Prevalence of iron deficiency and iron deficiency anaemia among nursing students of Bilaspur Chhattisgarh
Abstract
Background and Aim: The most widespread nutritional problem is iron deficiency affecting over two billion people. It is particularly common disorder among infants, preschool children, young women and older people but it can occur at ages and in any region. A high demand for iron during rapid growth, pregnancy and lactation, accompanied by dietary deficiency in children and young women, can lead to iron deficiency anaemia.
Materials and Methods: The present study carried out at Department of Biochemistry, Chhattisgarh Institute of Medical Sciences, Bilaspur (CG). A total 112 female students participated in this cross sectional study was age between 18-25 years. Complete blood cell count and Serum iron, Ferritin, total iron binding capacity were used to assess the status of iron deficiency and iron deficiency anaemia.
Results: We found significant (P<0.001) decrease level of Serum Iron and Ferritin and significant (P<0.001) increased level of TIBC in ID as well as IDA as compared to Normal. In this study, the prevalence rates of ID and IDA in female university students aged 18–25 years were 55.35% and 10.7%, respectively.
Conclusion: The results of this study indicate that iron supplementation is required for the target group. Finally, nutrition education and intervention program should address ID with a focus on both the dietary quantity and the quality of the micronutrient composition. All of these interventions must be monitored for effectiveness.
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References
2. Verster A. Guidelines for the control of iron deficiency in countries of the eastern Mediterranean, Middle East and North Africa. Alexandria, Egypt: World Health Organization, Regional Office for the Eastern Mediterranean 1996 (WHO-EM/NUT/177/E/G/11,96)
3. Murphy MF, Waisncoat J, Colvin BT. Microcytic anemia.In: Kumar P, Klark M. Clinical medicine, 5th ed. Edinburgh, UK: W. B. Saunders, 2002; 412–19.
4. Bertil G. Iron-deficiency anemia. In: Nelson textbook of paediatrics, 17th ed. Philadelphia, PA, USA: W. B. Saunders, 2004:1614–1615.
5. Abalkhail B, Shawky S. Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. International Journal of Food Sciences and Nutrition. 2002;53(6):519-528.
6. Klaus Kraemer and Michael B. Zammermann. Nutritional Anemia, The Sight and Life, Switzerland; 2007.
7. Haas J, Brownlie T. Iron Deficiency and Reduced Work Capacity: A Critical Review of the Research to Determine a Causal Relationship. J Nutr. 2001;131(Supp): 376-390. [PubMed]
8. Halterman JS, Kaczorowski JM, Aligne CA, Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement among school aged children and adolescents in the United States. Pediatrics. 2001 Jun;107(6):1381-6. [PubMed]
9. Upadhyay S, Kumar AR, Raghuvanshi RS, Singh BB. Nutritional Status and Knowledge of Hill Women on Anaemia : Effect of Various Socio-demographic Factors. J Hum Ecol 2011; 33(1): 29-34.
10. McCann J, Ames BN. An overview of evidence for a causal relation between iron deficiency during development and deficits in cognitive or behavioral function. Am. J. Clin. Nutr 2007; 85(4): 931-945. [PubMed]
11. Nojilana B, Norman R, Dhansay MA, et al. Estimating the burden of disease attributable to iron deficiency anaemia in South Africa in 2000. S Afr Med J. 2007 Aug;97(8 Pt 2):741-6.
12. Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007 Jul;77(1):44-51. [PubMed]
13. Yip R, Ramakrishnan U. Experiences and challenges in developing countries. J Nutr. 2002 Apr;132(4 Suppl):827S-30S. [PubMed]
14. Gleason G, Gross R, Viteri F, Yip R. Indicators and Strategies for Iron Deficiency Anemia Programs. Report of the WHO/UNICEF/UNU Consultation, Oslo, Norway; 1988.
15. B.C.Mehta.Iron deficiency amongst Nursing students.Indian J.Med.Sci ,2004; 58(9):389-390. [PubMed]
16. WHO/UNICEF/UNU. Iron deficiency anemia: Assessment, prevention and control a guide for programme managers. Geneva, World Health Organization, (Document WHO/NHD/01.3); 2001.
17. Verdon F, Burnand B, Stubi CL, Bonard C, Graff M, Michaud A (2003). Iron supplementation for unexplained fatigue in non-anemic women:Double blind randomised placebo controlled trial. BMJ. 2003 May 24;326(7399):1124.
18. Freire WB. Strategies of the Pan American Health Organization/World Health Organization for the control of iron deficiency in Latin America. Nutr Rev. 1997 Jun;55(6):183-8. [PubMed]
19. Choi JW. Does Helicobacter pylori infection relate to iron deficiency anaemia in prepubescent children under 12 years of age. Acta Paediatr. 2003 Aug;92(8):970-2. [PubMed]
20. Andrews NC. Disorders of iron metabolism. N. Engl. J. Med 2000; 341(26): 1986-1995. [PubMed]
21. Rowland TW, Kelleher JF. Iron deficiency in athletes. Insights from high school swimmers. Am. J. Dis. Child 1989; 143(2):197-200. [PubMed]
22. Das KVK. Nutritional anemias in India. J Assoc Physicians India. 1980 Dec;28(12):521-33. [PubMed]
23. Nelson R, Chawala M, Conolly P, LaPorte J. Ferritin as index of bone marrow iron stores. South Med J. 1978 Dec;71(12):1482-4. [PubMed]
24. Holyoake TL, Stott DJ, McKay PJ, Hendry A, MacDonald JB, Lucie NP. Use of plasma ferritin concentration to diagnose iron deficiency in elderly patients. J Clin Pathol. 1993 Sep;46(9):857-60.
25. Hallberg A, Bengtsson C, Lapidus L, Lindstedt G, Lundberg PA, Hulten L. Screening for iron deficiency: An analysis based on bone marrow examinations and serum ferritin determination in a population sample of women. Br J Haematol. 1993 Dec;85(4):787-98.
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