Prevalence of anemia of chronic disease and iron deficiency anemia among adult diabetic patients in Erbil City

Abdulqadir, Abdulqadir Hameed; Polus, Ranan Kardagh

doi:10.15218/zjms.2014.0013

Cited by 7 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that patients who lived with DM for ≥5 years were more likely to have anemia than those with DM duration of 1–5 years. This was in line with studies conducted in Fenote Selam Hospital-Ethiopia, 41 Iraq 55 , and UK. 17 It could be due to the longer exposure to hyperglycemia which leads to increased inflammatory cytokines that have an anti-erythropoietin effect causing a decrease in the number of circulating erythrocytes and consequently causing a reduction of circulating hemoglobin.…”

Section: Discussionsupporting

confidence: 92%

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

Tujuba¹,

Ayele²,

Fage³

et al. 2021

DMSO

View full text Add to dashboard Cite

Background Although anemia is a common condition among patients with diabetes mellitus, there is little evidence on anemia among this segment of population in Ethiopia at large and in the study setting in particular. Thus, this study aimed at assessing the magnitude of anemia and its associated factors among adult diabetic patients attending a general hospital in Eastern Ethiopia. Methods A health facility-based cross-sectional study was conducted among 325 randomly selected adult diabetes mellitus patients attending a follow-up clinic at Gelemso General Hospital, Eastern Ethiopia. Data were collected through an interview using a pre-tested and structured questionnaire followed by physical and laboratory measurements. Data were then entered into EpiData Version.3.1 and analyzed by using STATA version 16.0. Binary logistic regression models were fitted to identify factors associated with anemia. All statistical tests were declared significant at p -value < 0.05. Results The magnitude of anemia among adult diabetic patients was 30.2% (95% confidence interval (CI): 25.4%-35.4%). Anemia was higher in males (36%) than females (20.5%). Male gender (Adjusted Odds Ratio (AOR) = 2.1, 95% CI: 1.2, 3.8), DM duration of ≥5 years (AOR= 1.9, 95% CI: 1.0, 3.7), presence of comorbidity (AOR= 1.9, 95% CI: 1.0, 3.7), and having diabetic complications (AOR= 2.3, 95% CI: 1.3, 4.2) were significantly associated with anemia. Conclusion Anemia was a moderate public health problem among adult DM patients in the study setting. Being male in gender, duration of DM, presence of DM complications, and DM co-morbidities were factors associated with anemia. Therefore, routine screening and appropriate management of anemia targeting males, DM patients with longer duration of DM, and those with complications and co-morbidities should be devised to improve patients’ quality of life. Early diagnosis and regular monitoring of DM could also help to minimize further complications.

show abstract

Section: Discussionsupporting

confidence: 92%

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

Tujuba¹,

Ayele²,

Fage³

et al. 2021

DMSO

View full text Add to dashboard Cite

show abstract

“…Normocytic normochromic blood picture was the most common morphological types of anemia found in this study. It is not surprising to see normocytic normochromic blood picture of anemia in this study, as various previous studies conducted in China, 57 Malaysia, 54,55 India, 58,59 and Iraq, 60 also revealed this situation. Since the participants of this study were DM patients, anemia of chronic disease is expected, which is normocytic normochromic in morphology.…”

Section: Discussionsupporting

confidence: 78%

“…Since the participants of this study were DM patients, anemia of chronic disease is expected, which is normocytic normochromic in morphology. 55,[60][61][62] In addition, normocytic normochromic anemia might suggest the significance of the renal origin of anemia in diabetic patients. 6,7,63,64 Considering the percentage of anemic patients with altered renal function in this study, the above explanation seems acceptable.…”

Section: Discussionmentioning

confidence: 99%

<p>Anemia and Its Associated Factors Among Type 2 Diabetes Mellitus Patients Attending Debre Berhan Referral Hospital, North-East Ethiopia: A Cross-Sectional Study</p>

Taderegew¹,

Gebremariam²,

Tareke³

et al. 2020

JBM

View full text Add to dashboard Cite

Purpose: Anemia is one of the common complications of diabetes mellitus (DM), which has an adverse effect on the progression and development of other diabetes-related complications. In spite of this, relatively little information is available on the prevalence of anemia and associated factors among type 2 diabetes mellitus (T2DM) patients in Ethiopia, particularly in the study area. Thus, this study assessed the prevalence of anemia and associated factors among T2DM patients at Debre Berhan Referral Hospital (DBRH), NorthEast , Ethiopia. Patients and Methods: A hospital-based cross-sectional study was conducted from April 1 to May 30, 2019, among 249 T2DM patients with follow up at DBRH, selected using a systematic random sampling technique. Data were collected by face-to-face interviews, anthropometric measurements, and laboratory tests; such as hemoglobin measurements, red blood indices, and serum creatinine analysis. The data were coded and entered into Epi-data manager version 4.4.1.0, and analysis by using SPSS version 22 was carried out. To identify the determinant factors of anemia, bivariate and multivariate logistic regression analyses were performed. P-value <0.05 was considered as statistically significant. Results: The study showed 20.1% of the participants were anemic. Being age >60 years (AOR=3.06, 95% CI: 1.32-7.11), poor glycemic control (AOR=2.95, 95% CI: 1.22-7.15), eGFR 60-89.9 mL/min/1.73m 2 (AOR=2.91, 95% CI: 1.15-7.37), eGFR <60 mL/min/1.73m 2 (AOR=6.58, 95% CI: 2.42-17.93), DM duration >10 years (AOR= AOR=2.75, 95% CI: 1.17-6.48), and having diabetic complications (AOR=3.81, 95% CI: 1.65-8.81) were significantly associated with anemia. Conclusion: One out of five T2DM patients had anemia. Poor glycemic control, decreased eGFR, presence of DM complications, duration of DM >10 years, and age >60 years were significantly associated with the occurrence of anemia among T2DM. Regular screening for anemia in all T2DM patients may help in the early detection and management of anemia.

show abstract

“…This nding consistence with study conducted in India, which showed a higher rate of the microcytic hypochromic type of anemia (28). This study deviates from several studies reported Normocytic normochromic blood picture was the most common morphological types of anemia (7,(29)(30)(31)(32). This nding suggested the anemia related mainly to iron de ciency anemia.…”

Section: Resultscontrasting

confidence: 99%

Anemia and It's Risk Factors among Patients with Type II Diabetes Mellitus, Alkhair Medical Center, Wad Medani, Gezira State, Sudan (2020)

Mohamedahmed

Mohammed

Talha

2022

Preprint

View full text Add to dashboard Cite

Background: Anemia is one of the common complications of diabetes mellitus, and their risk in diabetic patients is estimated to be 2 – 3 times higher than that of patients without diabetes. Therefore, having a major impact on the overall health and survival of diabetes patients. Globally, the prevalence of concurrent anemia and diabetes mellitus ranges from 14 – 45% in various ethnic populations worldwide. Objectives: The aim of this study was to determine the prevalence of anemia among type II diabetic patients.Methodology: This is a cross-sectional laboratory-based study conducted in Alkhair Medical Center, Wad Medani, Gezira State, Sudan during March to December 2020 among 100 type II diabetic patients ((32 males and 68 females) their ages ranged between 30 and 90 years with mean (52.26 ± 13.58 years). Three ml of venous blood samples were collected from all participants in K3EDTA containers. A thin blood film was prepared and stained immediately. The RBCs parameters were performed using Sysmex XP-300 Automated Hematology Analyzer. SPSS computer program (v 25.0) was used for data analysis. Results: The study results showed that the prevalence of anemia among patients with type 2 Diabetes Mellitus were 7 (7 %). 6 (85.7 %) patients had mild anemia, and one (14.3 %) had moderate anemia according to clinical degree of anemia based on hemoglobin level. 4 (57.14 %) patients had microcytic hypochromic anemia, and 2 (28.57 %) patients had normocytic normochromic anemia and one (14.29 %) patients had macrocytic anemia based on RBCs indices and morphology. The prevalence of anemia is more in female (7.35 %) than male (6.25 %). Conclusion: The study concluded that anemia among patients with type II Diabetes Mellitus was 7 %, mostly mild and microcytic hypochromic anemia; so improve their nutrition status among diabetic patients may help in reducing the anima during diabetes.

show abstract

Prevalence of anemia of chronic disease and iron deficiency anemia among adult diabetic patients in Erbil City

Cited by 7 publications

References 13 publications

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

Anemia among Adult Diabetic Patients Attending a General Hospital in Eastern Ethiopia: a Cross-sectional Study

<p>Anemia and Its Associated Factors Among Type 2 Diabetes Mellitus Patients Attending Debre Berhan Referral Hospital, North-East Ethiopia: A Cross-Sectional Study</p>

Anemia and It's Risk Factors among Patients with Type II Diabetes Mellitus, Alkhair Medical Center, Wad Medani, Gezira State, Sudan (2020)

Contact Info

Product

Resources

About