Comparison of effect of daily versus weekly iron supplementation during pregnancy on lipid peroxidation
- PMID: 19527380
- DOI: 10.1111/j.1447-0756.2008.00972.x
Comparison of effect of daily versus weekly iron supplementation during pregnancy on lipid peroxidation
Abstract
Objectives: To compare the effect of daily versus weekly iron supplementation on lipid peroxidation, hemoglobin levels and maternal and perinatal outcome in non-anemic pregnant women.
Methods: Of 109 women randomly allocated into three groups, 90 completed the study. Group I (n = 30) received daily iron folic acid; Group II (n = 30) received weekly iron folic acid; Group III (n = 30) received daily iron (III)-hydroxide polymaltose complex. Hemoglobin levels, hematological indices, thiobarbituric acid reactive substances (TBARS) and glutathione levels were measured at baseline (14-16 weeks) and at 30-34 weeks. Statistical analysis was done using the anova test.
Results: Group I had a highly significant increase in TBARS level (0.61 +/- 0.26 micromol/L, P = 0.000) compared to groups II and III in which the change in TBARS was not significant (0.02 +/- 0.06 and 0.007 +/- 0.06 micromol/L, respectively). There was an insignificant fall in glutathione levels in all groups. There was no significant difference in the mean period of gestation, pregnancy complications and neonatal outcome between the three groups. Among 22.2% of women who were non-compliant, Group I had significantly higher incidence of non-compliance (P = 0.016) and side-effects (P = 0.001). Final hemoglobin was higher in Group I than II (11.9 +/- 1.2, 11.3 +/- 0.9, respectively, P = 0.041). The TBARS level was not statistically different between preterm and term deliveries. Nine out of 11 patients who developed hypertension during pregnancy had preeclampsia. The final TBARS level was significantly higher in these women (P = 0.000).
Conclusions: Daily supplementation with ferrous sulphate results in greater lipid peroxidation than weekly supplementation, the latter is comparable with daily iron (III)-hydroxide polymaltose complex. Lipid peroxidation levels are significantly higher in preeclampsia.
Similar articles
-
Daily versus intermittent iron supplementation in pregnant women: hematological and pregnancy outcome.J Obstet Gynaecol Res. 2004 Dec;30(6):409-17. doi: 10.1111/j.1447-0756.2004.00223.x. J Obstet Gynaecol Res. 2004. PMID: 15566454 Clinical Trial.
-
Impact of daily versus weekly hematinic supplementation on anemia in pregnant women.Indian Pediatr. 2002 Apr;39(4):339-46. Indian Pediatr. 2002. PMID: 11976463 Clinical Trial.
-
Antenatal iron supplements consumed daily produce oxidative stress in contrast to weekly supplementation in Mexican non-anemic women.Reprod Toxicol. 2012 Aug;34(1):125-32. doi: 10.1016/j.reprotox.2012.03.010. Epub 2012 Apr 14. Reprod Toxicol. 2012. PMID: 22507748 Clinical Trial.
-
Perinatal depression: prevalence, risks, and the nutrition link--a review of the literature.J Am Diet Assoc. 2009 Sep;109(9):1566-75. doi: 10.1016/j.jada.2009.06.368. J Am Diet Assoc. 2009. PMID: 19699836 Review.
-
Periconceptional folic acid supplementation: a new indication for therapeutic drug monitoring.Ther Drug Monit. 2009 Jun;31(3):319-26. doi: 10.1097/FTD.0b013e31819f3340. Ther Drug Monit. 2009. PMID: 19349928 Review.
Cited by
-
Safe and effective delivery of supplemental iron to healthy adults: a two-phase, randomized, double-blind trial - the safe iron study.Front Nutr. 2023 Oct 11;10:1230061. doi: 10.3389/fnut.2023.1230061. eCollection 2023. Front Nutr. 2023. PMID: 37899826 Free PMC article.
-
Ferritin and iron supplements in gestational diabetes mellitus: less or more?Eur J Nutr. 2024 Feb;63(1):67-78. doi: 10.1007/s00394-023-03250-5. Epub 2023 Sep 29. Eur J Nutr. 2024. PMID: 37775606 Review.
-
Iron supplementation during pregnancy - a cross-sectional study undertaken in four German states.BMC Pregnancy Childbirth. 2018 Dec 13;18(1):491. doi: 10.1186/s12884-018-2130-5. BMC Pregnancy Childbirth. 2018. PMID: 30545329 Free PMC article.
-
A Dormant Microbial Component in the Development of Preeclampsia.Front Med (Lausanne). 2016 Nov 29;3:60. doi: 10.3389/fmed.2016.00060. eCollection 2016. Front Med (Lausanne). 2016. PMID: 27965958 Free PMC article. Review.
-
Oxidative stress during early pregnancy and birth outcomes.Public Health Nutr. 2016 Dec;19(17):3210-3215. doi: 10.1017/S1368980016001191. Epub 2016 Jun 3. Public Health Nutr. 2016. PMID: 27253267 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical