Shill Kumar B, Karmakar Palash, Kibria Md G, Das Abhijit, Rahman Mohammad A, Hossain Mohammad S, Sattar Mohammad M
J Health Popul Nutr. 2014 Mar;32(1):103-10.
Iron-deficiency anaemia (IDA) is a common health problem in rural women and young children of Bangladesh. The university students usually take food from residential halls, and the food value of their diets is not always balanced. This cross-sectional study was conducted to estimate the prevalence of iron-deficiency anaemia among the university students of Noakhali region, Bangladesh. Haemoglobin level of 300 randomly-selected students was measured calorimetrically, using Sahli's haemoglobinometer during October to December 2011. Statistical analysis was done by using SPSS software for Windows (version 16) (SPSS Inc., Chicago, IL, USA). In the study, 55.3% students were found anaemic, of whom 36.7% were male, and 63.3% were female. Students aged 20-22 years were more anaemic (43.4%) than other age-groups. Majority (51.3%) of male students showed their haemoglobin level in the range of 13-15 g/dL, followed by 26.0% and 21.3% with 10-12 g/dL and 16-18 g/dL respectively. Although 50.5% anaemic and 51.1% non-anaemic female students showed normal BMI--lower percentage than anaemic (60.7%) and non-anaemic (71.9%) male students, the underweight students were found more anaemic than the overweight and obese subjects. Regular breakfast-taking habit showed significant (p = 0.035, 95% CI 0.5-1.0) influence on IDA compared to non-regular breakfast takers. Consumption of meat, fish, poultry, eggs, or peanut butter regularly; junk food; multivitamins; and iron/iron-rich food showed insignificant (p = 0.097, 95% CI 0.5-1.1; p = 0.053, 95% CI 1.1-2.3; p = 0.148, 95% CI 0.6-1.2; and p = 0.487, 95% CI 0.7-1.4 respectively) role in provoking IDA. In the case of non-anaemic subjects, all of the above parameters were significant, except the junk food consumption (p = 0.342, 95% CI 0.5-1.2). Our study revealed that majority of university students, especially female, were anaemic that might be aggravated by food habit and lack of awareness. The results suggest that anaemia can be prevented by providing proper knowledge on the healthful diet, improved lifestyle, and harmful effect of anaemia to the students.
缺铁性贫血（IDA）是孟加拉国农村妇女和儿童中常见的健康问题。大学生通常在学校食堂就餐，其饮食的营养价值并不总是均衡的。本横断面研究旨在估算孟加拉国诺阿卡利地区大学生中铁缺铁性贫血的患病率。2011年10月至12月期间，使用萨利血红蛋白计通过比色法测量了300名随机抽取学生的血红蛋白水平。使用Windows版SPSS软件（版本16）（美国伊利诺伊州芝加哥市SPSS公司）进行统计分析。在该研究中，发现55.3%的学生贫血，其中36.7%为男性，63.3%为女性。20 - 22岁的学生贫血率（43.4%）高于其他年龄组。大多数（51.3%）男学生的血红蛋白水平在13 - 15 g/dL之间，其次分别有26.0%和21.3%的学生血红蛋白水平在10 - 12 g/dL和16 - 18 g/dL之间。尽管50.5%的贫血女学生和51.1%的非贫血女学生BMI正常——低于贫血（60.7%）和非贫血（71.9%）的男学生，但体重过轻的学生比超重和肥胖的学生贫血情况更严重。与不定期吃早餐的学生相比，有规律吃早餐的习惯对缺铁性贫血有显著影响（p = 0.035，95%置信区间0.5 - 1.0）。经常食用肉类、鱼类、家禽、蛋类或花生酱；垃圾食品；多种维生素；以及富含铁的食物在引发缺铁性贫血方面的作用不显著（p值分别为0.097，95%置信区间0.5 - 1.1；p = 0.053，95%置信区间1.1 - 2.3；p = 0.148，95%置信区间0.6 - 1.2；以及p = 0.487，95%置信区间0.7 - 1.4）。对于非贫血受试者，上述所有参数均有显著意义，但垃圾食品的消费情况除外（p = 0.342，95%置信区间0.5 - 1.2）。我们的研究表明，大多数大学生，尤其是女生，患有贫血，饮食习惯和缺乏认知可能会加重这种情况。结果表明，通过向学生提供关于健康饮食、改善生活方式以及贫血有害影响的适当知识，可以预防贫血。
