A Multiple-Micronutrient-Fortified Beverage Affects Hemoglobin , Iron , and Vitamin A Status and Growth in Adolescent Girls in Rural Bangladesh 1 , 2

  • Hyder S
  • Haseen F
  • Khan M
 et al. 
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Abstract

Adolescent girls have high nutrient needs and are susceptible to micronutrient deficiencies. The objective of this study was to test the effect of a multiple-micronutrient-fortified beverage on hemoglobin (Hb) concentrations, micronutrient status, and growth among adolescent girls in rural Bangladesh. A total of 1125 girls (Hb$70 g/L) enrolled in a randomized, double-blind, placebo-controlled trial and were allocated to either a fortified or nonfortified beverage of similar taste and appearance. The beverage was provided at schools 6 d/wk for 12 mo. Concentrations of Hb and serum ferritin (sFt), retinol, zinc, and C-reactive protein were measured in venous blood samples at baseline, 6 mo, and 12 mo. In addition, weight, height, and mid-upper arm circumference (MUAC) measurements were taken. The fortified beverage increased the Hb and sFt and retinol concentrations at 6 mo (P,0.01). Adolescent girls in the nonfortified beverage group were more likely to suffer from anemia (Hb ,120 g/L), iron deficiency (sFt ,12 mg/L), and low serum retinol concentrations (serum retinol ,0.70 mmol/L) (OR ¼ 2.04, 5.38, and 5.47, respectively; P , 0.01). The fortified beverage group had greater increases in weight, MUAC, and BMI over 6 mo (P,0.01). Consuming the beverage for an additional 6 mo did not further improve the Hb concentration, but the sFt level continued to increase (P ¼ 0.01). The use of multiple-micronutrient-fortified beverage can contribute to the reduction of anemia and improvement of micronutrient status and growth in adolescent girls in rural Bangladesh.

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Authors

  • S M Ziauddin Hyder

  • Farhana Haseen

  • Marufa Khan

  • Tom Schaetzel

  • Chowdhury S B Jalal

  • Mizanur Rahman

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