Grille Sofía, Lorenzo Mariana, Acosta Soledad, Acosta Nadia, Correa Sharon, Corral Mercedes, Quintanilla Cinthya, Ragone Romina, Guillermo Cecilia
Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República.
Facultad de Medicina. Universidad de la República. Montevideo. Uruguay. .
Rev Fac Cien Med Univ Nac Cordoba. 2020 Dec 1;77(4):229-234. doi: 10.31053/1853.0605.v77.n4.28992.
Disorders of iron metabolism are very common pathological conditions. Iron deficiency, with or without anemia, is estimated to affect more than 2 billion people.The aim of this study was to determine the prevalence of iron deficiency and anemia and their predisposing factors in a group of premenopausal women, university students of the School of Medicine of the University of the Republic in Uruguay.
An observational cross-sectional study was carried out, including women of reproductive age, university students of the Faculty of Medicine. They were interviewed in order to collect clinical data and monthly menstrual volume was recorded through a pictogram. A hemogram was performed and ferritin levels were determined.
196 women aged from 18 to 37 years were included. The prevalence of iron deficiency was 8.7% (n = 17) and the prevalence of anemia was 2.1% (n = 4). The presence of iron deficiency was associated with a lower consumption of red meat (p = 0.024), a higher menstrual volume (p = 0.018) and a higher frequency of abnormal uterine bleeding (p = 0.019).
This study shows the high frequency of iron deficiency in healthy women in relation to abnormal uterine bleeding and low consumption of red meat, which raises the need to implement programs that promote educational measures in order to promote early consultation and avoid anemia and iron deficiency in these women of reproductive age.
铁代谢紊乱是非常常见的病理状况。缺铁，无论是否伴有贫血，估计影响超过20亿人。本研究的目的是确定乌拉圭共和国大学医学院一群绝经前女性大学生中铁缺乏和贫血的患病率及其诱发因素。
开展了一项观察性横断面研究，纳入了生殖年龄女性，医学院的大学生。对她们进行访谈以收集临床数据，并通过象形图记录每月月经量。进行了血常规检查并测定了铁蛋白水平。
纳入了196名年龄在18至37岁之间的女性。铁缺乏的患病率为8.7%（n = 17），贫血的患病率为2.1%（n = 4）。铁缺乏的存在与红肉摄入量较低（p = 0.024）、月经量较多（p = 0.018）以及异常子宫出血频率较高（p = 0.019）相关。
本研究表明，健康女性中铁缺乏与异常子宫出血和红肉低摄入量的频率较高，这就需要实施促进教育措施的项目，以便促进早期咨询并避免这些育龄女性出现贫血和铁缺乏。
