Efficacy of multiple micronutrients fortified milk consumption on Iron nutritional status in moroccan schoolchildren

Imane El Menchawy, Asmaa El Hamdouchi, Khalid El Kari, Naima Saeid, Fatima Ezzahra Zahrou, Nada Benajiba, Imane El Harchaoui, Mohamed El Mzibri, Noureddine El Haloui, Hassan Aguenaou

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Abstract

Iron deficiency constitutes a major public health problem in Morocco, mainly among women and children. The aim of our paper is to assess the efficacy of consumption of multiple micronutrients (MMN) fortified milk on iron status of Moroccan schoolchildren living in rural region. Children (N = 195), aged 7 to 9 y, were recruited from schools and divided into two groups: the nonfortified group (NFG) received daily a nonfortified Ultra-High-Temperature (UHT) milk and the fortified group received (FG) daily UHT milk fortified with multiple micronutrients including iron sulfate. Blood samples were collected at baseline (T0) and after 9 months (T9). Hemoglobin (Hb) was measured in situ by Hemocue device; ferritin and C Reactive Protein were assessed in serum using ELISA and nephelometry techniques, respectively. Results were considered significant when the p value was <0.05. At T9 FG showed a reduction of iron deficiency from 50.9% to 37.2% (p = 0.037). Despite the low prevalence of iron deficiency anemia (1.9%); more than 50% of children in our sample suffered from iron deficiency at baseline. The consumption of fortified milk reduced the prevalence of iron deficiency by 27% in schoolchildren living in high altitude rural region of Morocco. Clinical Trial Registration. Our study is registered in the Pan African Clinical Trial Registry with the identification number PACTR201410000896410.

Original languageEnglish
Article number690954
JournalJournal of Nutrition and Metabolism
Volume2015
DOIs
Publication statusPublished - 1 Jan 2015

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school children
milk consumption
Micronutrients
Nutritional Status
dietary minerals
nutritional status
Iron
iron
UHT milk
Morocco
rural areas
clinical trials
Clinical Trials
Nephelometry and Turbidimetry
milk
iron deficiency anemia
Temperature
Iron-Deficiency Anemias
C-reactive protein
ferritin

Cite this

El Menchawy, Imane ; El Hamdouchi, Asmaa ; El Kari, Khalid ; Saeid, Naima ; Zahrou, Fatima Ezzahra ; Benajiba, Nada ; El Harchaoui, Imane ; El Mzibri, Mohamed ; El Haloui, Noureddine ; Aguenaou, Hassan. / Efficacy of multiple micronutrients fortified milk consumption on Iron nutritional status in moroccan schoolchildren. In: Journal of Nutrition and Metabolism. 2015 ; Vol. 2015.
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abstract = "Iron deficiency constitutes a major public health problem in Morocco, mainly among women and children. The aim of our paper is to assess the efficacy of consumption of multiple micronutrients (MMN) fortified milk on iron status of Moroccan schoolchildren living in rural region. Children (N = 195), aged 7 to 9 y, were recruited from schools and divided into two groups: the nonfortified group (NFG) received daily a nonfortified Ultra-High-Temperature (UHT) milk and the fortified group received (FG) daily UHT milk fortified with multiple micronutrients including iron sulfate. Blood samples were collected at baseline (T0) and after 9 months (T9). Hemoglobin (Hb) was measured in situ by Hemocue device; ferritin and C Reactive Protein were assessed in serum using ELISA and nephelometry techniques, respectively. Results were considered significant when the p value was <0.05. At T9 FG showed a reduction of iron deficiency from 50.9{\%} to 37.2{\%} (p = 0.037). Despite the low prevalence of iron deficiency anemia (1.9{\%}); more than 50{\%} of children in our sample suffered from iron deficiency at baseline. The consumption of fortified milk reduced the prevalence of iron deficiency by 27{\%} in schoolchildren living in high altitude rural region of Morocco. Clinical Trial Registration. Our study is registered in the Pan African Clinical Trial Registry with the identification number PACTR201410000896410.",
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El Menchawy, I, El Hamdouchi, A, El Kari, K, Saeid, N, Zahrou, FE, Benajiba, N, El Harchaoui, I, El Mzibri, M, El Haloui, N & Aguenaou, H 2015, 'Efficacy of multiple micronutrients fortified milk consumption on Iron nutritional status in moroccan schoolchildren', Journal of Nutrition and Metabolism, vol. 2015, 690954. https://doi.org/10.1155/2015/690954

Efficacy of multiple micronutrients fortified milk consumption on Iron nutritional status in moroccan schoolchildren. / El Menchawy, Imane; El Hamdouchi, Asmaa; El Kari, Khalid; Saeid, Naima; Zahrou, Fatima Ezzahra; Benajiba, Nada; El Harchaoui, Imane; El Mzibri, Mohamed; El Haloui, Noureddine; Aguenaou, Hassan.

In: Journal of Nutrition and Metabolism, Vol. 2015, 690954, 01.01.2015.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Efficacy of multiple micronutrients fortified milk consumption on Iron nutritional status in moroccan schoolchildren

AU - El Menchawy, Imane

AU - El Hamdouchi, Asmaa

AU - El Kari, Khalid

AU - Saeid, Naima

AU - Zahrou, Fatima Ezzahra

AU - Benajiba, Nada

AU - El Harchaoui, Imane

AU - El Mzibri, Mohamed

AU - El Haloui, Noureddine

AU - Aguenaou, Hassan

PY - 2015/1/1

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N2 - Iron deficiency constitutes a major public health problem in Morocco, mainly among women and children. The aim of our paper is to assess the efficacy of consumption of multiple micronutrients (MMN) fortified milk on iron status of Moroccan schoolchildren living in rural region. Children (N = 195), aged 7 to 9 y, were recruited from schools and divided into two groups: the nonfortified group (NFG) received daily a nonfortified Ultra-High-Temperature (UHT) milk and the fortified group received (FG) daily UHT milk fortified with multiple micronutrients including iron sulfate. Blood samples were collected at baseline (T0) and after 9 months (T9). Hemoglobin (Hb) was measured in situ by Hemocue device; ferritin and C Reactive Protein were assessed in serum using ELISA and nephelometry techniques, respectively. Results were considered significant when the p value was <0.05. At T9 FG showed a reduction of iron deficiency from 50.9% to 37.2% (p = 0.037). Despite the low prevalence of iron deficiency anemia (1.9%); more than 50% of children in our sample suffered from iron deficiency at baseline. The consumption of fortified milk reduced the prevalence of iron deficiency by 27% in schoolchildren living in high altitude rural region of Morocco. Clinical Trial Registration. Our study is registered in the Pan African Clinical Trial Registry with the identification number PACTR201410000896410.

AB - Iron deficiency constitutes a major public health problem in Morocco, mainly among women and children. The aim of our paper is to assess the efficacy of consumption of multiple micronutrients (MMN) fortified milk on iron status of Moroccan schoolchildren living in rural region. Children (N = 195), aged 7 to 9 y, were recruited from schools and divided into two groups: the nonfortified group (NFG) received daily a nonfortified Ultra-High-Temperature (UHT) milk and the fortified group received (FG) daily UHT milk fortified with multiple micronutrients including iron sulfate. Blood samples were collected at baseline (T0) and after 9 months (T9). Hemoglobin (Hb) was measured in situ by Hemocue device; ferritin and C Reactive Protein were assessed in serum using ELISA and nephelometry techniques, respectively. Results were considered significant when the p value was <0.05. At T9 FG showed a reduction of iron deficiency from 50.9% to 37.2% (p = 0.037). Despite the low prevalence of iron deficiency anemia (1.9%); more than 50% of children in our sample suffered from iron deficiency at baseline. The consumption of fortified milk reduced the prevalence of iron deficiency by 27% in schoolchildren living in high altitude rural region of Morocco. Clinical Trial Registration. Our study is registered in the Pan African Clinical Trial Registry with the identification number PACTR201410000896410.

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