Prevalence and associated factors of iron deficiency anemia among female medical students
Keywords:
Prevalence, Iron deficiency, Iron deficiency anemia, Medical studentAbstract
Objective: This study aimed to determine the prevalence of iron deficiency anemia (IDA) and associated factors among Thai female medical students. Materials and methods: A cross-sectional study of healthy Thai female medical students, aged between 20 and 25 years, was conducted between June 2019 and February 2021. Sociodemographic data, dietary habits, menstrual pattern, history of blood donation and iron supplementation were obtained and venous blood samples were collected for complete blood count and serum ferritin level. Results: A total 128 female medical students participated in the study, and mean hemoglobin level was 12.6±0.928 g/dL. In the studied group, 14.1% of participants had anemia and IDA was the major cause with a prevalence of 7.8%, while the prevalence of anemia due to other causes was 6.2%. The prevalence of iron deficiency (ID) without anemia was 3.9%. No statistically significant associated factors were found in this study. Conclusion: The prevalence of IDA among Thai female medical students was low: however, it was the most common cause of anemia and some indicated moderate anemia. Thus, health promotion and screening programs should be considered for IDA prevention and early detection among female medical students.
Downloads
References
Camaschella C. Iron-deficiency anemia. N Engl J Med. 2015;372:1832-43.
Heath AL, Skeaff CM, Williams S, Gibson RS. The role of blood loss and diet in the aetiology of mild iron deficiency in premenopausal
adult New Zealand women. Public health nutrition.2001;4:197-206.
Worthington-Roberts BS, Breskin MW, Monsen ER. Iron status of premenopausal women in a university community and its relationship to habitual dietary sources of protein. Am J Clin Nutr. 1988;47:275-9.
Ball MJ, Bartlett MA. Dietary intake and iron status of Australian vegetarian women. Am J Clin Nutr. 1999;70:353-8.
Shill KB, Karmakar P, Kibria MG, Das A, Rahman MA, Hossain MS, et al. Prevalence of iron-deficiency anaemia among university students in Noakhali region, Bangladesh. J Health Popul Nutr. 2014;32:103-10.
Abalkhail B, Shawky S. Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. Int J Food Sci Nutr. 2002;53:519-28.
Ganasegeran K, Al-Dubai SA, Qureshi AM, Al-abed AA, Am R, Aljunid SM. Social and psychological factors affecting eating habits among university students in a Malaysian medical school: a cross-sectional study. Nutr J. 2012;11:48.
Ekpanyaskul C, Sithisarankul P, Wattanasirichaigoon S. Overweight/Obesity and related factors among Thai medical students. Asia-Pacific journal of public health. 2013;25:170-80.
Vibhute NA, Shah U, Belgaumi U, Kadashetti V, Bommanavar S, Kamate W. Prevalence and awareness of nutritional anemia among female medical students in Karad, Maharashtra, India: across-sectional study. J Family Med Prim Care. 2019;8:2369-72.
Kongsomboon K. Psychological problems and overweight in medical students compared to students from Faculty of Humanities, Srinakharinwirot University, Thailand. J Med Assoc Thai.2010;93(Suppl 2):S106-13.
Shams S, Asheri H, Kianmehr A, Ziaee V, Koochakzadeh L, Monajemzadeh M, et al. The prevalence of iron deficiency anaemia in female medical students in Tehran. Singapore Med J.2010;51:116-9.
Kannan B, Ivan EA. Prevalence of anemia among female medical students and its correlation with menstrual abnormalities and nutritional habits. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2017;6(6).
Jawed S, Tariq S, Tariq S, Kamal A. Frequency of nutritional anemia among female medical students of Faisalabad. Pakistan Journal of Medical Sciences. 2017;33(2).
Al-alimi AA, Bashanfer S, Morish MA. Prevalence of Iron Deficiency Anemia among University Students in Hodeida Province, Yemen. Anemia. 2018;2018:1-7.
Al Hassan NN. The prevalence of iron deficiency anemia in Saudi University female students. J Microsc Ultrastruct. 2015;3:25-8.
Alzaheb RA, Al-Amer O. The Prevalence of Iron Deficiency Anemia and its Associated Risk Factors Among a Sample of Female University Students in Tabuk, Saudi Arabia. Clin Med Insights Womens Health. 2017;10:1179562X17745088.
Institute of Nutrition MU. INMUCAL-Nutrients V.4.0 2019 [Available from: https://inmu2.mahidol.ac.th/inmucal/.
World Health O. Serum ferritin concentrations for the assessment of iron status in individuals and populations: technical brief.
Geneva: World Health Organization; 2020 2020.
Sweet MG, Schmidt-Dalton Ta Fau - Weiss PM, Weiss Pm Fau-Madsen KP, Madsen KP. Evaluation and management of abnormal
uterine bleeding in premenopausal women. (1532-0650 (Electronic)).
AlSheikh M. Prevalence and risk factors of iron-deficiency anemia in Saudi female medical students. Saudi Journal for Health Sciences. 2018;7(3).
Safiri SA-O, Kolahi AA, Noori M, Nejadghaderi SA, Karamzad N, Bragazzi NL, et al. Burden of anemia and its underlying causes in 204 countries and territories, 1990-2019: results from the Global Burden of Disease Study 2019. (1756-8722 (Electronic)).
Jalambo MO, Karim NA, Naser IA, Sharif R. Prevalence and risk factor analysis of iron deficiency and iron-deficiency anaemia among female adolescents in the Gaza Strip, Palestine. Public health nutrition. 2018;21:2793-802.
Meng SH, Zhou HB, Li X, Wang MX, Kang LX, Fu JM, et al. Association Between Dietary Iron Intake and Serum Ferritin and Severe Headache or Migraine. Front Nutr. 2021;8:685564.
Timmer TC, de Groot R, Rijnhart JJM, Lakerveld J, Brug J, Perenboom CWM, et al. Dietary intake of heme iron is associated with ferritin and hemoglobin levels in Dutch blood donors: results from Donor InSight. Haematologica. 2020;105:2400-6.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Journal of Hematology and Transfusion Medicine
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.