A systematic analysis of global anemia burden from 1990 to 2010

Kassebaum, Nicholas J; Jasrasaria, Rashmi; Naghavi, Mohsen; Wulf, Sarah; Johns, Nicole E.; Lozano, Rafael; Regan, Mathilda; Weatherall, D. J.; Chou, David; Eisele, Thomas P.; Flaxman, Seth; Pullan, Rachel L.; Brooker, Simon; Murray, Christopher J L

doi:10.1182/blood-2013-06-508325

Cited by 1,649 publications

(1,627 citation statements)

References 32 publications

Supporting

Mentioning

1,405

Contrasting

Unclassified

Order By: Relevance

“…Additionally, the causes of anemia among the elderly are very diverse, including iron deficiency anemia, anemia due to chronic diseases, and hemoglobinopathy. On the other hand, the cause of anemia among young adults, especially young women, is predominantly iron‐deficiency anemia,10 which is due to regular bleeding during menstruation 9. As noted previously, iron deficiency is the most common cause of anemia,10 accounting for up to 95% of nonpregnant women aged 18 to 35 years with anemia 11.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the cause of anemia among young adults, especially young women, is predominantly iron‐deficiency anemia,10 which is due to regular bleeding during menstruation 9. As noted previously, iron deficiency is the most common cause of anemia,10 accounting for up to 95% of nonpregnant women aged 18 to 35 years with anemia 11. Fortunately, iron deficiency is more easily treated than are other types of anemia.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, young women are predisposed to anemia due to regular bleeding in menstruation 9. Of the several types of anemia, iron‐deficiency anemia is the most common cause of anemia overall10 and accounts for up to 95% of anemias in nonpregnant women aged 18 to 35 years 11. The diagnosis of iron‐deficiency anemia is well established, and it is relatively easy to treat with oral iron medication 12, 13, 14.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association Between Changes in Hemoglobin Concentration and Cardiovascular Risks and All‐Cause Mortality Among Young Women

Lee

Choi

Kim

et al. 2018

JAHA

View full text Add to dashboard Cite

BackgroundAnemia is considered to increase the risk of mortality in high‐risk populations, but its effect has not been examined among young populations. This study aimed to determine the effect of hemoglobin (Hb) concentration and its changes on the risk of acute myocardial infarction (AMI), stroke, cerebrovascular disease and all‐cause mortality among young women.Methods and ResultsWe analyzed data from the Korean National Health Information Database on 808 143 women aged 20 to 39 years without any cardiocerebrovascular disease. A 1‐time Hb concentration and changes in Hb over a 2‐year period were calculated as exposures. Participants were followed for a median of 10 years to determine the risk of AMI, stroke, cerebrovascular disease, and all‐cause mortality. There were U‐ or J‐shaped associations between Hb concentration or change in Hb and AMI, stroke, cerebrovascular disease, and all‐cause mortality. Increasing the Hb concentration from normal to high increased the risk for AMI (hazard ratio [95% confidence interval]: 1.49 [1.08‐2.04]). With regard to the risk for stroke, increasing the Hb concentration from a normal to a high range increased the risk (hazard ratio [95% confidence interval]: 1.10 [1.02‐1.35]), and decreasing the Hb concentration from a high to a normal range decreased this risk (hazard ratio [95% confidence interval]: 0.80 [0.60‐0.97]). Improving anemia to the normal Hb range decreased all‐cause mortality (hazard ratio [95% confidence interval]: 0.81 [0.69‐0.94]); however, overcorrection of Hb concentration (Hb≥14.0 g/dL) was not significant.ConclusionsThese findings suggest that regular Hb analysis may assist in identifying young women who are at risk of AMI, stroke, cerebrovascular disease, and all‐cause mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Changes in Hemoglobin Concentration and Cardiovascular Risks and All‐Cause Mortality Among Young Women

Lee

Choi

Kim

et al. 2018

JAHA

View full text Add to dashboard Cite

show abstract

“…The gender gap in obesity detrimental to women is all the more acute in contexts such as the Middle East and North Africa (MENA) region, especially in urban areas (6)(7)(8) . However, the increase in nutrition-related non-communicable diseases in LMIC does not exclude the persistence of undernutrition phenomena, partly linked to micronutrient deficiencies, like anaemia, which is still highly prevalent in LMIC and to which women are especially prone worldwide (9) . Thus, beyond gender inequalities in excess adiposity, it is of interest to assess how accounting for both these conditions may change the perspective on the consequences of the nutrition transition on gender inequalities in health.…”

mentioning

confidence: 99%

Gender inequalities in excess adiposity and anaemia combine in a large double burden of malnutrition gap detrimental to women in an urban area in North Africa

Traissac

Ati

Gartner

et al. 2016

Public Health Nutr.

View full text Add to dashboard Cite

Objective: The nutrition transition has exacerbated the gender gap in health in the Middle East and North Africa region as the increase in excess adiposity has been much higher among women than men. This is not exclusive of the persistence of anaemia, generally also more prevalent among women. We assessed the magnitude and sociodemographic factors associated with gender inequality vis-à-vis the double burden of excess adiposity and anaemia. Design: Cross-sectional study, stratified two-stage cluster sample. BMI (= weight/ height 2 ) ≥25·0 kg/m 2 defined overweight and BMI ≥ 30·0 kg/m 2 obesity. Anaemia was defined as Hb <120 g/l for women, <130 g/l for men. Gender inequalities vis-à-vis the within-subject coexistence of excess adiposity and anaemia were assessed by women v. men relative prevalence ratios (RPR). Their variation with sociodemographic characteristics used models including gender × covariate interactions. Setting: Greater Tunis area in 2009-2010. Subjects: Adults aged 20-49 years (women, n 1689; men, n 930). Results: Gender inequalities in excess adiposity were high (e.g. overweight: women 64·9 % v. men 48·4 %; RPR = 2·1; 95 % CI 1·6, 2·7) and much higher for anaemia (women 38·0 % v. men 7·2 %; RPR = 8·2; 95 % CI 5·5, 12·4). They were striking for overweight and anaemia (women 24·1 % v. men 3·4 %; RPR = 16·2; 95 % CI 10·3, 25·4). Gender inequalities in overweight adjusted for covariates increased with age but decreased with professional activity and household wealth score; gender inequality in anaemia or overweight and anaemia was more uniformly distributed. Conclusions: Women were much more at risk than men, from both over-and undernutrition perspectives. Both the underlying gender-related and sex-linked biological determinants of this remarkable double burden of malnutrition inequality must be addressed to promote gender equity in health.

show abstract

“…2014; Kassebaum et al . 2014). The new Sustainable Development Goals, which replace the MDGs and layout goals and challenges for the next 15 years, also contain important challenges for nutrition.…”

Section: Introductionmentioning

confidence: 99%

Using ethnography in implementation research to improve nutrition interventions in populations

Tumilowicz

Neufeld

Pelto

2015

Maternal & Child Nutrition

View full text Add to dashboard Cite

Abstract‘Implementation research in nutrition’ is an emerging area of study aimed at building evidence‐based knowledge and sound theory to design and implement programs that will effectively deliver nutrition interventions. This paper describes some of the basic features of ethnography and illustrates its applications in components of the implementation process. We review the central purpose of ethnography, which is to obtain the emic view – the insider's perspective – and how ethnography has historically interfaced with nutrition. We present examples of ethnographic studies in relation to an analytic framework of the implementation process, situating them with respect to landscape analysis, formative research, process evaluation and impact evaluation. These examples, conducted in various parts of the world by different investigators, demonstrate how ethnography provided important, often essential, insights that influenced programming decisions or explained programme outcomes. Designing, implementing and evaluating interventions requires knowledge about the populations and communities in which interventions are situated, including knowledge from the ‘emic’ (insider's) perspective.Obtaining emic perspectives and analysing them in relation to cultural, economic and structural features of social organisation in societies is a central purpose of ethnography.Ethnography is an essential aspect of implementation research in nutrition, as it provides important insights for making decisions about appropriate interventions and delivery platforms; determining how best to fit aspects of programme design and implementation into different environmental and cultural contexts; opening the ‘black box’ in interventions to understand how delivery and utilisation processes affect programme outcomes or impacts; and understanding how programme impacts were achieved, or not.

show abstract

A systematic analysis of global anemia burden from 1990 to 2010

Abstract: Key Points Anemia accounted for 8.8% of the total disability from all conditions in 2010. Children <5 years and women still have the highest burden. Although iron-deficiency anemia is the most common etiology globally, other leading causes of anemia vary widely by geography, age, and sex.

Cited by 1,649 publications

References 32 publications

Association Between Changes in Hemoglobin Concentration and Cardiovascular Risks and All‐Cause Mortality Among Young Women

Association Between Changes in Hemoglobin Concentration and Cardiovascular Risks and All‐Cause Mortality Among Young Women

Gender inequalities in excess adiposity and anaemia combine in a large double burden of malnutrition gap detrimental to women in an urban area in North Africa

Using ethnography in implementation research to improve nutrition interventions in populations

Contact Info

Product

Resources

About