Anemia and iron deficiency in rural Bangladeshi pregnant women living in areas of high and low iron in groundwater
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Author(s)
Ahmed, Faruk
Khan, Moududur Rahman
Shaheen, Najma
Ahmed, Kazi Matin Uddin
Hasan, Aziz
Chowdhury, Ireen Akhtar
Chowdhury, Rafiqul
Griffith University Author(s)
Year published
2018
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Background: Recent studies found a low rate of iron deficiency in Bangladeshi non-pregnant and nonlactating
women. This was attributed to high iron concentrations in drinking water. However, there are
limited data on iron deficiency among pregnant women in Bangladesh.
Objectives: Our aim was to investigate the prevalence of anemia, iron deficiency, and iron deficiency anemia
(IDA) among rural pregnant women and explore the association of groundwater iron concentration with
anemia and iron deficiency in this group.
Methods: This study used data from a baseline assessment of an intervention study on rural pregnant
women (n = ...
View more >Background: Recent studies found a low rate of iron deficiency in Bangladeshi non-pregnant and nonlactating women. This was attributed to high iron concentrations in drinking water. However, there are limited data on iron deficiency among pregnant women in Bangladesh. Objectives: Our aim was to investigate the prevalence of anemia, iron deficiency, and iron deficiency anemia (IDA) among rural pregnant women and explore the association of groundwater iron concentration with anemia and iron deficiency in this group. Methods: This study used data from a baseline assessment of an intervention study on rural pregnant women (n = 522), gestational age ≤20 wk, living in areas of low and high iron in groundwater. Results: Overall, 34.7% of the pregnant women had anemia, 27% had iron deficiency, and 13.4% had IDA. Prevalence of anemia, iron deficiency, and IDA among the pregnant women living in low-groundwateriron areas was significantly higher than among the pregnant women from high-groundwater-iron areas. The odds of iron deficiency were significantly lower among pregnant women in the higher quartiles of daily iron intake from drinking water. Conclusions: This study found a differential prevalence of anemia and iron deficiency among pregnant women living in areas of high and low groundwater iron. Iron status was independently associated with daily iron intake from drinking water. However, a significant proportion of the anemia could not be attributed to iron deficiency. Further research to identify other nutritional and non-nutritional contributors to anemia in Bangladesh is needed to formulate effective prevention and control programs for anemia
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View more >Background: Recent studies found a low rate of iron deficiency in Bangladeshi non-pregnant and nonlactating women. This was attributed to high iron concentrations in drinking water. However, there are limited data on iron deficiency among pregnant women in Bangladesh. Objectives: Our aim was to investigate the prevalence of anemia, iron deficiency, and iron deficiency anemia (IDA) among rural pregnant women and explore the association of groundwater iron concentration with anemia and iron deficiency in this group. Methods: This study used data from a baseline assessment of an intervention study on rural pregnant women (n = 522), gestational age ≤20 wk, living in areas of low and high iron in groundwater. Results: Overall, 34.7% of the pregnant women had anemia, 27% had iron deficiency, and 13.4% had IDA. Prevalence of anemia, iron deficiency, and IDA among the pregnant women living in low-groundwateriron areas was significantly higher than among the pregnant women from high-groundwater-iron areas. The odds of iron deficiency were significantly lower among pregnant women in the higher quartiles of daily iron intake from drinking water. Conclusions: This study found a differential prevalence of anemia and iron deficiency among pregnant women living in areas of high and low groundwater iron. Iron status was independently associated with daily iron intake from drinking water. However, a significant proportion of the anemia could not be attributed to iron deficiency. Further research to identify other nutritional and non-nutritional contributors to anemia in Bangladesh is needed to formulate effective prevention and control programs for anemia
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Journal Title
Nutrition
Volume
51-52
Copyright Statement
© 2018 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Subject
Biomedical and clinical sciences
Nutrition and dietetics not elsewhere classified