肥胖的苏丹孕妇缺铁率更高。
Higher Rate of Iron Deficiency in Obese Pregnant Sudanese Women.
作者信息
Abbas Wisal, Adam Ishag, Rayis Duria A, Hassan Nada G, Lutfi Mohamed F
机构信息
Faculty of Medicine, Alneelain University, Khartoum, Sudan.
Faculty of Medicine, University of Khartoum, P.O. Box 102, 11111, Khartoum, Sudan.
出版信息
Open Access Maced J Med Sci. 2017 Apr 29;5(3):285-289. doi: 10.3889/oamjms.2017.059. eCollection 2017 Jun 15.
AIM
To assess the association between obesity and iron deficiency (ID).
MATERIAL AND METHODS
Pregnant women were recruited from Saad Abualila Hospital, Khartoum, Sudan, during January-April 2015. Medical history (age, parity, gestational age) was gathered using questionnaire. Weight and height were measured, and body mass index (BMI) was calculated. Women were sub-grouped based on BMI into underweight (< 18.5 kg/m^2), normal weight (18.5-24.9 kg/m^2), overweight (25-29.9 kg/m^2) and obese (≥ 30 kg/m^2). Serum ferritin and red blood indices were measured in all studied women.
RESULTS
Two (0.5%), 126 (29.8%), 224 (53.0%) and 71 (16.8%) out of the 423 women were underweight, normal weight, overweight and obese, respectively. Anemia (Hb <11 g/dl), ID (ferritin <15µg/l) and iron deficiency anemia (IDA) were prevalent in 57.7%, 21.3% and 12.1%, respectively. Compared with the women with normal BMI, significantly fewer obese women were anemic [25 (35.2%) vs. 108 (85.7%), P < 0.001] and significantly higher number of obese women [25 (35.2) vs. 22 (17.5, P = 0.015] had iron deficiency. Linear regression analysis demonstrated a significant negative association between serum ferritin and BMI (- 0.010 µg/, P= 0.006).
CONCLUSION
It is evident from the current findings that prevalence of anaemia and ID showed different trends about BMI of pregnant women.
目的
评估肥胖与缺铁（ID）之间的关联。
材料与方法
2015年1月至4月期间，从苏丹喀土穆的萨阿德·阿布阿利拉医院招募孕妇。通过问卷调查收集病史（年龄、产次、孕周）。测量体重和身高，并计算体重指数（BMI）。根据BMI将女性分为体重过轻（<18.5kg/m²）、正常体重（18.5 - 24.9kg/m²）、超重（25 - 29.9kg/m²）和肥胖（≥30kg/m²）亚组。对所有研究对象测定血清铁蛋白和红细胞指标。
结果
423名女性中，分别有2名（0.5%）、126名（29.8%）、224名（53.0%）和71名（16.8%）为体重过轻、正常体重、超重和肥胖。贫血（血红蛋白<11g/dl）、缺铁（铁蛋白<15μg/l）和缺铁性贫血（IDA）的患病率分别为57.7%、21.3%和12.1%。与BMI正常的女性相比，肥胖女性贫血的比例显著更低[25名（35.2%）对108名（85.7%），P<0.001]，而缺铁的肥胖女性数量显著更多[25名（35.2）对22名（17.5），P = 0.015]。线性回归分析显示血清铁蛋白与BMI之间存在显著的负相关（-0.010μg/，P = 0.006）。
结论
从目前的研究结果可以明显看出，贫血和缺铁的患病率在孕妇BMI方面呈现出不同的趋势。
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