will
be women between 18 and 50 years of age who are actively employed as full time tea pickers.
The study requires that 2 experimental groups of subjects be identified: a) an experimental
group that consumes double fortified salt (DFS) containing iron + iodine, and b) a control
group that consumes only iodized salt (IS).
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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