Synthesized evidence indicates that addition of multiple micronutrients to Fe supplementation may only marginally improve Hb response compared with Fe supplementation alone .
However , addition of ' other micronutrients ' may have a negative effect .
Routine addition of unselected multiple micronutrients to Fe therefore appears unjustified for nutritional anaemia control programmes
OBJECTIVES To study the effect of combining multiple ( two or more ) micronutrients with Fe supplementation on Hb response , when compared with placebo and with Fe supplementation , in children .
Randomized intervention study comparing several regimens for the treatment of moderate anemia among refugee children in Kigoma Region, Tanzania.
Anemia-specific mortality was markedly elevated among refugee children < 5 years of age in Tanzania . In a r and omized , double-blind study , 215 anemic children were initially treated for malaria and helminth infection and then received 12 weeks of thrice-weekly oral iron and folic acid . Group I received placebo and chloroquine treatment for symptomatic malaria infection ( i.e. , no presumptive anti-malarial treatment given ) . Group II received placebo and monthly presumptive treatment with sulfamethoxazole-pyrimethamine ( SP ) . Group III also received monthly SP and thrice-weekly vitamins A and C ( VAC ) .  Mean hemoglobin concentration increased from 6.6 to 10.2 g/dL , with no significant differences among groups . Group II had lower mean serum transferrin receptor levels ( TfR ) than group I [ P = 0.023 ] . A greater proportion of participants in group III had normal iron stores ( TfR < 8.5 microg/ mL ) than in group II [ P = 0.012 ] . Initial helminth and malaria treatment , followed by thrice-weekly iron and folic acid supplements result ed in increased hemoglobin levels . Monthly SP and thrice-weekly VAC contributed to improve iron stores . Monthly SP may have a role in situations where asymptomatic disease is prevalent or where access to care is limited . Because administration of VAC also hastened recovery of iron stores over administration of monthly SP alone , health care personnel could add VAC to the treatment for moderate anemia if maximum recovery of iron stores is desired
Synthesized evidence indicates that addition of multiple micronutrients to Fe supplementation may only marginally improve Hb response compared with Fe supplementation alone .
However , addition of ' other micronutrients ' may have a negative effect .
Routine addition of unselected multiple micronutrients to Fe therefore appears unjustified for nutritional anaemia control programmes
OBJECTIVES To study the effect of combining multiple ( two or more ) micronutrients with Fe supplementation on Hb response , when compared with placebo and with Fe supplementation , in children .