Impact of nutrition interventions for reduction of anemia in women of reproductive age in low- and middle-income countries: a meta-review
Authors
Panchal, PoojaRavalia, Anal
Rana, Ritu
Puthussery, Shuby
Vaze, Gauri
Mavlankar, Dileep
Menon, Kavitha
Issue Date
2022-12-31
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The UN Sustainable Development Goal aims at a 50% reduction of anemia in women of reproductive age (WRA) by 2030. Several nutrition-specific and sensitive interventions are targeted across low- and middle-income countries (LMICs) to reduce anemia. In this meta-review we comprehensively assessed the effectiveness of nutrition-specific and -sensitive interventions on hemoglobin (Hb) and serum ferritin (SF) concentrations and the prevalence of iron deficiency and anemia among WRA, pregnant women, and lactating women from LMICs. The preparation of the present meta-review followed a double-blinded synthesis process with 3 stages: screening, quality appraisal, and data extraction in Eppi Reviewer. A comprehensive search was performed for systematic reviews (SRs) published between January 2000 and May 2022 using 21 international, national, and regional databases. The methodological quality appraisal of included studies was conducted using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) checklist. A total of 23 SRs evaluated the effects of various nutrition-specific interventions included in the final synthesis. The included SRs included analyses of nutrition-specific interventions such as supplementation of the nutrients iron (n = 7), iron and folic acid (n = 4), vitamin A (n = 3), calcium (n = 2), multiple micronutrients (n = 7), and intravenous iron sucrose (n = 2). Also, SRs on fortification of nutrients included multiple micronutrients (n = 6), iron and folic acid (n = 4), and iron (n = 4). Of the 23 SRs, 22 were of high quality. Iron with or without folic acid supplementation and fortification and vitamin A supplementation consistently showed positive effects on either reduction in the prevalence of anemia or iron deficiency and improving the Hb or SF concentrations in WRA and pregnant women from LMICs. The comprehensive meta-review reported the beneficial effects of iron with or without folic acid, multiple micronutrient supplementation/fortification, and vitamin A supplementation in reducing the prevalence of anemia or iron deficiency and increasing Hb or SF concentrations in WRA from LMICs.Citation
Panchal PD, Ravalia A, Rana R, Puthussery S, Vaze G, Mavlankar D, Menon K (2022) 'Impact of nutrition interventions for reduction of anemia in women of reproductive age in low- and middle-income countries: a meta-review.', Current developments in nutrition, 6 (12)Publisher
Oxford University PressPubMed ID
36601436Additional Links
https://academic.oup.com/cdn/article/6/12/nzac134/6696374Type
ArticleLanguage
enISSN
2475-2991EISSN
2475-2991Sponsors
The evidence summary was supported by the UK Department for International Development (DFID), by the Systematic Review Program for South Asia (SARH) grant, hosted by the Indian Institute of Public Health–Gandhinagar in collaboration with the University of Bedfordshire, UK, Bangladesh, and BRAC. The funding was solely for research assistance and the report generated during the grant tenure.ae974a485f413a2113503eed53cd6c53
10.1093/cdn/nzac134
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- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
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