Effect of iron therapy on fatigue symptoms in non-anaemic iron deficient women of reproductive age- A Randomized Controlled Trial

J Pak Med Assoc. 2026 Jan;76(1):4-7. doi: 10.47391/JPMA.22068.

Abstract

Objective: To assess the effect of iron therapy on fatigue symptoms in non-anaemic iron-deficient women of reproductive age.

Methods: The double-blind placebo-controlled randomised trial was conducted at the department of Obstetrics & Gynaecology Central Park Teaching Hospital, Lahore from March 2023 to February 2024 and comprised women aged 18-45 years who were non-anaemic, had haemoglobin level >11g/dl a fatigue score of at least 36, and a low serum ferritin level. Socio-demographic data was recorded. The subjects were randomised into Group 1 receiving iron therapy and group 2 receiving placebo. After 2 months of intervention, the fatigue scores, haemoglobin and serum ferritin levels were assessed again, and compared with baseline values. Data was analysed using SPSS 26.

Results: Of the 164 subjects, 86(52.4%) were in Group 1 with mean age 30.70±18.123 years, and 78(47.6%) were in Group 2 with mean age 29.46±7.99 years (p=0.325). In Group 1, significant decrease in fatigue score and significant increase in ferritin and haemoglobin levels were noted post-intervention (p=0.05).

Conclusions: Iron supplementation alleviated fatigue and enhanced serum ferritin concentration in non-anaemic, iron-deficient women of childbearing age.

Keywords: Fatigue, Iron deficiency, Reproductive age, Haemoglobin, Iron therapy..

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Double-Blind Method
  • Fatigue* / blood
  • Fatigue* / drug therapy
  • Fatigue* / etiology
  • Female
  • Ferritins / blood
  • Ferrous Compounds / therapeutic use
  • Hemoglobins / analysis
  • Hemoglobins / metabolism
  • Humans
  • Iron Deficiencies
  • Iron* / therapeutic use
  • Middle Aged
  • Young Adult

Substances

  • Ferritins
  • Hemoglobins
  • Iron
  • Ferrous Compounds