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Prevalence of iron deficiency and anemia among healthy women of reproductive age in Bhaktapur, Nepal.
Eur J Clin Nutr. 2007 Feb; 61(2):262-9.EJ

Abstract

OBJECTIVE

To determine the prevalence of anemia and iron status as assessed by biochemical markers and to explore the associations between markers of iron status and iron intake. STUDY AREA AND POPULATION: Five hundred healthy women of reproductive age from the Bhaktapur district of Nepal were included in the study.

METHODS

A cluster sampling procedure was applied for this cross-sectional study. Women without any ongoing infection aged 13-35 years were selected randomly from the population. We measured the plasma concentration of hemoglobin (Hb), ferritin and transferrin receptors. Dietary information was obtained by a food frequency questionnaire and two 24-h dietary recalls.

RESULTS

The prevalence of anemia (Hb concentration <12 g/dl) was 12% (n=58). The prevalence of depleted iron stores (plasma ferritin <15 microg/l) was 20% (n=98) whereas the prevalence of iron deficiency anemia (anemia, depleted iron stores with elevated transferrin receptor i.e. >1.54 mg/l) was 6% (n=30). Seven percent (n=35) of women were having iron-deficient erythropoiesis (depleted iron stores and elevated transferrin receptor but normal Hb). Out of the 58 anemic women, 41 (71%) and 31 (53%) were also having elevated plasma transferrin receptor and depleted iron stores, respectively. Fifty-four percent of the women ate less than the recommended average intake of iron. The main foods contributing to dietary iron were rice, wheat flour and green and dry vegetables.

CONCLUSIONS

The prevalence of anemia in our study was substantially lower than the national figure for non-pregnant women. Only about half of the women with anemia were also having depleted iron stores, suggesting that other causes of anemia may be prevalent in this population.

SPONSORSHIP

Norwegian Universities Committee for Development, Research and Education (NUFU).

Authors+Show Affiliations

Department of Child Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

16929243

Citation

Chandyo, R K., et al. "Prevalence of Iron Deficiency and Anemia Among Healthy Women of Reproductive Age in Bhaktapur, Nepal." European Journal of Clinical Nutrition, vol. 61, no. 2, 2007, pp. 262-9.
Chandyo RK, Strand TA, Ulvik RJ, et al. Prevalence of iron deficiency and anemia among healthy women of reproductive age in Bhaktapur, Nepal. Eur J Clin Nutr. 2007;61(2):262-9.
Chandyo, R. K., Strand, T. A., Ulvik, R. J., Adhikari, R. K., Ulak, M., Dixit, H., & Sommerfelt, H. (2007). Prevalence of iron deficiency and anemia among healthy women of reproductive age in Bhaktapur, Nepal. European Journal of Clinical Nutrition, 61(2), 262-9.
Chandyo RK, et al. Prevalence of Iron Deficiency and Anemia Among Healthy Women of Reproductive Age in Bhaktapur, Nepal. Eur J Clin Nutr. 2007;61(2):262-9. PubMed PMID: 16929243.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of iron deficiency and anemia among healthy women of reproductive age in Bhaktapur, Nepal. AU - Chandyo,R K, AU - Strand,T A, AU - Ulvik,R J, AU - Adhikari,R K, AU - Ulak,M, AU - Dixit,H, AU - Sommerfelt,H, Y1 - 2006/08/23/ PY - 2006/8/25/pubmed PY - 2007/3/21/medline PY - 2006/8/25/entrez SP - 262 EP - 9 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 61 IS - 2 N2 - OBJECTIVE: To determine the prevalence of anemia and iron status as assessed by biochemical markers and to explore the associations between markers of iron status and iron intake. STUDY AREA AND POPULATION: Five hundred healthy women of reproductive age from the Bhaktapur district of Nepal were included in the study. METHODS: A cluster sampling procedure was applied for this cross-sectional study. Women without any ongoing infection aged 13-35 years were selected randomly from the population. We measured the plasma concentration of hemoglobin (Hb), ferritin and transferrin receptors. Dietary information was obtained by a food frequency questionnaire and two 24-h dietary recalls. RESULTS: The prevalence of anemia (Hb concentration <12 g/dl) was 12% (n=58). The prevalence of depleted iron stores (plasma ferritin <15 microg/l) was 20% (n=98) whereas the prevalence of iron deficiency anemia (anemia, depleted iron stores with elevated transferrin receptor i.e. >1.54 mg/l) was 6% (n=30). Seven percent (n=35) of women were having iron-deficient erythropoiesis (depleted iron stores and elevated transferrin receptor but normal Hb). Out of the 58 anemic women, 41 (71%) and 31 (53%) were also having elevated plasma transferrin receptor and depleted iron stores, respectively. Fifty-four percent of the women ate less than the recommended average intake of iron. The main foods contributing to dietary iron were rice, wheat flour and green and dry vegetables. CONCLUSIONS: The prevalence of anemia in our study was substantially lower than the national figure for non-pregnant women. Only about half of the women with anemia were also having depleted iron stores, suggesting that other causes of anemia may be prevalent in this population. SPONSORSHIP: Norwegian Universities Committee for Development, Research and Education (NUFU). SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/16929243/Prevalence_of_iron_deficiency_and_anemia_among_healthy_women_of_reproductive_age_in_Bhaktapur_Nepal_ L2 - https://doi.org/10.1038/sj.ejcn.1602508 DB - PRIME DP - Unbound Medicine ER -