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Iron status of pregnant Indian women from an area of active iron supplementation.
Nutrition 2014; 30(3):291-6N

Abstract

OBJECTIVE

The aim of this study was to investigate the iron status of pregnant tribal women from Ramtek, Nagpur, Maharashtra, India using a combination of indices.

METHODS

A community-based observational study was conducted to assess iron status using a convenience sample of pregnant Indian tribal women from Ramtek. Pregnant women were recruited at 13 to 22 wk gestation (first visit; n = 211) and followed to 29 to 42 wk gestation (second visit; n = 177) of pregnancy. Sociodemographic and anthropometric data; iron supplement intake; and blood samples for estimating hemoglobin (Hb), serum ferritin (SF), soluble transferrin receptor (sTfR), and C-reactive protein (CRP) were obtained.

RESULTS

The mean (SD) Hb concentration at recruitment was 106 (15) g/L and 106 (14) g/L at the second visit; 41% of the women at recruitment and 55% at second visit were anemic (14% higher, P < 0.001). No women at recruitment and 3.7% at second visit had SF concentration < 15 ng/mL; and 3.3% at recruitment and 3.9% at the second visit had sTfR > 4.4 ng/mL (0.6% higher, P = 0.179). Almost 62% and 71% of pregnant women used iron supplements at both visits, respectively. Iron supplement intake > 7 d in the preceding month improved the Hb concentration by 3.23 g/L and reduced sTfR concentration by 13%; women who were breastfeeding at the time of recruitment had 11% higher SF concentration.

CONCLUSIONS

The iron indices suggest that pregnant tribal women of central India, although anemic, had good iron status. Use of iron supplements > 7 d in the preceding month improved iron status; however, non-iron-deficiency anemia persisted in this group.

Authors+Show Affiliations

Department of Human Nutrition, University of Otago, Dunedin, New Zealand; Healthy Lifestyle Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Pulau Penang, Malaysia.London School of Hygiene and Tropical Medicine, London, England.Department of Human Nutrition, University of Otago, Dunedin, New Zealand.Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.Public Health Foundation of India, New Delhi, India.Public Health Foundation of India, New Delhi, India.Health and Family Welfare Training Institute, Nagpur, India.All India Institute of Medical Sciences, New Delhi, India.Department of Human Nutrition, University of Otago, Dunedin, New Zealand. Electronic address: sheila.skeaff@otago.ac.nz.

Pub Type(s)

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

Language

eng

PubMed ID

24484679

Citation

Menon, Kavitha C., et al. "Iron Status of Pregnant Indian Women From an Area of Active Iron Supplementation." Nutrition (Burbank, Los Angeles County, Calif.), vol. 30, no. 3, 2014, pp. 291-6.
Menon KC, Ferguson EL, Thomson CD, et al. Iron status of pregnant Indian women from an area of active iron supplementation. Nutrition. 2014;30(3):291-6.
Menon, K. C., Ferguson, E. L., Thomson, C. D., Gray, A. R., Zodpey, S., Saraf, A., ... Skeaff, S. A. (2014). Iron status of pregnant Indian women from an area of active iron supplementation. Nutrition (Burbank, Los Angeles County, Calif.), 30(3), pp. 291-6. doi:10.1016/j.nut.2013.08.015.
Menon KC, et al. Iron Status of Pregnant Indian Women From an Area of Active Iron Supplementation. Nutrition. 2014;30(3):291-6. PubMed PMID: 24484679.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Iron status of pregnant Indian women from an area of active iron supplementation. AU - Menon,Kavitha C, AU - Ferguson,Elaine L, AU - Thomson,Christine D, AU - Gray,Andrew R, AU - Zodpey,Sanjay, AU - Saraf,Abhay, AU - Das,Prabir Kumar, AU - Pandav,Chandrakant S, AU - Skeaff,Sheila A, PY - 2013/06/30/received PY - 2013/08/13/revised PY - 2013/08/19/accepted PY - 2014/2/4/entrez PY - 2014/2/4/pubmed PY - 2014/10/1/medline KW - Anemia KW - Dietary supplements KW - Iron deficiency anemia KW - Iron status KW - Pregnant women SP - 291 EP - 6 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 30 IS - 3 N2 - OBJECTIVE: The aim of this study was to investigate the iron status of pregnant tribal women from Ramtek, Nagpur, Maharashtra, India using a combination of indices. METHODS: A community-based observational study was conducted to assess iron status using a convenience sample of pregnant Indian tribal women from Ramtek. Pregnant women were recruited at 13 to 22 wk gestation (first visit; n = 211) and followed to 29 to 42 wk gestation (second visit; n = 177) of pregnancy. Sociodemographic and anthropometric data; iron supplement intake; and blood samples for estimating hemoglobin (Hb), serum ferritin (SF), soluble transferrin receptor (sTfR), and C-reactive protein (CRP) were obtained. RESULTS: The mean (SD) Hb concentration at recruitment was 106 (15) g/L and 106 (14) g/L at the second visit; 41% of the women at recruitment and 55% at second visit were anemic (14% higher, P < 0.001). No women at recruitment and 3.7% at second visit had SF concentration < 15 ng/mL; and 3.3% at recruitment and 3.9% at the second visit had sTfR > 4.4 ng/mL (0.6% higher, P = 0.179). Almost 62% and 71% of pregnant women used iron supplements at both visits, respectively. Iron supplement intake > 7 d in the preceding month improved the Hb concentration by 3.23 g/L and reduced sTfR concentration by 13%; women who were breastfeeding at the time of recruitment had 11% higher SF concentration. CONCLUSIONS: The iron indices suggest that pregnant tribal women of central India, although anemic, had good iron status. Use of iron supplements > 7 d in the preceding month improved iron status; however, non-iron-deficiency anemia persisted in this group. SN - 1873-1244 UR - https://www.unboundmedicine.com/medline/citation/24484679/Iron_status_of_pregnant_Indian_women_from_an_area_of_active_iron_supplementation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(13)00393-6 DB - PRIME DP - Unbound Medicine ER -