KMID : 1130320190620050173
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Korean Journal of Pediatrics 2019 Volume.62 No. 5 p.173 ~ p.178
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The role of Lactobacillus reuteri DSM 17938 for the absorption of iron preparations in children with iron deficiency anemia
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Manoppo Jeanette
Tasiringan Hilda Wahani Audrey Umboh Adrian Mantik Max
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Abstract
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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.
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KEYWORD
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Lactobacillus reuteri, Child, Iron deficiency, Anemia
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