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Iron status of premenopausal women in two regions of Bangladesh: prevalence of deficiency in high and low socio-economic groups.
Eur J Clin Nutr. 2001 Jul; 55(7):598-604.EJ

Abstract

OBJECTIVE

The objective of the study was to assess iron status in women of different physiological status of two socio-economic groups in Bangladesh.

DESIGN

Cross sectional study, using 3-day food record and blood haemoglobin, serum iron, serum ferritin concentrations.

SETTING

Two regions of Bangladesh. The Dhaka city area and west region of Nandail, Mymensingh.

SUBJECTS

Women aged 16-40 y. The low socio-economic group (group L, n=101) consisted of rural women with precarious income levels. The high socio-economic group (group H, n=90) consisted of women with high income and educational levels. The groups were composed of three sub-groups (non-pregnant non-lactating=1, pregnant = 2 and lactating = 3).

RESULTS

There was no significant difference between the corresponding sub-groups of the two socio-economic groups in dietary intake of iron. In all sub-groups, the intake of iron was much higher than the RDA level and mainly based on non-haem iron. Blood haemoglobin (B-Hb) concentration (P=0.000), serum iron concentration (P=0.005) and serum ferritin (SF) concentration (P=0.000) were affected by socio-economic status. Physiological status (PS) influenced the B-Hb concentration (P=0.000). Prevalence of anaemia ranged from 63 to 70% in group L and 27 to 66% in group H, respectively. The prevalence of empty iron store (SF concentration<12 microg/l) ranged from 35 to 59% in group L and 15 to 32% in group H, respectively. The prevalence of anaemia and iron deficiency (70 and 35% for sub-group L2; 66 and 32% for sub-group H2, respectively) were similar in the pregnant subjects of the two groups.

CONCLUSIONS

Subclinical iron deficiency was common in women of low socio-economic status. The pregnant subjects in the two groups was similar as regards iron status.

SPONSORSHIP

The study was supported by the Academy of Finland, University of Helsinki and NorFa, Norway.

Authors+Show Affiliations

Islam MZ
Division of Nutrition, Department of Applied Chemistry and Microbiology, University of Helsinki, Finland.
Lamberg-Allardt C
No affiliation info available
Bhuyan MA
No affiliation info available
Salamatullah Q
No affiliation info available

MeSH

AdolescentAdultAnemia, Iron-DeficiencyBangladeshCross-Sectional StudiesDiet RecordsFemaleFerritinsHemoglobinsHumansIronIron DeficienciesIron, DietaryLactationPregnancyPremenopausePrevalenceRural HealthSocioeconomic Factors

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11464233

Citation

Islam, M Z., et al. "Iron Status of Premenopausal Women in Two Regions of Bangladesh: Prevalence of Deficiency in High and Low Socio-economic Groups." European Journal of Clinical Nutrition, vol. 55, no. 7, 2001, pp. 598-604.
Islam MZ, Lamberg-Allardt C, Bhuyan MA, et al. Iron status of premenopausal women in two regions of Bangladesh: prevalence of deficiency in high and low socio-economic groups. Eur J Clin Nutr. 2001;55(7):598-604.
Islam, M. Z., Lamberg-Allardt, C., Bhuyan, M. A., & Salamatullah, Q. (2001). Iron status of premenopausal women in two regions of Bangladesh: prevalence of deficiency in high and low socio-economic groups. European Journal of Clinical Nutrition, 55(7), 598-604.
Islam MZ, et al. Iron Status of Premenopausal Women in Two Regions of Bangladesh: Prevalence of Deficiency in High and Low Socio-economic Groups. Eur J Clin Nutr. 2001;55(7):598-604. PubMed PMID: 11464233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iron status of premenopausal women in two regions of Bangladesh: prevalence of deficiency in high and low socio-economic groups. AU - Islam,M Z, AU - Lamberg-Allardt,C, AU - Bhuyan,M A, AU - Salamatullah,Q, PY - 2000/03/02/received PY - 2001/01/16/revised PY - 2001/01/18/accepted PY - 2001/7/21/pubmed PY - 2001/8/24/medline PY - 2001/7/21/entrez SP - 598 EP - 604 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 55 IS - 7 N2 - OBJECTIVE: The objective of the study was to assess iron status in women of different physiological status of two socio-economic groups in Bangladesh. DESIGN: Cross sectional study, using 3-day food record and blood haemoglobin, serum iron, serum ferritin concentrations. SETTING: Two regions of Bangladesh. The Dhaka city area and west region of Nandail, Mymensingh. SUBJECTS: Women aged 16-40 y. The low socio-economic group (group L, n=101) consisted of rural women with precarious income levels. The high socio-economic group (group H, n=90) consisted of women with high income and educational levels. The groups were composed of three sub-groups (non-pregnant non-lactating=1, pregnant = 2 and lactating = 3). RESULTS: There was no significant difference between the corresponding sub-groups of the two socio-economic groups in dietary intake of iron. In all sub-groups, the intake of iron was much higher than the RDA level and mainly based on non-haem iron. Blood haemoglobin (B-Hb) concentration (P=0.000), serum iron concentration (P=0.005) and serum ferritin (SF) concentration (P=0.000) were affected by socio-economic status. Physiological status (PS) influenced the B-Hb concentration (P=0.000). Prevalence of anaemia ranged from 63 to 70% in group L and 27 to 66% in group H, respectively. The prevalence of empty iron store (SF concentration<12 microg/l) ranged from 35 to 59% in group L and 15 to 32% in group H, respectively. The prevalence of anaemia and iron deficiency (70 and 35% for sub-group L2; 66 and 32% for sub-group H2, respectively) were similar in the pregnant subjects of the two groups. CONCLUSIONS: Subclinical iron deficiency was common in women of low socio-economic status. The pregnant subjects in the two groups was similar as regards iron status. SPONSORSHIP: The study was supported by the Academy of Finland, University of Helsinki and NorFa, Norway. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/11464233/Iron_status_of_premenopausal_women_in_two_regions_of_Bangladesh:_prevalence_of_deficiency_in_high_and_low_socio_economic_groups_ L2 - https://doi.org/10.1038/sj.ejcn.1601190 DB - PRIME DP - Unbound Medicine ER -