AJCN 19th International Congress of Nutrition
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Erratum for van Stuijvenberg et al., Am J Clin Nutr 69 (3) 497-503.
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American Journal of Clinical Nutrition, Vol. 69, No. 6, 1294, June 1999
© 1999 American Society for Clinical Nutrition

van Stuijvenberg ME, Kvalsvig JD, Faber M, Kruger M, Kenoyer DG, Benadé AJS. Effect of iron-, iodine-, and ß-carotene–fortified biscuits on the micronutrient status of primary school children: a randomized controlled trial.

The last sentence of the Results section of the Abstract should read as follows: "The intervention had no effect on anthropometric status." The Conclusions section of the Abstract should read as follows: "Fortified biscuits resulted in a significant improvement in the micronutrient status of primary school children from a poor rural community and also appeared to have a favorable effect on morbidity and cognitive function."

The revised abstract is printed here in its entirety:

ABSTRACT

Background:
Deficiencies of iron, iodine, and vitamin A are prevalent worldwide and can affect the mental development and learning ability of schoolchildren.

Objective:
The aim of this study was to determine the effect of micronutrient-fortified biscuits on the micronutrient status of primary school children.

Design:
Micronutrient status was assessed in 115 children aged 6–11 y before and after consumption of biscuits (fortified with iron, iodine, and ß-carotene) for 43 wk over a 12-mo period and was compared with that in a control group (n = 113) who consumed nonfortified biscuits. Cognitive function, growth, and morbidity were assessed as secondary outcomes.

Results:
There was a significant between-group treatment effect on serum retinol, serum ferritin, serum iron, transferrin saturation, and urinary iodine (P < 0.0001) and in hemoglobin and hematocrit (P < 0.05). The prevalence of low serum retinol concentrations (<0.70 µmol/L) decreased from 39.1% to 12.2%, of low serum ferritin concentrations (<20 µg/L) from 27.8% to 13.9%, of anemia (hemoglobin <120 g/L) from 29.6% to 15.6%, and of low urinary iodine concentrations (<100 µg/L) from 97.5% to 5.4%. There was a significant between-group treatment effect (P < 0.05) in cognitive function with the digit span forward task (short-term memory). Fewer school days were missed in the intervention than in the control group because of respiratory- (P = 0.097) and diarrhea-related (P = 0.013) illnesses. The intervention had no effect on anthropometric status.

Conclusions:
Fortified biscuits resulted in a significant improvement in the micronutrient status of primary school children from a poor rural community and also appeared to have a favorable effect on morbidity and cognitive function.




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Arch Pediatr Adolesc MedHome page
J. Liu, A. Raine, P. H. Venables, C. Dalais, and S. A. Mednick
Malnutrition at Age 3 Years and Lower Cognitive Ability at Age 11 Years: Independence From Psychosocial Adversity
Arch Pediatr Adolesc Med, June 1, 2003; 157(6): 593 - 600.
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