Prevalence of postpartum anaemia and iron deficiency by serum ferritin, soluble transferrin receptor and total body iron, and associations with ethnicity and clinical factors: a Norwegian population-based cohort study.


Journal

Journal of nutritional science
ISSN: 2048-6790
Titre abrégé: J Nutr Sci
Pays: England
ID NLM: 101590587

Informations de publication

Date de publication:
2022
Historique:
received: 11 05 2022
accepted: 16 05 2022
entrez: 27 6 2022
pubmed: 28 6 2022
medline: 29 6 2022
Statut: epublish

Résumé

Worldwide, there are limited data on the prevalence of postpartum anaemia and iron status. The aims of the present study were to assess the prevalence of anaemia and iron deficiency (ID) by three iron indicators 14 weeks postpartum, their relations to haemoglobin (Hb) and associations with ethnicity and clinical factors in a multi-ethnic population. We conducted a population-based cohort study of 573 women followed from early pregnancy. The prevalence of postpartum anaemia (Hb <12·0 g/dl) was 25 %. ID prevalence varied from 39 % by serum ferritin (SF <15 μg/l), to 19 % by soluble transferrin receptor (sTfR >4·4 mg/l) and 22 % by total body iron (TBI < 0 mg/kg). The mean Hb concentration was 12·8 g/dl in women with no ID, 12·6 g/dl in those with ID by SF only and 11·6 g/dl in those with ID by SF, sTfR and TBI. ID by sTfR and TBI defined by the current threshold values probably identified a more severe iron-deficient population compared with ID assessed by SF. Compared with Western Europeans, the prevalence of anaemia was at least the double in ethnic minorities (26-40 %

Identifiants

pubmed: 35754987
doi: 10.1017/jns.2022.45
pii: S2048679022000453
pmc: PMC9201879
doi:

Substances chimiques

Hemoglobins 0
Receptors, Transferrin 0
Ferritins 9007-73-2
Iron E1UOL152H7

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e46

Informations de copyright

© The Author(s) 2022.

Références

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Auteurs

Marthe-Lise Næss-Andresen (ML)

Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Anne Karen Jenum (AK)

General Practice Research Unit, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Jens Petter Berg (JP)

Department of Medical Biochemistry, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Ragnhild Sørum Falk (RS)

Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.

Line Sletner (L)

Department of Paediatric and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

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Classifications MeSH