Correlation of anemia with Body Mass Index and waist Circumference- a cross sectional study

Jeya Banu M .

Abstract


Background Anemia is a global health problem that affects populations all over the world. Another important problem the world is facing and gaining great interest to overcome is obesity. Obesity is associated with low hemoglobin levels. The inverse relationship between iron status and adiposity was first reported in 1962, when Wenzel et al.1 unexpectedly found a significantly lower mean serum iron concentration in obese compared with non-obese adolescents. Aim The aim of this study is to correlate anemia with Body Mass Index and waist Circumference. Methods This cross sectional study was conducted in subjects who attended the master health check up clinic and medicine outpatient department of PSG hospitals. 30 subjects of both sex and age group of 20 60 yrs with low hemoglobin level (less than 12 gmdl for women and 14gdl for men), were included as cases in the study. 30 volunteers with normal hemoglobin level (for men 14gdl and for women 12gdl) taken as control group. Obesity was diagnosed based on the WHO guidelines. Waist circumference and height of the subjects were also measured. Body mass index (BMI) was calculated from the formula, BMI Weight (kg) Height (m2).Results The BMI was compared between cases and controls. The mean Body Mass Index (kgm) for cases was found to be 28.594.71 and for controls was found to be 24.103.30. Elevated BMI is associated with increased incidence of anemia with a significant p value of 0.0002. The mean waist circumference (cm) for cases was found to be 98 13 and for controls was found to be 87.3 12.3. The mean Hb level (gmdl) for cases is 9.91.3 and for controls is 14.349.7. The correlation between waist circumference and anemia was not statistically significant, with p value of 0.57.Conclusion This study showed elevated BMI is associated with increased incidence of anemia. There is a positive correlation between anemia and obesity and there is no statistical significance between waist circumference and anemia.

Full Text:

PDF

References


Wenzel BJ, Stults HB, Mayer J. Hypoferraemia in obese adolescents. Lancet 1962; 2: 327–328

Worldwide prevalence of anaemia 1993–2005 WHO Global Database on Anaemia

WHO: Obesity and overweight- updated on March 2013.

Saxena Y, Shrivastava A, Saxena V. Effect of gender on correlation of anaemia with body mass index in medical students. Indian J Physiol Pharmacol. 2011 Oct-Dec;55(4): 364-9.

R. Peter1, R. Kumar2, L. Sangwan3 and S. Pandey: Prevalence of anemia and its correlation to body mass index: study among unmarried girls. International Journal of Basic and Applied Medical Sciences ISSN: 2277-2103 (Online) 2012 Vol. 2 (3) September - December, pp. 58-62

Singh K, Fong YK, and A rulkumaran S : anaemia in pregnancy – a cross sectional study in SingaporeEur J Clin Nutr. 1998 Jan;52(1):65-70.

Ausk, K. J. and Ioannou, G. N. (2008), Is Obesity Associated With Anemia of Chronic Disease? A Population-based Study. Obesity, 16: 2356–2361. doi: 10.1038/oby.2008.353

Kim JY, Shin S, Han K, Lee KC, KIM JH, Choi YS, Kim DH, Nam GE, Yeo HD, Lee HG, Ko BJ. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea National Health and Nutrition Examination Surveys. Eur J Clin Nutr. 2014 Feb;68(2)

Karen A. Bonuck , PhD and Richard Kahn , MS : Prolonged bottle use and its association with iron deficiency anemia and overweight: A preliminary study.2002 Western Publications, Inc., 708 Glen Cove Avenue, Glen Head. NY 11545. U.S.A.

C L Eckhardt L E Torheim, E Monterrubio, S Barquera and M T Ruel: The overlap of overweight and anaemia among women in three countries undergoing the nutrition transition: European Journal of Clinical Nutrition (2008) 62, 238–246; doi:10.1038/ sj.ejcn.1602727; published online 21 March 2007

Allen LH (1994). Nutritional influences on linear growth: a general review. Eur J Clin Nutr 48 (Suppl 1), S75–S89.

Yu Qin. Alida Melse-Boonstra, Xiaogun Pan , Baojun Yuan, Yue Dai , Jinkou Zinkou , Michael B Z : Anaemia in relation to body mass index and waist circumference among Chinese women. Nutrition Journal 2013, 12:10 doi:10.1186/1475-2891- 12-10


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr M.G.R. Medical University