Anaemia and iron deficiency during pregnancy in rural Bangladesh

S. M Ziauddin Hyder, Lars Åke Persson, Mushtaque Chowdhury, Bo Lönnerdal, Eva Charlotte Ekström

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objective: To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women. Design: Cross-sectional survey. Setting: Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh. Subjects: The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l-1) or high sTfR (>8.5 mg l -1). Results: The prevalence of anaemia (Hb <110 g l-1) was 50%, but severe anaemia (Hb <70 g l-1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70-99 g l-1) and 50% with mild (Hb 100-109 g l-1) anaemia. Four out of 10 non-anaemic women (Hb ≥ 110 g l-1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P = 0.001). Conclusions: Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.

Original languageEnglish (US)
Pages (from-to)1065-1070
Number of pages6
JournalPublic Health Nutrition
Volume7
Issue number8
DOIs
StatePublished - Dec 2004

Fingerprint

Bangladesh
Iron-Deficiency Anemias
blood serum
anemia
ferritin
Ferritins
pregnancy
iron
Pregnancy
Anemia
pregnant women
Iron
Serum
Pregnant Women
prenatal care
Transferrin Receptors
Prenatal Care
transferrin
Cross-Sectional Studies
Reproductive History

Keywords

  • Anaemia
  • Bangladesh
  • Iron deficiency
  • Pregnancy
  • Serum ferritin
  • Transferrin receptors

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Food Science

Cite this

Hyder, S. M. Z., Persson, L. Å., Chowdhury, M., Lönnerdal, B., & Ekström, E. C. (2004). Anaemia and iron deficiency during pregnancy in rural Bangladesh. Public Health Nutrition, 7(8), 1065-1070. https://doi.org/10.1079/PHN2004645

Anaemia and iron deficiency during pregnancy in rural Bangladesh. / Hyder, S. M Ziauddin; Persson, Lars Åke; Chowdhury, Mushtaque; Lönnerdal, Bo; Ekström, Eva Charlotte.

In: Public Health Nutrition, Vol. 7, No. 8, 12.2004, p. 1065-1070.

Research output: Contribution to journalArticle

Hyder, SMZ, Persson, LÅ, Chowdhury, M, Lönnerdal, B & Ekström, EC 2004, 'Anaemia and iron deficiency during pregnancy in rural Bangladesh', Public Health Nutrition, vol. 7, no. 8, pp. 1065-1070. https://doi.org/10.1079/PHN2004645
Hyder SMZ, Persson LÅ, Chowdhury M, Lönnerdal B, Ekström EC. Anaemia and iron deficiency during pregnancy in rural Bangladesh. Public Health Nutrition. 2004 Dec;7(8):1065-1070. https://doi.org/10.1079/PHN2004645
Hyder, S. M Ziauddin ; Persson, Lars Åke ; Chowdhury, Mushtaque ; Lönnerdal, Bo ; Ekström, Eva Charlotte. / Anaemia and iron deficiency during pregnancy in rural Bangladesh. In: Public Health Nutrition. 2004 ; Vol. 7, No. 8. pp. 1065-1070.
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abstract = "Objective: To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women. Design: Cross-sectional survey. Setting: Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh. Subjects: The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l-1) or high sTfR (>8.5 mg l -1). Results: The prevalence of anaemia (Hb <110 g l-1) was 50{\%}, but severe anaemia (Hb <70 g l-1) was absent. Low sFt was observed in 42{\%}, high sTfR in 25{\%}, either low sFt or high TfR in 54{\%} and both low sFt and high TfR in 13{\%} of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80{\%} of women with moderate (Hb 70-99 g l-1) and 50{\%} with mild (Hb 100-109 g l-1) anaemia. Four out of 10 non-anaemic women (Hb ≥ 110 g l-1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P = 0.001). Conclusions: Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.",
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N2 - Objective: To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women. Design: Cross-sectional survey. Setting: Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh. Subjects: The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l-1) or high sTfR (>8.5 mg l -1). Results: The prevalence of anaemia (Hb <110 g l-1) was 50%, but severe anaemia (Hb <70 g l-1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70-99 g l-1) and 50% with mild (Hb 100-109 g l-1) anaemia. Four out of 10 non-anaemic women (Hb ≥ 110 g l-1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P = 0.001). Conclusions: Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.

AB - Objective: To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women. Design: Cross-sectional survey. Setting: Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh. Subjects: The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l-1) or high sTfR (>8.5 mg l -1). Results: The prevalence of anaemia (Hb <110 g l-1) was 50%, but severe anaemia (Hb <70 g l-1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70-99 g l-1) and 50% with mild (Hb 100-109 g l-1) anaemia. Four out of 10 non-anaemic women (Hb ≥ 110 g l-1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P = 0.001). Conclusions: Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.

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KW - Serum ferritin

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