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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

The Burden of Anaemia Among Women in Jordan

Author(s): Zaynab Al-Eisawi* and Eman Rababah

Volume 16, Issue 3, 2020

Page: [220 - 228] Pages: 9

DOI: 10.2174/1573404816999200420083638

Price: $65

Abstract

Background: Anaemia is a leading haematological disorder and one of the most common health problems worldwide affecting over a billion people. Anaemia leads to the lowered ability of the blood to carry oxygen. In this study, we focused particularly on the prevalence of anaemia in students currently enrolled at the Hashemite University/Jordan, shining light on the overall prevalence in this age group elsewhere. These individuals are at an increased risk of developing anaemia and are a nutritionally susceptible part of the population.

Methods: Complete blood counts were determined for a total of two hundred students. Questionnaires were also completed by students regarding their life-style and dietary habits.

Results: A significant 27% of female students were found to be anaemic. 17% of females had mild type of anaemia, whereas 10% of females tested suffered from moderate anaemia. The percentage of anaemia among males was also determined and found to be insignificant with only 2% of male students affected. A direct link was found between anaemia and a lack of consumption of foods rich in iron and/or over-consumption of foods that inhibit iron absorption. An inverse correlation was also observed with body mass index (BMI).

Conclusion: Prevention of anaemia is particularly relevant in females and may be implemented by different but complementary means such as education workshops, iron fortification of foods and the adaption of lifestyle habits.

Keywords: Anaemia, diet, Body Mass Index, students, iron consumption, iron absorption.

Graphical Abstract
[1]
De Benoist B, Mclean E, Egli I, Cogswell M. Worldwide prevalence of anaemia 1993-2005: WHO Global database on anaemia 2008 Available from: https://www.who.int/nutrition/publications/ micronutrients/anaemia_iron_deficiency/9789241596657/en/. [Accessed on: March 3, 2020].
[2]
Firat PG, Demirel EE, Dikci S, Kuku I, Genc O. Evaluation of iron deficiency anemia frequency as a risk factor in glaucoma. Anemia 2018; 2018 1456323
[http://dx.doi.org/10.1155/2018/1456323] [PMID: 30155291]
[3]
Janz TG, Johnson RL, Rubenstein SD. Anemia in the emergency department: evaluation and treatment. Emerg Med Pract 2013; 15(11): 1-15.
[PMID: 24716235]
[4]
McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993-2005. Public Health Nutr 2009; 12(4): 444-54.
[http://dx.doi.org/10.1017/S1368980008002401] [PMID: 18498676]
[5]
da Silva LLS, Fawzi WW, Cardoso MA. ENFAC Working Group. Factors associated with anemia in young children in Brazil. PLoS One 2018; 13(9) e0204504
[http://dx.doi.org/10.1371/journal.pone.0204504] [PMID: 30252898]
[6]
Tezera R, Sahile Z, Yilma D, Misganaw E, Mulu E. Prevalence of anemia among school-age children in Ethiopia: a systematic review and meta-analysis. Syst Rev 2018; 7(1): 80.
[http://dx.doi.org/10.1186/s13643-018-0741-6] [PMID: 29793528]
[7]
Al-Alimi AA, Bashanfer S, Morish MA. Prevalence of iron deficiency anemia among university students in Hodeida province, Yemen. Anemia 2018; 2018 4157876
[http://dx.doi.org/10.1155/2018/4157876] [PMID: 29850236]
[8]
Guralnik JM, Ershler WB, Schrier SL, Picozzi VJ. Anemia in the elderly: a public health crisis in hematology. Hematology (Am Soc Hematol Educ Program) 2005; 2005(1): 528-32.
[http://dx.doi.org/10.1182/asheducation-2005.1.528] [PMID: 16304431]
[9]
Balarajan Y, Ramakrishnan U, Ozaltin E, Shankar AH, Subramanian SV. Anaemia in low-income and middle-income countries. Lancet 2011; 378(9809): 2123-35.
[http://dx.doi.org/10.1016/S0140-6736(10)62304-5] [PMID: 21813172]
[11]
Srivastava T, Negandhi H, Neogi SB, Sharma J, Sexena R. Methods for hemoglobin estimation: A review “what works”. J Hematol Transfus 2014; 2(3): 1028.
[12]
WHO. Vmnis, Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity WHO 2011 Available from: https://www.who.int/vmnis/indicators/haemoglobin/en/. [Accessed on: March 3, 2020].
[13]
Jamil KM, Rahman AS, Bardhan PK, et al. Micronutrients and anaemia. J Health Popul Nutr 2008; 26(3): 340-55.
[PMID: 18831229]
[14]
Haldar K, Mohandas N. Malaria, erythrocytic infection, and anemia. Hematology (Am Soc Hematol Educ Program) 2009; 2009(1): 87-93.
[http://dx.doi.org/10.1182/asheducation-2009.1.87] [PMID: 20008186]
[15]
Dicato M, Plawny L, Diederich M. Anemia in cancer. Ann Oncol 2010; 21(Suppl. 7): vii167-72.
[http://dx.doi.org/10.1093/annonc/mdq284] [PMID: 20943610]
[16]
Smith JL, Brooker S. Impact of hookworm infection and deworming on anaemia in non-pregnant populations: a systematic review. Trop Med Int Health 2010; 15(7): 776-95.
[http://dx.doi.org/10.1111/j.1365-3156.2010.02542.x] [PMID: 20500563]
[17]
Northrop-Clewes CA, Thurnham DI. Biomarkers for the differentiation of anemia and their clinical usefulness. J Blood Med 2013; 4: 11-22.
[PMID: 23687454]
[18]
Minchella PA, Donkor S, Owolabi O, Sutherland JS, McDermid JM. Complex anemia in tuberculosis: the need to consider causes and timing when designing interventions. Clin Infect Dis 2015; 60(5): 764-72.
[http://dx.doi.org/10.1093/cid/ciu945] [PMID: 25428413]
[19]
de M. Oliveira CS. Augusto RA, Muniz PT, et al Anemia and micronutrient deficiencies in infants attending at Primary Health Care in Rio Branco, Acre, Brazil Cien Saude Colet 20patel 16 21(2): 517-30.
[20]
Little M, Zivot C, Humphries S, Dodd W, Patel K, Dewey C. Burden and determinants of anemia in a rural population in South India: A cross-sectional study. Anemia 2018; 2018 7123976
[http://dx.doi.org/10.1155/2018/7123976] [PMID: 30112198]
[21]
Miller JL. Iron deficiency anemia: a common and curable disease. Cold Spring Harb Perspect Med 2013; 3(7) a011866
[http://dx.doi.org/10.1101/cshperspect.a011866] [PMID: 23613366]
[22]
Kohne E. Hemoglobinopathies: clinical manifestations, diagnosis, and treatment. Dtsch Arztebl Int 2011; 108(31-32): 532-40.
[PMID: 21886666]
[23]
Lakkawar NJ, Sankaran S, Rangaswamy T. Efficacy of intravenous administration of iron sucrose for treatment of iron deficiency anaemia in patients with abnormal uterine bleeding. Acta Fac Med Naiss 2012; 29(2): 59-68.
[http://dx.doi.org/10.2478/v10283-012-0009-3]
[24]
Halterman JS, Kaczorowski JM, Aligne CA, Auinger P, Szilagyi PG. Iron deficiency and cognitive achievement among school-aged children and adolescents in the United States. Pediatrics 2001; 107(6): 1381-6.
[http://dx.doi.org/10.1542/peds.107.6.1381] [PMID: 11389261]
[25]
Sarma PR. Red Cell Indices.Chapter 152; In: Walker HK, Hall WD, Hurst JW Clinical Methods: The History, Physical, and Laboratory Examinations 3rd edition. Butterworths Publishers 1990.
[26]
Nakanishi J, Suematsu Y, Arimura T, et al. Recommendations of lifestyle modification according to a survey of first-year university students. J Clin Med Res 2018; 10(10): 772-80.
[http://dx.doi.org/10.14740/jocmr3574w] [PMID: 30214649]
[27]
WHO. | Archived: Iron deficiency anaemia: assessment, prevention and control WHO 2011 Available from: https://www.who.int/nutrition/ publications/micronutrients/anaemia_iron_deficiency/WHO_NHD_ 01.3/en/. [Accessed on: March 3, 2020].
[28]
Abdo N, Douglas S, Batieha A, et al. The prevalence and determinants of anaemia in Jordan. East Mediterr Health J 2019; 25(5): 341-9.
[http://dx.doi.org/10.26719/emhj.18.047] [PMID: 31364759]
[29]
Jordan Prevalence Of Anemia Among Women Of Reproductive Age Percent Of Women Ages 15-49 [Online] Available from: https://tradingeconomics.com/jordan/prevalence-of-anemia-among-women-of-reproductive-age-percent-of-women-ages-15-49-wb-data.html. [Accessed on: Feb 10, 2019].
[30]
Arabyat R, Arabyat G, Al-Taani G. Prevalence and risk factors of anaemia among ever-married women in Jordan. East Mediterr Health J 2019; 25(8): 543-52.
[http://dx.doi.org/10.26719/emhj.18.074] [PMID: 31612968]
[31]
Stevens GA, Finucane MM, De-Regil LM, et al. Nutrition Impact Model Study Group (Anaemia). Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995-2011: a systematic analysis of population-representative data. Lancet Glob Health 2013; 1(1): e16-25.
[http://dx.doi.org/10.1016/S2214-109X(13)70001-9] [PMID: 25103581]
[32]
Kharabsheh SH, Qarqash W, Faqih AM. Iron status in preschool Jordanian children of 12-59 months of age introduction and objectives. J Med J 2006; 40(1): 4-13.
[33]
Al Rifai R, Nakamura K, Seino K. Decline in the prevalence of anaemia among children of pre-school age after implementation of wheat flour fortification with multiple micronutrients in Jordan. Public Health Nutr 2016; 19(8): 1486-97.
[http://dx.doi.org/10.1017/S1368980015002785] [PMID: 26434612]
[34]
Al-Mehaisen L, Khader Y, Al-Kuran O, Abu Issa F, Amarin Z. Maternal anemia in rural jordan: room for improvement. Anemia 2011; 2011 381812
[http://dx.doi.org/10.1155/2011/381812] [PMID: 21918719]
[35]
Salahat MA, Ibrahim AI. Prevalence of anemia among Jordanian pregnant women and the effect of early pregnancy on alkaline phosphatase activity. JJBS 2012; 5(1): 65-70.
[36]
Serdula MK, Nichols EK, Aburto NJ, et al. Jordan Fortification Working Group; Jordan Fortification Working Group.. Micronutrient status in Jordan: 2002 and 2010. Eur J Clin Nutr 2014; 68(10): 1124-8.
[http://dx.doi.org/10.1038/ejcn.2014.100] [PMID: 24986824]
[37]
Awidi M, Bawaneh H, Zureigat H, AlHusban M, Awidi A. Contributing factors to iron deficiency anemia in women in Jordan: A single-center cross-sectional study. PLoS One 2018; 13(11) e0205868
[http://dx.doi.org/10.1371/journal.pone.0205868] [PMID: 30395644]
[38]
Hemolytic Anemia | National Heart, Lung, and Blood Institute (NHLBI) [Online] Available from: https://www.nhlbi.nih.gov/ health-topics/hemolytic-anemia. [Accessed on: Jan 19, 2019].
[39]
Sacirović S, Asotic J, Maksimovic R, et al. Monitoring and prevention of anemia relying on nutrition and environmental conditions in sports. Mater Sociomed 2013; 25(2): 136-9.
[http://dx.doi.org/10.5455/msm.2013.25.136-139] [PMID: 24082840]
[40]
Neymotin F, Sen U. Iron and obesity in females in the United States. Obesity (Silver Spring) 2011; 19(1): 191-9.
[http://dx.doi.org/10.1038/oby.2010.112] [PMID: 20467417]
[41]
Qin Y, Melse-Boonstra A, Pan X, et al. Anemia in relation to body mass index and waist circumference among Chinese women. Nutr J 2013; 12: 10.
[http://dx.doi.org/10.1186/1475-2891-12-10] [PMID: 23311667]
[42]
Ghadiri-Anari A, Nazemian N, Vahedian-Ardakani HA. Association of body mass index with hemoglobin concentration and iron parameters in Iranian population. ISRN Hematol 2014; 2014 525312
[http://dx.doi.org/10.1155/2014/525312] [PMID: 24665367]
[43]
Khakurel G, Chalise S, Pandey N. Correlation of hemoglobin level with body mass index in undergraduate medical students. Indian J Basic Appl Med Res 2017; 6: 318-23.
[44]
Ausk KJ, Ioannou GN. Is obesity associated with anemia of chronic disease? A population-based study. Obesity (Silver Spring) 2008; 16(10): 2356-61.
[http://dx.doi.org/10.1038/oby.2008.353] [PMID: 18719644]
[45]
Asobayire FS, Adou P, Davidsson L, Cook JD, Hurrell RF. Prevalence of iron deficiency with and without concurrent anemia in population groups with high prevalences of malaria and other infections: a study in Côte d’Ivoire. Am J Clin Nutr 2001; 74(6): 776-82.
[http://dx.doi.org/10.1093/ajcn/74.6.776] [PMID: 11722959]
[46]
Stoltzfus R. Defining iron-deficiency anemia in public health terms: a time for reflection. J Nutr 2001;; 131( 2S-2): : 565S- 7S..
[http://dx.doi.org/ 10.1093/jn/131.2.565S] [PMID: 11160589]
[47]
Weatherall DJ. ABC of clinical haematology. The hereditary anaemias. BMJ 1997; 314(7079): 492-6.
[http://dx.doi.org/10.1136/bmj.314.7079.492] [PMID: 9056802]
[48]
Auerbach M, Adamson JW. How we diagnose and treat iron deficiency anemia. Am J Hematol 2016; 91(1): 31-8.
[http://dx.doi.org/10.1002/ajh.24201] [PMID: 26408108]

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