Adib Rad Hajar, Sefidgar Sayed Ali Asghar, Tamadoni Ahmad, Sedaghat Sadegh, Bakouei Fatemeh, Bijani Ali, Omidvar Shabnam
Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
J Educ Health Promot. 2019 Jun 27;8:115. doi: 10.4103/jehp.jehp_371_18. eCollection 2019.
Obesity and iron deficiency (ID) are two forms of the most usual nutritional disorders worldwide. Some studies have discovered a correlation between ID and obesity although more investigation is required. This study was aimed to determine the association between obesity and ID anemia (IDA) in Iranian childbearing age women.
This cross-sectional study was done on 256 women of reproductive age in northern Iran. The anthropometric measurements including height and weight were measured, and body mass index (BMI) was calculated. Low blood index of the hemoglobin (Hb), mean cell volume (MCV), and mean corpuscular hemoglobin (MCH) were evaluated with ferritin, serum iron, and total iron-binding capacity. Baseline data were expressed as means ± standard deviations. Chi-square test was applied to compare the categorical variable. Differences between the two groups were evaluated with independent samples -test. A value of < 0.05 was considered as statistically significant.
Obesity was in urban women higher than rural women (55.1% vs. 44.9%), and this difference was significant ( < 0.021). There was found no association between hematological characteristics and BMI. The data showed that only 13.4% of obese women and 17.1% of the women with normal weight had IDA (odds ratio = 0.75; 95% confidence interval: 0.39-1.49, > 0.05).
According to the results of this study, it seems that the relationship between obesity and IDA is controversial. Hence, further studies are needed to be done.
肥胖和缺铁是全球最常见的两种营养失调形式。一些研究已发现缺铁与肥胖之间存在关联，不过仍需更多调查。本研究旨在确定伊朗育龄妇女中肥胖与缺铁性贫血（IDA）之间的关联。
这项横断面研究针对伊朗北部256名育龄妇女开展。测量了包括身高和体重在内的人体测量指标，并计算了体重指数（BMI）。通过铁蛋白、血清铁和总铁结合力评估血红蛋白（Hb）、平均红细胞体积（MCV）和平均红细胞血红蛋白（MCH）的低血指标。基线数据以均值±标准差表示。应用卡方检验比较分类变量。两组间差异用独立样本t检验评估。P<0.05的值被认为具有统计学意义。
城市女性肥胖率高于农村女性（55.1%对44.9%），且这种差异具有统计学意义（P<0.021）。未发现血液学特征与BMI之间存在关联。数据显示，肥胖女性中只有13.4%以及体重正常的女性中有17.1%患有缺铁性贫血（优势比=0.75；95%置信区间：0.39 - 1.49，P>0.05）。
根据本研究结果，肥胖与缺铁性贫血之间的关系似乎存在争议。因此，需要开展进一步研究。
