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Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand

Micronutrient fortified flour (MFF), supplementary food rations and micronutrient (MN) supplements may prevent deficiencies among pregnant women. Objectives of cross-sectional surveys in 2004 (n = 533) and 2006 (n = 515) were to assess the impact of new food rations (flour, oil) and supplements on M...

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Autores principales: Stuetz, Wolfgang, Carrara, Verena I., Mc Gready, Rose, Lee, Sue J., Sriprawat, Kanlaya, Po, Basi, Hanboonkunupakarn, Borimas, Grune, Tilman, Biesalski, Hans K., Nosten, François H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772030/
https://www.ncbi.nlm.nih.gov/pubmed/26821044
http://dx.doi.org/10.3390/nu8020066
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author Stuetz, Wolfgang
Carrara, Verena I.
Mc Gready, Rose
Lee, Sue J.
Sriprawat, Kanlaya
Po, Basi
Hanboonkunupakarn, Borimas
Grune, Tilman
Biesalski, Hans K.
Nosten, François H.
author_facet Stuetz, Wolfgang
Carrara, Verena I.
Mc Gready, Rose
Lee, Sue J.
Sriprawat, Kanlaya
Po, Basi
Hanboonkunupakarn, Borimas
Grune, Tilman
Biesalski, Hans K.
Nosten, François H.
author_sort Stuetz, Wolfgang
collection PubMed
description Micronutrient fortified flour (MFF), supplementary food rations and micronutrient (MN) supplements may prevent deficiencies among pregnant women. Objectives of cross-sectional surveys in 2004 (n = 533) and 2006 (n = 515) were to assess the impact of new food rations (flour, oil) and supplements on MN status by trimester of pregnancy in the Maela refugee camp. Hemoglobin, iron status, zinc, retinol, β-carotene and tryptophan decreased, while α-/γ-tocopherol and 5-methyltetrahydrofolate (5-MTHF) increased from first to third trimester. In 2006, mean zinc and α-tocopherol for each trimester was significantly higher than in 2004. The weeks of supplemented thiamine and folic acid were positively correlated with thiamine diphosphate (TDP) and 5-MTHF, but not for ferrous sulfate as iron deficiency was observed in 38.5% of third-trimester women. Frequent consumption of fish paste and owning a garden or animal were associated with significantly higher iron status, retinol, β-carotene, and 5-MTHF. In conclusion, MFF and supplementary oil were most likely to explain improved zinc and α-tocopherol status, while thiamine and folate supplements ensured high TDP and 5-MTHF in late pregnancy. MN supplements, MN-rich staple food, small gardens, and programs to improve iron compliance are promising strategies to prevent MN deficiencies during pregnancy in vulnerable populations.
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spelling pubmed-47720302016-03-08 Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand Stuetz, Wolfgang Carrara, Verena I. Mc Gready, Rose Lee, Sue J. Sriprawat, Kanlaya Po, Basi Hanboonkunupakarn, Borimas Grune, Tilman Biesalski, Hans K. Nosten, François H. Nutrients Article Micronutrient fortified flour (MFF), supplementary food rations and micronutrient (MN) supplements may prevent deficiencies among pregnant women. Objectives of cross-sectional surveys in 2004 (n = 533) and 2006 (n = 515) were to assess the impact of new food rations (flour, oil) and supplements on MN status by trimester of pregnancy in the Maela refugee camp. Hemoglobin, iron status, zinc, retinol, β-carotene and tryptophan decreased, while α-/γ-tocopherol and 5-methyltetrahydrofolate (5-MTHF) increased from first to third trimester. In 2006, mean zinc and α-tocopherol for each trimester was significantly higher than in 2004. The weeks of supplemented thiamine and folic acid were positively correlated with thiamine diphosphate (TDP) and 5-MTHF, but not for ferrous sulfate as iron deficiency was observed in 38.5% of third-trimester women. Frequent consumption of fish paste and owning a garden or animal were associated with significantly higher iron status, retinol, β-carotene, and 5-MTHF. In conclusion, MFF and supplementary oil were most likely to explain improved zinc and α-tocopherol status, while thiamine and folate supplements ensured high TDP and 5-MTHF in late pregnancy. MN supplements, MN-rich staple food, small gardens, and programs to improve iron compliance are promising strategies to prevent MN deficiencies during pregnancy in vulnerable populations. MDPI 2016-01-26 /pmc/articles/PMC4772030/ /pubmed/26821044 http://dx.doi.org/10.3390/nu8020066 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Stuetz, Wolfgang
Carrara, Verena I.
Mc Gready, Rose
Lee, Sue J.
Sriprawat, Kanlaya
Po, Basi
Hanboonkunupakarn, Borimas
Grune, Tilman
Biesalski, Hans K.
Nosten, François H.
Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title_full Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title_fullStr Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title_full_unstemmed Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title_short Impact of Food Rations and Supplements on Micronutrient Status by Trimester of Pregnancy: Cross-Sectional Studies in the Maela Refugee Camp in Thailand
title_sort impact of food rations and supplements on micronutrient status by trimester of pregnancy: cross-sectional studies in the maela refugee camp in thailand
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772030/
https://www.ncbi.nlm.nih.gov/pubmed/26821044
http://dx.doi.org/10.3390/nu8020066
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