The association between anemia prevalence, maternal age and parity in term pregnancies in our city

Kavak, Ebru Çelik; Kavak, Salih Burçin

doi:10.2399/prn.17.0251002

Cited by 18 publications

(8 citation statements)

References 5 publications

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“…The American Society for Reproductive Medicine states that the peak of the fertile period and the best egg quality for women is at the age of 20-30 years old, then it will decline after entering the age of 35 years. 9 This is in accordance with the results of the study 200 samples studied which have an age range of 19-43 years, with the largest number of samples in the age range of 20-29 years (56%, N=56), both in the irondeficiency anemia group and the control group. The prevalence of pregnant women with anemia during their reproductive years is still very high and women over 35 years of age have a twofold greater risk of developing iron-deficiency anemia and women under 20 years of age have a thirteenfold greater risk of developing iron-deficiency anemia.…”

Section: Discussionsupporting

confidence: 91%

Mentzer and RDW Index in the Establishment of Iron Deficiency Anemia Diagnosis in the First Trimester of Pregnant Woman

Belinda,

Mardjuki,

Bororing

2023

Indones J Obstet Gynecol

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Objective: To determine the sensitivity and specificity of the Mentzer and RDW index to assist in the diagnosis of iron deficiency anemia in first trimester pregnant women at RSIA Asih.Methods: This research was conducted by a cross-sectional method using the medical records of 100 samples of first trimester pregnant women with iron deficiency anemia by consecutive sampling and 100 samples of controls, which is also first trimester pregnant women with anemia. The data is then analyzed using Kolmogorov-Smirnov test and the independent-T test.Result: This study showed a significant relationship between the Mentzer index and the RDW index in iron deficiency anemia patients and control with p value = 0.000. Calculated by the ROC curve, the cut-off of Mentzer and RDW indices were 18.33 (sensitivity 37%, specificity 36%) and 249.2 (sensitivity 36%, spesificity 36%). Calculated by chi-square, the sensitivity and specificity values of the Mentzer index were 69% and 22% (literacy cut-off = 13), while the sensitivity and specificity values of the RDW index were 63% and 34% (literacy cut-off = 220). Conclusion:Mentzer index and RDW index cannot be proposed as the main parameter to help the establisment of iron deficiency anemia diagnosis in first trimester pregnant women.

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Section: Discussionsupporting

confidence: 91%

Mentzer and RDW Index in the Establishment of Iron Deficiency Anemia Diagnosis in the First Trimester of Pregnant Woman

Belinda,

Mardjuki,

Bororing

2023

Indones J Obstet Gynecol

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“…NCDs is attributable to numerous risk factors including anemia, which is a prominent nutritional deficiency problem affecting women [ 17 ], and a risk factor for poor pregnancy outcome leading to problems that affect the life of foetus and mother alike [ 17 , 18 ]. Anemia is an age-long public-health problem, particularly among the disadvantaged population in developing countries [ 19 – 21 ]. The prevalence of anemia is a vital health indicator for the measurements of maternal health outcomes [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Differentials in prevalence and correlates of metabolic risk factors of non-communicable diseases among women in sub-Saharan Africa: evidence from 33 countries

2018

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BackgroundEven with the widespread recognition of non- communicable diseases (NCDs) in sub-Saharan Africa region, yet, sufficient evidence-based surveillance systems to confirm the prevalence and correlates of these diseases is lacking. In an attempt to understand the problem of NCDs in resource-constrained settings, this study was conducted to establish the pattern of the risk factors of NCDs in sub-Sahara Africa region.MethodsThe current Demographic and Health Survey (DHS) data sets from 33 countries in sub-Sahara Africa region were used in this study. The individual woman component of DHS 2008–2016 was used. The outcome variables include anemia, hypertension and body mass index (underweight, overweight and obesity). BMI was categorized into; underweight (BMI < 18.5 kg/m2), normal (BMI 18.5–24.9 kg/m2), overweight (BMI 25.0–29.9 kg/m2) and obesity (BMI ≥30 kg/m2). Hemoglobin level: anemic < 12.0 g/dL (< 120 g/L) for women. Hypertension was defined as systolic blood pressure (SBP) ≥140 mmHg and/or diastolic blood pressure (DBP) ≥90 mmHg. Binary and multinomial logistic regression models were used to investigate the correlates of the variables.ResultsThe percentage of hypertension was highest among women in Lesotho with about 17.3% and lowest among women in Burundi (1.0%). Anemia was prevalent among sub-Saharan Africa women; where more than half of the women from several countries were anemic with Gabon (60.6%) reporting the highest prevalence. The percentage of obesity in sub-Saharan Africa showed that Lesotho (19.9%), Gabon (18.9%) and Ghana (15.6%) were the prominent countries with obese women, while Madagascar (1.1%) had the minimum obese women. Body mass index was significantly associated with hypertension and anemia. The behavioural or modifiable factors of hypertension and body mass index were; smoking, fruits, vegetables and alcohol consumption. While the non-modifiable significant factors include; age, residence, religion, education, wealth index, marital status, employment and number of children ever born. However, anemia shared similar factors except that smoking and vegetable consumption were not statistically significant. In addition, involvement in exercise was associated with anemia and hypertension.ConclusionThe problem of NCDs and associated factors remains high among women of reproductive age in sub-Sahara region. The findings of this study suggest that promotion of regular positive health care-seeking behaviour, screening and early treatment are essential to mitigate the burden of NCDs. Furthermore, preventive interventions of NCDs risk factors should be strengthened among key population through behavior change communication with support from government and stakeholders in health care.

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“…Pregnancy, breastfeeding, and monthly menstrual cycles contribute to the loss of iron in women, which lead to that multiparous women tend to have higher risk of anemia in pregnancy. A study including 426 pregnant women in Turkey discovered that the nulliparous pregnant women had higher proportion of those with normal hemoglobin values than the multiparous pregnant women (Çelik Kavak & Kavak 2017 ). Al-Farsi et al ( 2011 ) also observed that the risk ratios of anemia in pregnancy increased as the level of parity increased.…”

Section: Discussionmentioning

confidence: 99%

“…It was estimated that the prevalence of anemia for pregnant women in the world was 38.2% (WHO 2015 ). Anemia is attributed to many factors, such as reproductive history, socioeconomic status, and environment (Çelik Kavak & Kavak 2017 ; Honda et al 2017 ; Ullah et al 2019 ). The dominant category of anemia in pregnant women is iron deficiency anemia.…”

Section: Introductionmentioning

confidence: 99%

Effects of PM2.5 and its constituents on hemoglobin during the third trimester in pregnant women

Xie

Yue

Yang

et al. 2022

Environ Sci Pollut Res

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Anemia has been a public health issue evoking global concern, and the low hemoglobin (Hb) concentration links to adverse pregnancy outcomes. However, the associations of PM2.5 and its constituents with Hb and anemia in pregnant women remain unclear. In this retrospective birth cohort study, 7932 pregnant women who delivered in the First Affiliated Hospital of Xi’an Jiaotong University from 2015 to 2018 were included. The Hb during the third trimester in pregnant women was assessed before delivery. PM2.5 and its constituents (BC, NH4+, NO3−, OM, SO42−, and Dust) during pregnancy were retrieved from the V4.CH.03 product constructed by the Atmospheric Composition Analysis Group. Generalized linear regression model was applied to investigate the effects of PM2.5 and its constituents on Hb and anemia during the third trimester in pregnant women. The means and standard deviations of PM2.5, BC, NH4+, NO3−, OM, SO42−, and Dust were 69.56 (15.24), 10.02 (2.72), 8.11 (1.77), 14.96 (5.42), 15.36 (4.11), 10.08 (1.20), and 10.98 (1.85) μg/m3, respectively. Per IQR increase (μg/m3) of PM2.5, BC, NO3−, and OM linked to − 0.75 (− 1.50, − 0.01), − 0.85 (− 1.65, − 0.04), − 0.79 (− 1.56, − 0.03), and − 0.73 (− 1.44, − 0.03) g/L decrease of Hb during the third trimester in multiparous pregnant women, but not for NH4+, SO42−, Dust, and primiparous pregnant women. PM2.5 and its constituents had no significant association with anemia, except for Dust (OR: 0.90, 95% CI: 0.82, 0.99, per IQR increase) in primiparous pregnant women. Besides, SO42− was of lag effects on Hb and anemia in multiparous pregnant women. Moreover, non-linear associations were found among PM2.5 and its constituents, Hb, and anemia. Therefore, exposure to PM2.5 and some constituents of PM2.5 was associated with reduced Hb level during the third trimester in multiparous pregnant women. Related departments and pregnant women should take targeted actions to eliminate the detrimental effects of PM2.5 and its constituents on pregnancy outcomes.

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The association between anemia prevalence, maternal age and parity in term pregnancies in our city

Cited by 18 publications

References 5 publications

Mentzer and RDW Index in the Establishment of Iron Deficiency Anemia Diagnosis in the First Trimester of Pregnant Woman

Mentzer and RDW Index in the Establishment of Iron Deficiency Anemia Diagnosis in the First Trimester of Pregnant Woman

Differentials in prevalence and correlates of metabolic risk factors of non-communicable diseases among women in sub-Saharan Africa: evidence from 33 countries

Effects of PM2.5 and its constituents on hemoglobin during the third trimester in pregnant women

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