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Effect of vitamin A supplementation on hematopoiesis in children with anemia
Arun Garg1, Pankaj Abrol, Ad Tewari
1Departments of Pediatrics, Pt. BD Sharma Post Graduate Institute of Medical Sciences, 124001 Rohtak, (Haryana).
Insights
Vitamin A supplementation enhances iron
Area of Science:
- Pediatric Nutrition
- Hematology
- Micronutrient Research
Background:
- Microcytic hypochromic anemia is common in young children.
- Iron deficiency is a primary cause of anemia.
- Vitamin A deficiency can coexist with iron deficiency and impact hematopoiesis.
Purpose of the Study:
- To investigate the effect of vitamin A supplementation on iron-deficiency anemia in children.
- To compare the efficacy of iron alone versus iron plus vitamin A in treating anemia.
Main Methods:
- A randomized controlled trial involving 50 children aged 1-4 years with anemia.
- Group I received iron (ferrous sulfate).
- Group II received iron plus vitamin A.
Main Results:
- Hemoglobin levels significantly increased in both groups after 4 weeks.
- Greater hemoglobin increase observed in the iron plus vitamin A group after 8 and 12 weeks.
- Significant increases in packed cell volume (PCV) and retinol levels were noted only in the vitamin A supplemented group.
Conclusions:
- Vitamin A supplementation, in addition to iron, improves the hematological response in anemic children.
- Vitamin A plays a crucial role in enhancing hematopoiesis beyond iron's effect.
- Combined supplementation may be more effective for treating childhood anemia.
Abstract:
Fifty children (1-4 years age) presenting with microcytic hypochromic anemia (hemoglobin less than 10g/dl) were studied in two groups of 25 each. Group I was supplemented with iron (ferrous sulphate 6 mg/kg/d) while group II in addition to iron was also supplemented with vitamin A (5000 IU/d). Hemoglobin concentration was found to be significantly increased after 4 weeks of iron supplementation. Rise in hemoglobin was comparatively more in-group II, as compared to group I, after 8 and 12 weeks. Serum iron was significantly higher after 4 weeks in both the groups. Packed cell volume (PCV) and retinol levels increased significantly in-group II only. The data suggests that supplementation of vitamin A improves hematopoiesis.
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