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土耳其医院护士中的缺铁性贫血和血脂异常:一项横断面研究

Iron Deficiency Anemia and Dyslipidemia Among Hospital Nurses: A Cross-Sectional Study in Turkey.

作者信息

Medeni Volkan, Aygür Rabia, Medeni İrem, Türk Kübra Nur, Uğraş Dikmen Asiye, İlhan Mustafa Necmi

机构信息

Department of Public Health, Faculty of Medicine, Gazi University, Ankara 06500, Türkiye.

Employee Health Department, General Directorate of Public Health, Ministry of Health, Ankara 06100, Türkiye.

出版信息

J Clin Med. 2024 Nov 22;13(23):7042. doi: 10.3390/jcm13237042.

DOI:10.3390/jcm13237042
PMID:39685501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11642562/
Abstract

: Anemia and dyslipidemia are significant health concerns that affect individual health and societal development. This study aimed to determine the prevalence of iron deficiency anemia and dyslipidemia among nurses in a university hospital in Turkey and explore potential relationships between these conditions. : This cross-sectional study was conducted among 712 nurses who underwent periodic health examinations. Data on demographic characteristics, hemoglobin, iron parameters, ferritin, transferrin saturation, and lipid profile were analyzed. People with all four hemoglobin, iron, ferritin, and transferrin saturation values lower than normal ranges at the same time were considered to have iron deficiency anemia. : Iron deficiency anemia prevalence was 10.7%, with no cases observed in male nurses or those aged 51 and older. Among the nurses, approximately 16.3% had low hemoglobin levels, 16.6% had low hematocrit levels, 30.6% had low ferritin levels, 36.0% had low transferrin saturation, 40.3% had low iron levels, and 24.9% high iron-binding capacity. Elevated total cholesterol was observed in 34.8%, high LDL in 29.6%, low HDL in 27.0%, and elevated triglycerides in 15.0%. Nurses with iron deficiency anemia had significantly lower triglyceride levels than those without. Weak positive correlations were found between triglycerides and hemoglobin, iron, ferritin, and transferrin levels. Additionally, higher total cholesterol, LDL, and triglyceride levels were associated with increased hemoglobin levels. : This study highlights the high prevalence of iron deficiency anemia and dyslipidemia among hospital nurses, with a notable association between these conditions and factors such as age, gender, and dietary habits. Our findings underscore the need for healthcare services to prioritize the prevention, diagnosis, and management of these health issues in healthcare workers. A comprehensive approach, including regular screenings, dietary improvements, and addressing workplace factors could improve health outcomes and enhance healthcare delivery.

摘要

贫血和血脂异常是影响个人健康和社会发展的重大健康问题。本研究旨在确定土耳其一家大学医院护士中铁缺乏性贫血和血脂异常的患病率,并探讨这些情况之间的潜在关系。:本横断面研究对712名接受定期健康检查的护士进行。分析了人口统计学特征、血红蛋白、铁参数、铁蛋白、转铁蛋白饱和度和血脂谱的数据。同时血红蛋白、铁、铁蛋白和转铁蛋白饱和度值均低于正常范围的人被认为患有铁缺乏性贫血。:铁缺乏性贫血患病率为10.7%,男性护士或51岁及以上护士中未观察到病例。在护士中,约16.3%的人血红蛋白水平低,16.6%的人血细胞比容水平低,30.6%的人铁蛋白水平低,36.0%的人转铁蛋白饱和度低,40.3%的人铁水平低,24.9%的人铁结合能力高。34.8%的人总胆固醇升高,29.6%的人低密度脂蛋白高,27.0%的人高密度脂蛋白低,15.0%的人甘油三酯升高。患有铁缺乏性贫血的护士甘油三酯水平明显低于未患铁缺乏性贫血的护士。甘油三酯与血红蛋白、铁、铁蛋白和转铁蛋白水平之间存在弱正相关。此外,总胆固醇、低密度脂蛋白和甘油三酯水平升高与血红蛋白水平升高有关。:本研究强调了医院护士中铁缺乏性贫血和血脂异常的高患病率,以及这些情况与年龄、性别和饮食习惯等因素之间的显著关联。我们的研究结果强调了医疗服务机构需要优先对医护人员的这些健康问题进行预防、诊断和管理。包括定期筛查、改善饮食和解决工作场所因素在内的综合方法可以改善健康结果并提高医疗服务质量。

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本文引用的文献

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Comprehensive Analysis of Iron Deficiency Anemia and Its Related Disorders in Premenopausal Women Based on a Propensity Score Matching Case Control Study Using National Health Insurance Service Database in Korea.基于韩国国家健康保险服务数据库的倾向评分匹配病例对照研究对绝经前妇女缺铁性贫血及其相关疾病的综合分析。
J Korean Med Sci. 2023 Sep 18;38(37):e299. doi: 10.3346/jkms.2023.38.e299.
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Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990-2021: findings from the Global Burden of Disease Study 2021.1990 年至 2021 年按严重程度和病因划分的贫血负担的流行率、残疾生存年数和趋势:来自 2021 年全球疾病负担研究的结果。
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