ABSTRACT Risk factors for iron deficiency anemia among the adult population of the Quetta valley have been investigated. Anemic adult patients, both males and females, who were admitted in the Sandeman Provincial Hospital, Quetta, were invited to participate in this study. After detailed history and examination, preliminary blood tests including full blood counts, platelets count, retics count, absolute blood values and blood film examination were done. A clinical diagnosis was made based upon the findings of history, examination and blood tests. In patients suspected to have iron deficiency anemia, serum iron studies (i.e. serum iron, Total iron binding capacity (TIBC) and serum ferritin) were done to confirm the diagnosis. Among the selected anemic patients, 60% were iron deficiency anemic, while 40% were non-iron deficiency anemic. Iron deficiency anemia was more common among females than males, as 70% patients were female and 30% were male. The risk factors were found to be pregnancy (40%), nutritional inadequacy (17%), menorrhagia (9%), hemorrhoids (9%), hook worms (8%), hematuria (2%) and blood loss due to various gastro-intestinal pathologies (15%).
Cite this paper
Mahmood, K. , Siddiqi, H. , Sajjad, A. , Shoukat, S. , Mehmood, Z. , Wasim, A. and Munshi, A. (2012) Iron-deficiency anemia. A study of risk factors among adult population of Quetta Valley. Health, 4, 607-611. doi: 10.4236/health.2012.49095.
 Hallberg, L., Bengtsson, C., Lapidus, L., Lindstedt, G., Lundberg, P.A. and Hulten, L. (1993) Screening for deficiency. British Journal of Haematology, 85, 787-798.
 Brady, P.G. (2007) Iron deficiency anemia: A call for aggressive diagnostic evaluation. Southern Medical Journal, 100, 966-967. doi:10.1097/SMJ.0b013e3181520699
 Hercberg, S. and Galan, P. (1992) Nutritional anemias. Baillier’s Clinical Hematology, 5, 143-168.
 Olivares, M., Walter, T., Hertrampf, E. and Pizarro, F. (1999) Anemia and iron deficiency in children. British Medical Bulletin, 55, 534-543.
 Paracha, P.L., Hameed, A., Simon, J., Jamil, A. and Nawab, G. (1997) Prevalence of Anemia in semi-urban areas of Peshawar, Pakistan. A challenge for health professionals and policy makers. Journal of Pakistan Medical Association, 47, 49-53.
 Dreyfuss, M.L., Stoltzfus, R.J., Shrestha, J.B., et al. (2000) Hookworms, malaria and vitamin A deficiency contribute to anemia and iron deficiency among pregnant women in the plains of Nepal. Journal of Nutrition, 130, 2527-2536.
 Abbasi, P.A. and Shah, Q. (1998) Comparison of different modes of correction of iron deficiency anaemia in pregnancy. Medical Channel, 4, 29-33.
 Hayat, T.K. (1997) Iron deficiency anemia during pregnancy. Journal of the College of Physicians and Surgeons—Pakistan, 7, 11-13.
 Syed, T.S. (1998) Iron deficiency anaemia in pregnant women attending the antenatal clinic. Medical Channel, 3, 49-51.
 Akhter, M.S., Akhter, M.W., Tajammul, A., Malik, M., Nighat, U. and Akhtar, N.S. (1997) Profile of anaemic patients attending a tertiary care hospital in Pakistan, study of 650 cases. Medical Channel, 3, 9-12.
 Khan, I.A. (1988) A study of anemia in NWFP. Khyber Medical Journal, 6, 34-40.
 Hashmi, J.A., Afroz, N., Nisa, Q., Malik, F., Saeed, M. and Choudhry, A.S. (1973) Study of anaemia in pregnancy at the Jinnah postgraduate Medical Center, Karachi. Journal of Pakistan Medical Association, 12, 23-33.
 Heiner, J.D., Siddiqui, A.R. and Aziz, M.A. (1972) Anaemia in pregnancy in an urban population of West Pakistan. Pakistan Journal of Medical Research, 11, 26-35.
 Baig, L., Thaver, I., Haq, I.U. and Iqbal, R. (1996) Risk factors associated with anaemia in children six months to five years of age residing in a squatter settlement of Karachi. Pakistan Journal of Medical Research, 35, 176-178.
 James, D.C. (2005) Diagnosis and management of irondeficiency anaemia. Best Practice & Research Clinical Haematology, 18, 319-332.
 Molla, A., Khurshid, M. and Molla, A.M. (1992) Prevalence of iron deficiency anaemia in children of the urban slums of Karachi. Journal of Pakistan Medical Association, 42, 118-121.
 Karim, S.A., Khurshid, M., Memon, A.M. and Jafarey, S.N. (1994) Anemia in pregnancy—Its cause in the under privileged class of Karachi. Journal of Pakistan Medical Association, 44, 90-91.
 Agha, F. and Khan, R.A. (1989) Ferritin level in professional blood donors. Journal of Pakistan Medical Association, 39, 124-126.
 Scholl, T.O. and Hediger, M.L. (1994) Anaemia and iron deficiency anaemia: Compilation of data on pregnancy outcome. American Journal of Clinical Nutrition, 59, 492S-501S.
 Beard, J.L. (1994) Iron deficiency: Assessment during pregnancy and its importance in pregnant adolescents. American Journal of Clinical Nutrition, 59, 502S-510S.
 Singh, K., Fong, Y.F. and Arulkumaran, S. (1998) The role of prophylactic iron supplementation in pregnancy. International Journal of Food Sciences and Nutrition, 49, 383-389.
 Scholl, T.O., Hediger, M.L., Fischer, R.L. and Shearer, J.W. (1992) Anaemia vs iron deficiency: Increased risk pre term delivery in a prospective study. American Journal of Clinical Nutrition, 55, 985-988.
 Celghorn, G. (1999) Iron deficiency and cognitive development. Medical Channel. In: Current trends in Gastroenterology and Nutrition, 6th Congress of the Asian Pan-Pac Soc of Paed GE & Nutrition, Singapore City.
 Puolakka, J., Janne, O., Pakarinen, A., Jarvinen, P.A. and Viko, R. (1980) Serum ferritin as a measure of iron stores during and after normal pregnancy with and without iron supplements. Acta Obstetricia et Gynecologica Scandinavica, 95, 43-51. doi:10.3109/00016348009156379
 Puolakka, J., Janne, O., Pakarinen, A. and Vikho, R. (1980) Serum ferritin in the diagnosis of anaemia during pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 95, 57-63. doi:10.3109/00016348009156381
 Kumar, P. and Clark, M. (1998) Hematological disease. 4th Edition, W.B. Saunders, Philadelphia, 353-414.
 Cotran, R.S., Kumar, V. and Collins, T. (1999) Red cells and bleeding disorders: Robbin’s pathological basis of disease. 6th Edition, W.B. Sauders, Philadelphia, 601-643.
 Wulfhekel, U. and Dullmann, J. (1990) The diagnostic value of bone marrow iron. Folia Haematologica, 117, 419-434.