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The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study
BACKGROUND: Gestational iron deficiency (ID) can be deleterious to mother and fetus. However, iron status is not routinely measured during pregnancy in Ghana. Therefore, the scope of ID in this population is unknown. OBJECTIVE: To determine the prevalence of anemia and ID across pregnancy in the Cen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990185/ https://www.ncbi.nlm.nih.gov/pubmed/33760869 http://dx.doi.org/10.1371/journal.pone.0248754 |
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author | Pobee, Ruth A. Setorglo, Jacob Klevor, Moses Murray-Kolb, Laura E. |
author_facet | Pobee, Ruth A. Setorglo, Jacob Klevor, Moses Murray-Kolb, Laura E. |
author_sort | Pobee, Ruth A. |
collection | PubMed |
description | BACKGROUND: Gestational iron deficiency (ID) can be deleterious to mother and fetus. However, iron status is not routinely measured during pregnancy in Ghana. Therefore, the scope of ID in this population is unknown. OBJECTIVE: To determine the prevalence of anemia and ID across pregnancy in the Central Region of Ghana. METHODS: Women were recruited during their 1(st) trimester of pregnancy (< 13 weeks; n = 116) and followed through to their 2(nd) (n = 71) and 3(rd) (n = 71) trimesters. Data on socio-demographic variables, weekly intake of iron-rich foods and vitamin C-rich fruits were collected. Blood samples were drawn and the concentrations of hemoglobin (Hb), ferritin (Ft), serum iron (sFe), total iron binding capacity (TIBC), were measured; transferrin saturation (TSAT) was calculated. Repeated measures ANOVA was used to determine change in anemia and iron variables over time with groups categorized by 1(st) trimester iron status. RESULTS: Participants were 27.1 ± 5.2 years, on average. Prevalence of anemia (Hb <11.0 g/dL) was 37%, 63%, 58%; ID (Ft <15 μg/L) was 16%, 20%, 38%; and iron deficiency anemia (IDA; based on low Ft and Hb) was 6%, 12%, 25% in 1(st), 2(nd) and 3(rd) trimesters, respectively. Significant changes in Hb, Ft and TIBC occurred across time. Iron status at 1(st) trimester had a significant effect on 2(nd) but not 3(rd) trimester iron status. CONCLUSIONS: ID is prevalent in pregnant Ghanaian women, especially during the 3(rd) trimester. Anemia is a major public health problem during pregnancy in Ghana with a significant proportion due to factors other than ID. |
format | Online Article Text |
id | pubmed-7990185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-79901852021-04-05 The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study Pobee, Ruth A. Setorglo, Jacob Klevor, Moses Murray-Kolb, Laura E. PLoS One Research Article BACKGROUND: Gestational iron deficiency (ID) can be deleterious to mother and fetus. However, iron status is not routinely measured during pregnancy in Ghana. Therefore, the scope of ID in this population is unknown. OBJECTIVE: To determine the prevalence of anemia and ID across pregnancy in the Central Region of Ghana. METHODS: Women were recruited during their 1(st) trimester of pregnancy (< 13 weeks; n = 116) and followed through to their 2(nd) (n = 71) and 3(rd) (n = 71) trimesters. Data on socio-demographic variables, weekly intake of iron-rich foods and vitamin C-rich fruits were collected. Blood samples were drawn and the concentrations of hemoglobin (Hb), ferritin (Ft), serum iron (sFe), total iron binding capacity (TIBC), were measured; transferrin saturation (TSAT) was calculated. Repeated measures ANOVA was used to determine change in anemia and iron variables over time with groups categorized by 1(st) trimester iron status. RESULTS: Participants were 27.1 ± 5.2 years, on average. Prevalence of anemia (Hb <11.0 g/dL) was 37%, 63%, 58%; ID (Ft <15 μg/L) was 16%, 20%, 38%; and iron deficiency anemia (IDA; based on low Ft and Hb) was 6%, 12%, 25% in 1(st), 2(nd) and 3(rd) trimesters, respectively. Significant changes in Hb, Ft and TIBC occurred across time. Iron status at 1(st) trimester had a significant effect on 2(nd) but not 3(rd) trimester iron status. CONCLUSIONS: ID is prevalent in pregnant Ghanaian women, especially during the 3(rd) trimester. Anemia is a major public health problem during pregnancy in Ghana with a significant proportion due to factors other than ID. Public Library of Science 2021-03-24 /pmc/articles/PMC7990185/ /pubmed/33760869 http://dx.doi.org/10.1371/journal.pone.0248754 Text en © 2021 Pobee et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Pobee, Ruth A. Setorglo, Jacob Klevor, Moses Murray-Kolb, Laura E. The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title | The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title_full | The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title_fullStr | The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title_full_unstemmed | The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title_short | The prevalence of anemia and iron deficiency among pregnant Ghanaian women, a longitudinal study |
title_sort | prevalence of anemia and iron deficiency among pregnant ghanaian women, a longitudinal study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990185/ https://www.ncbi.nlm.nih.gov/pubmed/33760869 http://dx.doi.org/10.1371/journal.pone.0248754 |
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