Anemia in North of Iran (South-east of Caspian Sea)

Abstract

The main purpose of this study was set up to determine iron deficiency and anemia due to iron deficiency among the women in villages around of Gorgan. The comparison of three groups (Fars-native, Turkman and Sistanee) that living in this area and comparison of pregnant and non-pregnant about hematological indexes are other objectives of this study. By random-clustering method were chosen 415 women of 18-35 years old in 20 villages of Gorgan. Gorgan district located in north of Iran and south-east of Caspian sea. In the pregnant women, serum Iron less than 30 microg dL(-1), Hemoglobin (Hb) less than 11 g dL(-1), transferrin saturation (T.S) less than 16% were be consider as anemia point and in non-pregnant women, this point is the serum iron less than 40 microg dL(-1), Hb less than 12 g dL(-1) and TS less than 16%. The prevalence of Iron Deficiency (ID), Anemia and Iron Deficiency Anemia (IDA) were 35.6% (149), 25.8% (107) and 13.5% (56), respectively. Positive correlation exist between serum Iron and Hb (p < 0.0001, r = 0.335), HCT (p < 0.01, r = 0.1581), MCH (p < 0.01, r = 0.1661) and MCHC (p < 0.001, r = 0.262). The prevalence of ID in Fars-native, Turkman and Sistanee women were 33.6, 47.6 and 26.2%, respectively. The rate of anemia on the same women were 27.7, 18.75 and 22.33% and IAD were 15.6, 11.9 and 11.3%, respectively. Chi2-test showed a meaningful difference in regard to ID and anemia among the three groups of women (p < 0.005). A statistical significant correlation was seen between Hb and MCHC (r = 0.467, p < 0.001). In pregnant women, the prevalence of the anemia on the basis of serum iron index, T.S and Hb were seen 24.2, 42.4 and 18.2%, respectively, versus non-pregnant women were 21.2, 34.55 and 20.98%. In summary, can be concluded that the prevalence of anemia its characteristic also is one of the women nutritional problems in the villages around the Gorgan and it is different among the three groups of women and in Fars-native is higher than other groups. Too, anemia is a nutritional problem in pregnant women.