Iron Deficiency Anemia in Older Females: A Comparison Between Community-Dwelling Individuals and Nursing Home Residents in the Southwest of Iran

Abstract

Background: Iron deficiency anemia (IDA), as one of the most common problems of the elderly, is preventable and treatable. Objectives: The current study aimed at determining the prevalence of IDA and its related factors in older females and comparing it between community-dwelling individuals and nursing home residents in the Southwest of Iran. Methods: The current cross sectional study was conducted on 365 community-dwelling and nursing home residents in Bushehr Province, Iran. Data were collected in 2017. Blood samples were taken from all participants to measure hemoglobin and ferritin levels. Hemoglobin values less than 12 g/dL were considered as diagnostic criteria for anemia. Simple logistic regression was used to compare normal subjects with the ones with anemia, and after adjusting the marital status and age, the odds ratio (OR) was obtained. Furthermore, independent variables affecting them and ORs and their associated confidence intervals (CIs) were obtained, which were significant. Data were analyzed using SPSS software and the significant level was less than 0.05. Results: The mean ± SD age of participants was 82.00 ± 5.79 years, and the means of hemoglobin and ferritin levels were 12.6 ± 1.04 g/dL and 15.00 ± 5.11 µg/dL, respectively. Based on the hemoglobin rate, 30% of the elderly females had anemia, and the prevalence of IDA in the elderly living in the community and nursing homes was 27% and 39%, respectively. Conclusions: The prevalence of IDA in elderly females was high in Southwest of Bushehr. The crude and adapted ORs indicated that living in the nursing home was a risk factor for anemia. Therefore, this ailment requires a national screening, diagnosis, and early intervention.

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“…6 And its independent risk factor for increased morbidity, mortality, and decreased quality of life in elderly individuals. 7 Anemia in the elderly is typically caused by a variety of clinical issues, such as nutritional deficiencies of iron deficiency (ID), vitamin B12 and/or folic acid (folate), occult and gross gastrointestinal (GI) bleeding, and malignancies, acute and chronic infections, and kidney disease, congestive heart failure (CHF). 8,9 Anemia contributed significantly to the burden of disease globally.…”

Aplicación móvil de control nutricional para prevención de la anemia ferropénica en la mujer gestante

“…La anemia que se relaciona con el déficit de hierro es el tipo de entidad que prevalece en pacientes cuando se identifican uno de los tres escenarios (o los tres en el mismo paciente), hierro no disponible, pero se encuentra acumulado, requerimiento de hierro supera a su aporte, y falta de hierro de forma absoluta [1]. Estudios caracterizan a varios factores que atañen a grupos vulnerables en el mundo [2][3] [4] [5] y entre ellos, uno va relacionado a la malnutrición, que | 18 mediante un manejo y control médico [6] o por medio de tecnologías que interaccionan con la persona [7] [8] puede ser detectado, prevenido y corregido a tiempo. La organización mundial de la salud determina que un tercio de las mujeres en edad reproductiva tienen deficiencias de hierro y entre las posibles causas es la nutrición, de la cual se puede priorizar para prevenir enfermedades y su mortalidad, mediante la suplementación y fortificación de su alimentación.…”