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KMID : 1130320190620050173
Korean Journal of Pediatrics
2019 Volume.62 No. 5 p.173 ~ p.178
The role of Lactobacillus reuteri DSM 17938 for the absorption of iron preparations in children with iron deficiency anemia
Manoppo Jeanette

Tasiringan Hilda
Wahani Audrey
Umboh Adrian
Mantik Max
Abstract
Purpose: To determine whether Lactobacillus reuteri DSM 17938 plays a role in absorption of iron preparations given to children with iron deficiency anemia (IDA).

Methods: We performed a quasi-experimental study involving pre- and postintervention tests using a control group in North Sulawesi province, Indonesia, between July and September 2017. We conducted a single-blind controlled trial that included primary school children who were diagnosed with IDA based on reticulocyte hemoglobin equivalent (Ret-He) levels <27.8 pg/L.

Results: A total of 66 children were randomized into 2 groups. Thirty-four children received iron preparations with the addition of L. reuteri DSM 17938 (group 1), whereas the other 32 received iron preparations alone (group 2). The baseline Ret-He levels before intervention were similar in both groups. After 14 days of intervention, mean Ret-He level in group 1 changed from 24.43¡¾1.64 to 28.21¡¾1.72 pg/ L (P=0.000). Mean Ret-He level in group 2 changed from 24.31¡¾1.42 to 27.03¡¾2.14 pg/L (P=0.000). Statistical analysis showed a significant increase in Ret-He levels in both groups; Ret-He levels were significantly higher in the experimental group than in the control group (P<0.05).

Conclusion; Children with IDA receiving iron preparations with L. reuteri DSM 17938 for 14 days show higher Ret-He levels than those receiving iron preparations alone.
KEYWORD
Lactobacillus reuteri, Child, Iron deficiency, Anemia
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