Validation of a Questionnaire Method for Estimating Extent of Menstrual Blood Loss in Young Adult Women

Heath, Anne‐Louise M; Skeaff, C. Murray; Rs, Gibson

doi:10.1016/s0946-672x(99)80063-7

Cited by 16 publications

(17 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have shown that serum ferritin is related to the length of the menstrual period (Galan et al 1985;Soustre et al 1986;Milman et al 1993;Rangan et al 1997a), and in a recent study on the aetiology of mild Fe deficiency in premenopausal New Zealand women, it was observed that serum ferritin level correlated with the duration of menstruation and extent of bleeding (Heath et al 2001) assessed from a menstrual recall method (Heath et al 1998). In response to the correlation between serum ferritin and menstrual blood loss, the Institute of Medicine's Dietary Reference Intakes report on micronutrients (Food and Nutrition Board/Institute of Medicine, 2000) used menstrual blood loss as the basis for setting the RDA for Fe in women of childbearing age.…”

Section: Discussionmentioning

confidence: 99%

Impact of menstrual blood loss and diet on iron deficiency among women in the UK

et al. 2005

View full text Add to dashboard Cite

Women of childbearing age are at risk of Fe deficiency if insufficient dietary Fe is available to replace menstrual and other Fe losses. Haem Fe represents 10 -15 % of dietary Fe intake in meat-rich diets but may contribute 40 % of the total absorbed Fe. The aim of the present study was to determine the relative effects of type of diet and menstrual Fe loss on Fe status in women. Ninety healthy premenopausal women were recruited according to their habitual diet: red meat, poultry/fish or lacto-ovo-vegetarian. Intake of Fe was determined by analysing 7 d duplicate diets, and menstrual Fe loss was measured using the alkaline haematin method. A substantial proportion of women (60 % red meat, 40 % lacto-ovo-vegetarian, 20 % poultry/fish) had low Fe stores (serum ferritin ,10 mg/l), but the median serum ferritin concentration was significantly lower in the red meat group (6·8 mg/l (interquartile range 3·3, 16·25)) than in the poultry/fish group (17·5 mg/l (interquartile range 11·3, 22·4) (P,0·01). The mean and standard deviation of dietary Fe intake were significantly different between the groups (P¼ 0·025); the red meat group had a significantly lower intake (10·9 (SD 4·3) mg/d) than the lacto-ovo-vegetarians (14·5 (SD 5·5) mg/d), whereas that of the poultry/fish group (12·8 (SD 5·1) mg/d) was not significantly different from the other groups. There was no relationship between total Fe intake and Fe status, but menstrual Fe loss (P¼ 0·001) and dietary group (P¼ 0·040) were significant predictors of Fe status: poultry/fish diets were associated with higher Fe stores than lacto-ovo-vegetarian diets. Identifying individuals with high menstrual losses should be a key component of strategies to prevent Fe deficiency.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of menstrual blood loss and diet on iron deficiency among women in the UK

et al. 2005

View full text Add to dashboard Cite

show abstract

“…At this appointment subjects were interviewed by a researcher, anthropometric measurements were taken, and a validated iron food frequency questionnaire (FFQ) [23] and a validated menstrual blood loss questionnaire [24] were completed.…”

Section: Methodsmentioning

confidence: 99%

“…Height and weight were measured using the International Society for the Advancement of Kinanthropometry standards [25] and body mass index (BMI) was calculated as weight (kg)/height (m) 2 . As blood loss is known to affect iron status [7], subjects completed a previously validated menstrual blood loss questionnaire (able to differentiate between high and low levels of menstrual blood loss) [24] and questions on blood donation and nose bleeds. The questionnaire was updated to include details on sanitary items (brand and absorbency) that were not available when the questionnaire was developed and was completed online.…”

Section: Methodsmentioning

confidence: 99%

Blood Donation, Being Asian, and a History of Iron Deficiency Are Stronger Predictors of Iron Deficiency than Dietary Patterns in Premenopausal Women

Beck

Conlon

Kruger

et al. 2014

BioMed Research International

View full text Add to dashboard Cite

This study investigated dietary patterns and nondietary determinants of suboptimal iron status (serum ferritin < 20 μg/L) in 375 premenopausal women. Using multiple logistic regression analysis, determinants were blood donation in the past year [OR: 6.00 (95% CI: 2.81, 12.82); P < 0.001], being Asian [OR: 4.84 (95% CI: 2.29, 10.20); P < 0.001], previous iron deficiency [OR: 2.19 (95% CI: 1.16, 4.13); P = 0.016], a “milk and yoghurt” dietary pattern [one SD higher score, OR: 1.44 (95% CI: 1.08, 1.93); P = 0.012], and longer duration of menstruation [days, OR: 1.38 (95% CI: 1.12, 1.68); P = 0.002]. A one SD change in the factor score above the mean for a “meat and vegetable” dietary pattern reduced the odds of suboptimal iron status by 79.0% [OR: 0.21 (95% CI: 0.08, 0.50); P = 0.001] in women with children. Blood donation, Asian ethnicity, and previous iron deficiency were the strongest predictors, substantially increasing the odds of suboptimal iron status. Following a “milk and yoghurt” dietary pattern and a longer duration of menstruation moderately increased the odds of suboptimal iron status, while a “meat and vegetable” dietary pattern reduced the odds of suboptimal iron status in women with children.

show abstract

“…Age, marital status, country of birth, vegetarian diet status, special diet status, and highest education level were collected by self‐report. Menstrual blood loss, use of contraceptive pill, and data on nosebleeds were collected.…”

Section: Methodsmentioning

confidence: 99%

Iron status and dietary iron intake of female blood donors

et al. 2013

View full text Add to dashboard Cite

show abstract

Validation of a Questionnaire Method for Estimating Extent of Menstrual Blood Loss in Young Adult Women

Cited by 16 publications

References 10 publications

Impact of menstrual blood loss and diet on iron deficiency among women in the UK

Impact of menstrual blood loss and diet on iron deficiency among women in the UK

Blood Donation, Being Asian, and a History of Iron Deficiency Are Stronger Predictors of Iron Deficiency than Dietary Patterns in Premenopausal Women

Iron status and dietary iron intake of female blood donors

Contact Info

Product

Resources

About