Retrospective Evaluation of Anemia in Relation to Body Mass Index [BMI] in Women Presenting to Tertiary Care Hospital from Telangana
DOI:
https://doi.org/10.15379/2408-9877.2016.03.01.04Keywords:
Megaloblastic, Iron deficiency, Hemogram, Folate supplements, Malnutrition.Abstract
Objective: This is a retrospective analysis to investigate the prevalence, nature [Like megaloblastic vs Iron deficiency vs blood loss vs hemolytic etc.] and determinants of anemia among women in a tertiary care hospital during the period 2011-2014. We examined differences in anemia related to, urban/rural location, nutrition status as reflected by body mass index (BMI) and serum albumin levels and hemogram values
Methods: The Hb values of all women presenting to the OPD was captured along with the details of the Haemogram, Iron profile, as well as other clinical examination findings. Wherever the complete work up was performed, the details were also captured. The standard definitions were used for entering the data and MEDCALC version 7.0 was used for the statistical analysis.
Results: A total of 463 women aged 15–59 were analyzed. (Elderly were not included as the etiologic of the anemia will be different in them as well as multiple co-morbidities confounding the analysis) Prevalence of anemia was high among all women, however as compared to national statistics; this is slightly less in the current study. In all 28.4% of women had mild, 12.6% had moderate, and 5.2% had severe anemia. Both high and low BMI were associated with anemia, though very low BMI had mixed picture, Low BMI had Iron deficiency and high BMI had Megaloblstic variants of anemia.
Conclusion: Anemia still is an important health burden in women of both urban and rural origin, even-though the prevalence compared to a decade ago appears to be slightly less. New differential and tailored program strategies are needed for improving the hemoglobin for those with very low BMI [Iron supplements alone may not be enough and they need both Iron and B12 with folic acid]. Similarly in urban women, its essential to sensitize regarding the balanced diet, [especially if the BMI is high] with focus on the B12 and folate supplements [besides other dietary modifications].
References
World Health Organization (1992). The Prevalence of Anaemia in Women: a Tabulation of Available Indormation, WHO, Geneva Switzerland
Sharma, A, Prasad, K and Rao KV. Identification of an appropriate strategy to control anemia in adolescent girls of poor communities. Indian Pediatr 1996; 37: 261-267.
Kanani SJ, and Poojara RH. Supplementation with iron and folic acid enhances growth in adolescent Indian girls. J. Nutr 2000; 130: 452S-455S.
Chakma T, Rao PV and Tiwary RS. Prevalence of anemia and worm infestation in tribal areas of Madhya Pradesh. J. Indian Med. Assoc 2000; 98: 567-561.
Kapil U, Pathak P, Tandon M, Singh C, Pradhanb R and Dwivedi SN. Micronutrient deficiency disorders amongst pregnant women in three urban slum communities of Delhi. Indian Pediat 1999; 36: 983-989.
Rajaratnam J, Abel R, Asokan JS and Jonathan P. Prevalence of anemia among adolescent girls of rural Tamil Nadu. Indian Pediat 2000; 27: 532-536.
Bentley ME1, Griffiths PL. The burden of anemia among women in India. Eur J Clin Nutr 2003 Jan; 57(1): 52-60. http://dx.doi.org/10.1038/sj.ejcn.1601504
Griffiths PL and Bentley ME. the nutrition transition is underway in India. J Nutr 2001; 131: 2692-2700.
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