Prevalence and significance of iron deficiency of anaemia among people of Mornag District of Nepal

Sinha, Amar Kumar; Majumdar, Bishakha; Yadav, Shrawan Kumar

doi:10.3126/jonmc.v1i1.7286

Cited by 3 publications

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References 1 publication

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“…In our study, anemia was seen in 28.1% cases among 975 CBC samples run during the study period. Similar finding was seen in a study done in eastern part of Nepal by Sinha et al 12 where the prevalence of anemia was 25.6 % . Another study done in Nepal showed that the prevalence of anemia among school going children ranged from 31.6% to 45.3%.…”

Section: Fig 2: Age Wise Distributionsupporting

confidence: 90%

“…[5][6][7][8][18][19][20] Studies done in Nepal shows that iron deficiency is very common and it is most commonly seen in females as well as children. 12,19,21 Macrocytic anemia was also quite common among older adults and comprises of almost 14% of all anemia cases. 20 Macrocytosis is the most commonly associated with vitamin B12, folic acid deficiency followed by alcoholism and liver disease.…”

Section: Fig 2: Age Wise Distributionmentioning

confidence: 99%

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Study of red cell indices and reticulocyte count in person with anemia at a tertiary care hospital of Kathmandu

et al. 2019

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Anemia is not a disease but a clinical feature of some other underlying problems. It is one of the most common public health problems in developing countries. The prevalence of anemia differs according to the age group. A cross sectional observational study was conducted in a tertiary hospital, over a period of six months (January 2018 to June 2018). All the cases of anemia in different age group with hematological investigations (hemoglobin and red blood cell indices) including reticulocyte count during the study period were included. A total of 274 blood samples of persons with anemia were evaluated. The mean age of the patients was 41.4 ± 25.37 years. Anemia was more commonly seen in females (68.2%) than males (31.8%) in our study. The most affected age group for anemia was person ≥ 15 years followed by children < 5 years. The least affected group was children of 12- 14 years. Microcytic anemia (decreased MCV and decreased MCHC) was observed in children of 12- 14 years and macrocytic anemia (increased MCV) was seen in group ≥ 15 years. Red cell distribution width (RDW) was more elevated in children of 12 -14 years and showed that there was significant variation of size of RBC in this group. Reticulocyte count was higher in children < 5 years and lower in children of 12- 14 years. Significant correlation was noted for hematocrit and reticulocyte count. This study revealed that the prevalence of anemia increases with age and was more common in females. Baseline study of red blood cell indices and reticulocyte count will help us in diagnosing the type of anemia and in further management.

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Section: Fig 2: Age Wise Distributionsupporting

confidence: 90%

Section: Fig 2: Age Wise Distributionmentioning

confidence: 99%

Study of red cell indices and reticulocyte count in person with anemia at a tertiary care hospital of Kathmandu

et al. 2019

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“…10 In a study done by Sinha et al among the people of Morang district of Nepal 25.57% of the patients were suffering from iron deficiency anemia. 11 In the present study it was seen that most of the patients (72 % ) had microcytic hypochromic blood picture. Patel et al and Mach-Pascual et al in their studies found microcytic hypochromic blood picture in 40% and 35.2% of anemic patients respectively.…”

Section: Discussionsupporting

confidence: 53%

Iron Deficiency in Anemic Patients: Study in a Tertiary Care Centre

Chaurasiya¹,

Alam²,

Patel³

et al. 2022

Medphoenix

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Introduction Anemia is a clinical abnormality characterized by a reduction in hemoglobin concentration below the normal for age and sex. It can be of different types, the most common being iron deficiency anemia which affects mostly pregnant and lactating females and growing children in the developing world. Materials and Methods This was a hospital-based observational study conducted at National Medical College and Teaching Hospital, Pathology Department, Birgunj, Nepal. Patients above the age of 10 years of both sexes (male and females) having anemia ( males having hemoglobin level < 13 gm/dl and females having hemoglobin level < 12 gm/dl ) were included. After a detailed history, preliminary blood tests including complete blood counts, peripheral smear, and reticulocytes count were done. In patients suspected (microcytic hypochromic blood picture and normal reticulocytes count ) to have iron deficiency anemia, serum ferritin was done to confirm the diagnosis. Patients under the age of 10 years and those patients having blood malignancies (acute or chronic leukemia) were excluded from the study. Results Sixty anemic patients were found to have iron deficiency. Females were affected more (66%) with iron deficiency anemia than males (34%). There were two peaks (30% and 21%) in age groups 10 – 20 years and 61 – 70 years. Complete blood counts revealed a significant decrease in the value of red cell indices like mean corpuscular volume in 70% patients (Normal MCV 80 to 100 fl) and mean corpuscular hemoglobin in 72% patients (Normal MCH 27 to 33 pg ). On peripheral smear, it was seen that most of the patients (72%) had microcytic hypochromic blood pictures. Iron deficiency anemia was more common in rural areas. Conclusion Iron deficiency anemia was the most common type of anemia. It is more common in females and the prevalence is more in rural areas.

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“…Previous studies conducted to analyse the factors associated with anaemia among WRA in Nepal have only explored a few specific individual and household factors (Chandyo et al, 2007; Gautam, Min, Kim, & Jeong, 2019; Harding, Aguayo, Namirembe, & Webb, 2018), and some are based on the analysis of a specific sample or subnational data (Baral & Onta, 2009; Mishra, Marasini, Gupta, Agrawal, & Gautam, 2018; Sinha, Majumdar, & Yadav, 2011). For instance, a study conducted by Gautam et al in 2019 (using 2016 Nepal Demographic and Health Survey [NDHS]) identified that source of drinking water, women's use of hormonal contraception, overweight/obesity and smoking status were significantly associated with anaemia (Gautam et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Trends and determinants of anaemia in women of Nepal: a multilevel analysis

Rai

Khan

Thapa

2020

Maternal & Child Nutrition

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In Nepal, the prevalence of anaemia decreased by 1% from 2006 to 2011 but increased by 6% from 2011 to 2016. In this study, we examined the changes in prevalence by possible factors from 2006 to 2016 along with the factors associated with anaemia among women of reproductive age (15–49 years) using the Nepal Demographic and Health Survey (NDHS) data from years 2006, 2011 and 2016. We used rate of change analysis to explore average annual rate of change (AARC) in anaemia prevalence and concentration curves and indices to assess unequal distribution of anaemia prevalence among socio‐economic quintiles. Multilevel regression was performed to examine the association of multilevel factors with anaemia. Our results showed higher AARC increase in anaemia prevalence from 2006 to 2016, among women aged 30–39 years, with secondary or higher education, who had two or fewer children, not working women, from higher wealth quintiles and who were overweight or obese. Shifting of concentration curve from ‘above the line of equality’ in 2006 and 2011 to ‘under the line of equality’ in 2016 was observed. Women aged 20–29 years, with more than four children, who underwent female sterilization, had experienced violence and from Provinces 1, 2 and 5 were at higher risk of anaemia. Overweight and obese women using hormonal contraception and from lowest wealth quintiles were at lower risk. The change in trends and the associated multilevel factors identified should be considered in designing multilevel interventions that particularly target women at risk for sustainable anaemia reduction.

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Prevalence and significance of iron deficiency of anaemia among people of Mornag District of Nepal

Abstract: Abstarct:Iron

Cited by 3 publications

References 1 publication

Study of red cell indices and reticulocyte count in person with anemia at a tertiary care hospital of Kathmandu

Study of red cell indices and reticulocyte count in person with anemia at a tertiary care hospital of Kathmandu

Iron Deficiency in Anemic Patients: Study in a Tertiary Care Centre

Trends and determinants of anaemia in women of Nepal: a multilevel analysis

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