Profile of red blood cell morphologies and causes of anaemia among pregnant women at first clinic visit in the mount Cameroon area: a prospective cross sectional study

Anchang-Kimbi, Judith Kuoh; Nkweti, Vera Ngenwie; Ntonifor, Helen Ngum; Apinjoh, Tobias O.; Fru, Hanesh; Tata, Rolland Bantar; Achidi, Eric A.

doi:10.1186/s13104-017-2961-6

Cited by 16 publications

(20 citation statements)

References 28 publications

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“…A high co‐occurrence of microcytosis, hypochromia and anaemia has been reported in late pregnancy . We observed a high prevalence of microcytosis and hypochromia both before and during early pregnancy, and preconceptional microcytic hypochromic RBC morphology was associated with lower Hb concentration in early pregnancy.…”

Section: Discussionmentioning

confidence: 49%

Preconceptional factors associated with haemoglobin concentration in early pregnancy: a community‐based cohort study in rural northeastern Tanzania

Schmiegelow

Msemo

Møller

et al. 2019

Tropical Med Int Health

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Objective Maternal anaemia in early pregnancy is associated with poor pregnancy outcomes. Furthermore, preconceptional health can influence the health during pregnancy. The aim of this study was to investigate which preconceptional factors were associated with haemoglobin (Hb) concentration in early pregnancy. Methods In Tanzania, 226 women were followed at preconception and during early pregnancy. Red blood cell (RBC) morphology, serum micronutrient concentration, demographic characteristics and health status were assessed in preconception and in early pregnancy. The association between preconceptional factors and Hb concentration in early pregnancy was investigated using simple and multiple linear regression analyses stratified by preconceptional anaemia status. Results Mean Hb was 123 and 119 g/l before conception and during early pregnancy (median gestational age 53 days) respectively. Preconceptional mid‐upper arm circumference (MUAC) (adjusted coefficient (AC) 0.35 95% CI 0.9–0.61) and preconceptional Hb concentration (AC 0.45 95% CI 0.36–0.54) were positively associated with early pregnancy Hb concentration, whereas preconceptional microcytic hypochromic RBC morphology (AC −6.00 95% CI −9.56 to −2.44) was negatively associated with early pregnancy Hb concentration. In addition, treatment of preconceptional malaria was positively associated with early pregnancy Hb concentration (AC 6.45 95% CI 0.74–12.2) among women with preconceptional anaemia. In contrast, among preconceptional non‐anaemic women, only preconceptional Hb concentration and medium socio‐economic status was positively associated with early pregnancy Hb concentration. Conclusions Mid‐upper arm circumference (MUAC) and Hb measurements in preconception can help to detect women at increased risk of low Hb concentration in early pregnancy.

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Section: Discussionmentioning

confidence: 49%

Preconceptional factors associated with haemoglobin concentration in early pregnancy: a community‐based cohort study in rural northeastern Tanzania

Schmiegelow

Msemo

Møller

et al. 2019

Tropical Med Int Health

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“…In spite of these interventions, anemia severity (41–53.3%) has not significantly decreased over the years in semi-urban and urbanized towns in the Mount Cameroon area ( 24 , 25 ). Findings from a baseline study in the area suggest nutrient deficiency as a major contributor of anemia among pregnant women ( 26 ). Thus, we hypothesized that inadequate dietary intake may play a critical role in anemia in our setting.…”

Section: Introductionmentioning

confidence: 99%

Dietary Diversity and Its Contribution in the Etiology of Maternal Anemia in Conflict Hit Mount Cameroon Area: A Cross-Sectional Study

et al. 2021

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Background: In the Mount Cameroon area, maternal anemia remains a major public health concern. We hypothesized that nutrient inadequacy may account for the level of anemia in pregnancy. Thus, this study examined the relative effect of dietary diversity on maternal anemia in the study area.Methods: A total of 1,014 consenting pregnant women were enrolled in this cross-sectional study. Information on socio-demographic, antenatal characteristics, malaria and anemia control measures were documented. Dietary diversity (DD) was evaluated using the 24-h recall method and hemoglobin (Hb) levels (g/dl) measured using a portable Hb meter. Malaria parasitaemia was diagnosed by blood microscopy. Anemia status was trimester specific. Logistic regression analysis was used determine predictors of maternal anemia.Results: Among the pregnant women enrolled, the mean DD score was 3.5±0.8 SD and only 10.4% had adequate dietary diversity. Anemia prevalence was 40.9%. Majority of the women consumed starchy staples (99.3%) while least consumed foods were dairy (4.5%), eggs (8.3%), fruits and vegetable (vitamin A-rich) (8.6%). A significant lower prevalence of anemia was associated with intake of dairy (P < 0.001), animal protein (P = 0.006), vitamin A-rich fruits and vegetables (P < 0.001). Furthermore, mean Hb levels were higher (P < 0.001) among women with diverse diets (12.39 ± 1.34) than in those with less diverse diets (10.85 ± 1.33). Predictors of anemia were as follows: study setting [Odd Ratio (OR) = 1.4, 95% CI: 1.07-1.94], occupation (OR = 1.9, 95% CI: 1.16-3.43), number of clinic visits (OR = 1.9, 95% CI: 1.27-2.91), trimester of pregnancy (OR = 3.2, 95% CI: 1.45-7.38), malaria parasitaemia (OR = 1.8, 95% CI: 1.33-2.68), out of home eating (OR = 1.4, 95% CI: 1.03-2.13), and DD (OR = 9.8, 95% CI: 4.56-20.80). The attributable risk of anemia due to dietary diversity was 82.9%.Conclusion: In the study area, DD is a major risk factor for maternal anemia. This finding underscores the importance of content specific nutrition education during clinic visits to improve intake of protein and iron-rich food in anemia prevention.

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“…Women of reproductive age are a high-risk group for developing anaemia, due to menstruation, which is the principal risk factor for anaemia in women (6). Also, it is common during pregnancy to develop anaemia when the body might not be able to produce sufficient RBCs needed to make additional blood for the fetus (7). Approximately one-third of the older anaemic population have folate, iron, and/or vitamin B12 deficiency.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and determinants of anaemia in Jordan

Abdo¹,

Douglas²,

Batieha³

et al. 2019

East Mediterr Health J

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Background: Anaemia is a global public health problem particularly in low-and middle-income countries and may be associated with serious health consequences. Limited studies, if any, have examined the prevalence and risk factors of anaemia in Jordan at the national level. Aims: This study aimed to assess the prevalence of anaemia in Jordan for both sexes at the national level and to identify high-risk population subgroups. Methods: A national population-based household sample was selected from the 12 governorates of Jordan in 2017. A total of 1125 males and 2797 females aged between 18 and 90 years were included. The prevalence of anaemia, overall and among subgroups of the population was estimated using Hb level as per WHO definition. Results: Results showed prevalence of anaemia to be 4.9% in males, 19.3% in non-pregnant females, and 27.4% in pregnant females. The age standardized prevalence rates were 4.9% in males and 19.3% in females. The age standardized prevalence rates were 4.9% in males and 19.3% in females. Anaemia was predominantly mild (males: 81%, non-pregnant females: 57%, and pregnant females: 65.2%). Sex, age, region, marital status, and education were significantly associated with anaemia. Iron deficiency anaemia (IDA) accounted for 68% of anaemic females and 38% of anaemic males. Conclusions: The prevalence of anaemia in Jordan is lower than previously reported by WHO and the majority of anaemia was mild. Iron deficiency anaemia was the the most common type of anaemia, particularly in females. Flour fortification with iron and folic acid could have accounted for the decline of anaemia in Jordan.

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Profile of red blood cell morphologies and causes of anaemia among pregnant women at first clinic visit in the mount Cameroon area: a prospective cross sectional study

Cited by 16 publications

References 28 publications

Preconceptional factors associated with haemoglobin concentration in early pregnancy: a community‐based cohort study in rural northeastern Tanzania

Preconceptional factors associated with haemoglobin concentration in early pregnancy: a community‐based cohort study in rural northeastern Tanzania

Dietary Diversity and Its Contribution in the Etiology of Maternal Anemia in Conflict Hit Mount Cameroon Area: A Cross-Sectional Study

The prevalence and determinants of anaemia in Jordan

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