Background: Women of reproductive age (WRA) in developing countries are often at risk of micronutrient deficiencies due to inadequate intakes and excessive losses.
Objective: The purpose of this trial is to assess the effectiveness of United Nations International Multiple Micronutrient Antenatal Preparation-Multiple Micronutrient Supplements (UNIMMAP-MMS) versus iron-folic acid (IFA) among WRA in reducing anemia.
Methods: Three parallel groups of WRA will participate in a community-based, individually randomized, double-blinded, placebo-controlled superiority trial. After consent, the sample of 375 mildly or moderately anemic women based on hemoglobin by Hemocue will be randomly assigned across two interventions and one control arm. Trial participants in intervention arms will receive UNIMMAP-MMS or IFA while those in the control arm will receive placebos twice a week for 17 weeks. The primary outcome will be a change in mean hemoglobin (Hb) concentrations. Outcome assessors and study participants will be blinded to the type of supplements and study arm.
Discussion: The World Health Organization (WHO) added UNIMMAP-MMS to its essential medicine lists in 2021 but recommended rigorous study. Several factors in addition to inadequate intakes of iron and folic acid contribute to the high prevalence of anemia among WRA in the Somali region. The findings of this study will provide evidence on the effect of UNIMMAP-MMS and IFA on Hb concentrations and anemia prevalence among anemic WRA.
Trial Registration: ClinicalTrials.gov NCT05682261. Registered on January 12, 2023.
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http://dx.doi.org/10.1186/s13063-024-08024-w | DOI Listing |
Sci Rep
December 2024
College of A&F Engineering and Planning, Tongren University, Tongren, 554300, China.
The Wanshan mercury mining area (WMMA) in Guizhou Province, China, has been identified as a region at high ecological risk owing to heavy metal contamination. This study employed non-lethal sampling methods, using the phalanges of Pelophylax nigromaculatus in the WMMA as analytical material. Ten heavy metal (metalloid) elements were selected for analysis, including Hg, Cr, Mn, Ni, Cu, Zn, Cd, Pb, As, and Se.
View Article and Find Full Text PDFCurr Oncol
December 2024
Institute for Basic Sciences, Faculty of Physiotherapy, University of Physical Education, 31-571 Krakow, Poland.
Background: Multiple myeloma, a malignancy of plasma cells, often involves the disruption of vitamin D metabolism. Vitamin D, acting through its receptor (VDR), affects transcription factors like FOXO and sirtuins, which regulate cellular processes. The impact of physical activity on these markers in multiple myeloma patients is unclear.
View Article and Find Full Text PDFBMJ Paediatr Open
December 2024
Department of Pediatrics, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Introduction: Maternal undernutrition and inflammation in utero may significantly impact the neurodevelopmental potential of offspring. However, few studies have investigated the effects of pregnancy interventions on long-term child growth and development. This study will examine the effects of prenatal nutrition and infection management interventions on long-term growth and neurodevelopmental outcomes of offspring.
View Article and Find Full Text PDFJ Biomed Inform
December 2024
Department of statistics, University of South Africa, c/o Christiaan de Wet Road & Pioneer Avenue, Johannesburg, 1709, Gauteng, South Africa. Electronic address:
Background And Objective: In epidemiological research, studying the long-term dependencies between multiple diseases is important. This study extends the multilevel Bayesian network (MBN) for repeated measures data that can estimate the rate of change in outcomes over time while quantifying the variabilities of these rates across higher-level units through various variance-covariance structures.
Method: The performance and reliability of a model are examined through a simulation study, and its practical application is demonstrated using child morbidity data.
Anal Chem
December 2024
Department of Chemistry, National Chung Hsing University, Taichung City 402202, Taiwan, ROC.
Four-dimensional printing (4DP) technologies can expand the functionality of stimuli-responsive devices to enable the integration of multiple stimuli-responsive parts into a compact device. Herein, we used digital light processing three-dimensional printing technique, flexible photocurable resins, and photocurable resins of the temperature-responsive hydrogels comprising -isopropylacrylamide (NIPAM), ,'-methylenebis(acrylamide) (MBA), and graphene for 4DP of a lab-on-valve (LOV) solid-phase extraction (SPE) device. This device featured flow manifolds and a monolithic packing connected by four near-infrared (NIR)-actuated temperature-responsive switching valves composed of a poly(NIPAM/MBA) (PNM) ball pushing a flexible membrane.
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