Effect of NaFeEDTA-Fortified Soy Sauce on Anemia Prevalence in China: A Systematic Review and Meta-analysis of Randomized Controlled Trials / 生物医学与环境科学（英文）

<p><b>OBJECTIVE</b>To assess the effect of sodium iron ethylenediaminetetraacetate (NaFeEDTA)-fortified soy sauce on anemia prevalence in the Chinese population.</p><p><b>METHODS</b>A systematic review was performed to identify potential studies by searching the electronic databases of PubMed, Cochrane Library, WHO Library, HighWire, CNKI, and other sources. The selection criteria included randomized controlled trials that compared the efficacy of NaFeEDTA-fortified soy sauce with that of non-fortified soy sauce. Anemia rates and hemoglobin levels were the outcomes of interest. Inclusion decisions, quality assessment, and data extraction were performed by two reviewers independently. A total of 16 studies met the inclusion criteria for anemia rate analysis, of which 12 studies met the inclusion criteria for hemoglobin analysis. All included studies assessed the effect of NaFeEDTA-fortified soy sauce on anemia rates and hemoglobin concentrations.</p><p><b>RESULTS</b>After the intervention, the hemoglobin concentration increased and anemia rates decreased significantly as compared with the non-fortified soy sauce groups. For anemia rates, data from 16 studies could be pooled, and the pooled estimate odds ratio was 0.25 (95% CI 0.19-0.35). For hemoglobin concentrations, data from 12 studies could be pooled, and the pooled weighted mean difference was 8.81 g/L (95% CI 5.96-11.67).</p><p><b>CONCLUSION</b>NaFeEDTA-fortified soy sauce has a positive effect on anemia control and prevention in the at-risk population.</p>

Iron Nutritional Status by ALAD Genotype and Intervention Study for Rural Area Residents / 대한지역사회영양학회지

Previous studies have suggested that delta-aminolevulinic acid dehydratase (ALAD) phenotype differently affect mineral metabolism. The objective of this study was to determine the effectiveness of 6-month iron supplementation as syrup of NaFeEDTA in improvement of iron status according to ALAD genotype. One hundred thirty adult women living in rural areas of Asan were provided NaFeEDTA syrup once a week for 6 months at the dose of 64mg Fe/week. Three hundred control subjects were observed during the study period. Fasting blood was obtained for analyzing hemoglobin (Hb) and zinc protophorphyrin (ZPP) and serum was analyzed for ferritin, iron and total iron capacity (TIBC) levels before and after iron supplementation. Ninety percent of ALAD 1-1 (ALAD1) and 10% of ALAD 1-2 (ALAD2) genotype were observed in the control group. However, in the intervention group, 98% showed ALAD1 while only 2% was ALAD2, which is significantly lower proportions of ALAD2 compared to the control group (p<0.01). The iron status of intervention group significantly improved except for ferritin and TIBC regardless of ALAD genotype, while the control group did not show any changes in iron status except for ZPP. ZPP concentration of the control group significantly increased in both ALAD1 and 2 while the intervention group showed significantly decreased ZPP after supplementation in ALAD1. Iron supplementation in the form of NaFeEDTA seems to be effective in reduction of ZPP levels although ALAD2 did not show significant changes due to the small number. However, it is difficult to make a conclusion from these results, and more specified further investigation is needed with more participants.

Influencing Factors of NaFeEDTA Fortified Soy Sauce Consumption Intention among Women in Guizhou / 中国心理卫生杂志

Objective: To identify variables that significantly predict the intention of NaFeEDTA fortified soy sauce (FeSS) consumption and to develop feasible intervention strategies.Methods: Stratified sampling and random sampling were adopted together.636 women from rural areas and 454 from urban areas completed eligible questionnaires.Theory of Planned Behavior (TPB) and Health Belief Model (HBM) were adopted to design the constructive questionnaire.Path analysis was used to construct the model of intentions to buy FeSS.Results: The model explained 35%(the rural model, RM)or 55%(the urban model, UM) of the variance of behavioral intention.FeSS knowledge directly and indirectly affected the intention to buy FeSS ( the total effect on the intention, 0.151 in RM, 0.368 in UM).And the behavioral intention was also impacted by women's health value and cognition on perceived susceptibility and perceived severity of iron deficiency anemia(IDA) through the behavior identity(0.176 in RM, 0.354 in UM) and attitudes towards behavior(0.161 in RM, 0.091 in UM).Cues, as an external factor, much affected the intention (0.372 in RM, 0.337 in UM).The external control belief was a rather weak factor affecting intention (0.086 in RM, 0.108 in UM).Conclusion: Integrated TPB and HBM could explain the behavioral intention of FeSS consumption among women in Guizhou.Nutrition education should emphasize behavioral attitudes and identity, and improve knowledge of FeSS and perception of IDA, which may help to remove worries about FeSS.