Dietary diversification for prevention of anaemia among women of childbearing age from rural india.
Sommaire de l'article
OBJECTIVE:
To assess the impact of an intervention modifying dietary habits for the prevention of anaemia in rural India.
DESIGN:
Intervention study with data on anthropometric (weight, height) measurements, Hb and diet pattern. As per the cut-off for Hb in the government programme, women with Hb 11 g/dl formed the non-supplemented group. Settings Three villages near Pune city, Maharashtra, India.
SUBJECTS:
Rural non-pregnant women (n 317) of childbearing age (15-35 years).
RESULTS:
After 1 year of intervention, mean Hb increased (from 10·94 (sd 1·22) g/dl to 11·59 (sd 1·11) g/dl) significantly (P 50 % of the meetings or repeating >50 % of the recipes at home (0·45 g/dl) in the non-supplemented group and was smaller than that observed in the supplemented group. Consumption of green leafy vegetables more than twice weekly increased substantially from 44·7 % to 60·6 %, as did consumption of seasonal fruits. Logistic regression showed that women with lower participation in the intervention had three times higher risk (OR = 3·08; 95 % CI 1·04, 9·13; P = 0·04) for no gain in Hb compared with those having high participation.
CONCLUSIONS:
Developing action programmes for improving nutritional awareness to enhance the consumption of Fe-rich foods has great potential for preventing anaemia in rural India.