伊朗北部（里海东南部）的贫血情况。

Department of Nutrition, School of Medicine, Golestan University of Medical Sciences, Iran.

Pak J Biol Sci. 2007 May 15;10(10):1703-7. doi: 10.3923/pjbs.2007.1703.1707.

The main purpose of this study was set up to determine iron deficiency and anemia due to iron deficiency among the women in villages around of Gorgan. The comparison of three groups (Fars-native, Turkman and Sistanee) that living in this area and comparison of pregnant and non-pregnant about hematological indexes are other objectives of this study. By random-clustering method were chosen 415 women of 18-35 years old in 20 villages of Gorgan. Gorgan district located in north of Iran and south-east of Caspian sea. In the pregnant women, serum Iron less than 30 microg dL(-1), Hemoglobin (Hb) less than 11 g dL(-1), transferrin saturation (T.S) less than 16% were be consider as anemia point and in non-pregnant women, this point is the serum iron less than 40 microg dL(-1), Hb less than 12 g dL(-1) and TS less than 16%. The prevalence of Iron Deficiency (ID), Anemia and Iron Deficiency Anemia (IDA) were 35.6% (149), 25.8% (107) and 13.5% (56), respectively. Positive correlation exist between serum Iron and Hb (p < 0.0001, r = 0.335), HCT (p < 0.01, r = 0.1581), MCH (p < 0.01, r = 0.1661) and MCHC (p < 0.001, r = 0.262). The prevalence of ID in Fars-native, Turkman and Sistanee women were 33.6, 47.6 and 26.2%, respectively. The rate of anemia on the same women were 27.7, 18.75 and 22.33% and IAD were 15.6, 11.9 and 11.3%, respectively. Chi2-test showed a meaningful difference in regard to ID and anemia among the three groups of women (p < 0.005). A statistical significant correlation was seen between Hb and MCHC (r = 0.467, p < 0.001). In pregnant women, the prevalence of the anemia on the basis of serum iron index, T.S and Hb were seen 24.2, 42.4 and 18.2%, respectively, versus non-pregnant women were 21.2, 34.55 and 20.98%. In summary, can be concluded that the prevalence of anemia its characteristic also is one of the women nutritional problems in the villages around the Gorgan and it is different among the three groups of women and in Fars-native is higher than other groups. Too, anemia is a nutritional problem in pregnant women.

本研究的主要目的是确定戈尔甘周边村庄女性缺铁及缺铁性贫血情况。本研究的其他目标是比较居住在该地区的三组人群（法尔斯本地人、土库曼人和锡斯坦人），以及比较孕妇和非孕妇的血液学指标。通过随机整群抽样法，在戈尔甘的20个村庄选取了415名18至35岁的女性。戈尔甘地区位于伊朗北部、里海东南部。孕妇血清铁低于30μg/dL、血红蛋白（Hb）低于11g/dL、转铁蛋白饱和度（T.S）低于16%被视为贫血指标，非孕妇的贫血指标为血清铁低于40μg/dL、Hb低于12g/dL且TS低于16%。缺铁（ID）、贫血和缺铁性贫血（IDA）的患病率分别为35.6%（149例）、25.8%（共107例）和13.5%（56例）。血清铁与Hb（p<0.0001，r = 0.335）、红细胞压积（HCT）（p<0.01，r = 0.1581）、平均红细胞血红蛋白含量（MCH）（p<0.01，r = 0.1661）和平均红细胞血红蛋白浓度（MCHC）（p<0.001，r = 0.262）之间存在正相关。法尔斯本地人、土库曼人和锡斯坦女性的ID患病率分别为33.6%、47.6%和26.2%。同一组女性的贫血率分别为27.7%、18.75%和22.33%，IAD分别为15.6%、11.9%和11.3%。卡方检验显示三组女性在ID和贫血方面存在显著差异（p<0.005）。Hb与MCHC之间存在统计学显著相关性（r = 0.467，p<0.001）。孕妇中，基于血清铁指标、T.S和Hb的贫血患病率分别为24.2%、42.4%和18.2%，而非孕妇分别为21.2%、34.55%和20.98%。总之，可以得出结论，贫血患病率及其特征也是戈尔甘周边村庄女性的营养问题之一，且在三组女性中存在差异，法尔斯本地人中的患病率高于其他组。此外，贫血也是孕妇的营养问题。