Moghadami Ali, Hedayatizadeh-Omran Akbar, Kheradmand Motahareh, Moosazadeh Mahmood
Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
J Res Health Sci. 2025 Apr 1;25(2):e00648. doi: 10.34172/jrhs.2025.183.
Anemia is a common blood disorder in developing countries and is associated with diseases such as diabetes, as well as cardiovascular and pulmonary diseases. This study aimed to investigate the relationship between anemia and anthropometric profiles in the Tabari cohort population. A case-control study.
In this study, we used a subset of data collected during the first phase of the Tabari cohort study (TCS). All participants who had anemia were included in the case group (1352 individuals) using the census method. The control group (1352 individuals) consisted of participants who did not have anemia and were randomly selected from the remaining participants. The case and control groups were matched for age and gender. Anthropometric indices, including body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR), were measured by qualified and trained persons. Hematological indices were measured, and data were analyzed using the chi-square test and independent test. A multiple logistic regression analysis was used to adjust for possible confounding variables.
The place of residence, education level, socioeconomic status, WC, BMI, and WHR were significantly different between the case and control groups (<0.05). Anthropometric indices, including BMI (adjusted OR=0.75; 95 % CI 0.61, 0.91), WC (adjusted OR=0.86; 95 % CI 0.74, 1.00), and WHR (adjusted OR=0.75; 95 % CI 0.64, 0.88), were significantly different between the case and control groups (<0.05).
Anthropometric indices were associated with anemia, and participants with higher BMI, WC, and WHR were less likely to develop anemia.
贫血是发展中国家常见的血液疾病，与糖尿病、心血管疾病和肺部疾病等有关。本研究旨在调查塔巴里队列人群中贫血与人体测量指标之间的关系。一项病例对照研究。
在本研究中，我们使用了塔巴里队列研究（TCS）第一阶段收集的数据子集。采用普查方法，将所有贫血患者纳入病例组（1352人）。对照组（1352人）由无贫血的参与者组成，他们是从其余参与者中随机选取的。病例组和对照组在年龄和性别上进行了匹配。人体测量指标，包括体重指数（BMI）、腰围（WC）和腰臀比（WHR），由合格且经过培训的人员进行测量。测量血液学指标，并使用卡方检验和独立检验进行数据分析。采用多元逻辑回归分析来调整可能的混杂变量。
病例组和对照组在居住地、教育水平、社会经济地位、WC、BMI和WHR方面存在显著差异（<0.05）。病例组和对照组之间的人体测量指标，包括BMI（调整后的OR=0.75；95%CI 0.61，0.91）、WC（调整后的OR=0.86；95%CI 0.74，1.00）和WHR（调整后的OR=0.75；95%CI 0.64，0.88）存在显著差异（<0.05）。
人体测量指标与贫血有关，BMI、WC和WHR较高的参与者患贫血的可能性较小。
