Association between Hemoglobin Levels and Dietary Iron Consumption among Pregnant Women in Bangladesh: A Cross-Sectional Study

Md. Waly Ullah

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Sazin Islam *

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Din Islam

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Moniruzzaman Roky

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Mehedi Hasan

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Sharmin Akter

Central Medical College, Cumilla-3500, Bangladesh.

Md. Zahidul Islam

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Shariful Islam

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

*Author to whom correspondence should be addressed.


Abstract

Background: It is thought that anemia ranks as the second most common primary cause of disability worldwide. An estimated 2 billion people worldwide are anemic, and iron deficiency in the diet is thought to be the root cause of 50% of cases, according to the WHO. This study looked at the relationship between pregnant women's hemoglobin levels and dietary iron intake.

Methods: It was a cross-sectional research carried out in Bangladesh's Chuadanga district. Participants in the research were females who tested positive for pregnancy, had their pregnancy confirmed by a mother child health card, and were registered at an antenatal clinic. It comprised 197 expectant women between the ages of 15 and 49 who were willing to voluntarily participate in the research and who regularly visited their prenatal clinic. To analyze nutritional consumption, a 24-hour recall was performed. Microsoft Excel was used to clean, modify, code, and validate the data for accuracy. Using Nutri-survey 2017 statistical software, the 24-hour recall data analysis was done to look for critical nutrient intake. Additionally, the fingertip's side was used to draw the blood sample since it allowed for the greatest blood flow and least discomfort. The link between the two variables was then examined using inferential statistics, and significance was acknowledged at a P-value of less than 0.05.

Results: The Pearson correlation findings showed a slight positive correlation (r=0.1036, 95% CI (0.002-0.20), p=0.04, r2=0.014) between maternal dietary iron consumption levels and hemoglobin levels for expectant women, with the iron levels explaining 1% of the variance in maternal iron concentration.

Conclusion: It is commonly accepted that maternal age and increased parity both contribute to anaemia during pregnancy. Older women are anticipated to be multigravida in addition to the overall body frailty associated with prolonged maternal age. This is due to the possibility that multigravida may cause anemia by lowering maternal iron stores throughout each pregnancy and resulting in blood loss during each birth.

Keywords: Dietary iron consumption, hemoglobin levels, Bangladesh


How to Cite

Ullah, M. W., Islam, S., Islam, D., Roky, M. M., Hasan, M. M., Akter, S., Islam, M. Z., & Islam, M. S. (2022). Association between Hemoglobin Levels and Dietary Iron Consumption among Pregnant Women in Bangladesh: A Cross-Sectional Study. Asian Research Journal of Gynaecology and Obstetrics, 5(1), 268–272. Retrieved from https://journalarjgo.com/index.php/ARJGO/article/view/155


References

World Health Organisation. The Global Prevalence of Anaemia in 2011. WHO Report. 2011;48.

Available:https://doi.org/10.1017/S1368980008002401

Tyagi N, Kaushik A, Khatri A, Ranga S. Prevalence of Type and Severity of Anemia in Antenatal Cases in a Tertiary Care Hospital in North India. 2016;0–4.

Breymann C. Iron deficiency anaemia in pregnancy. Expert Rev. Obstet. Gynecol. 2013;8(6):587–596.

Available:https://doi.org/10.1586/17474108.2013.842683

Addis Alene K, Mohamed Dohe A. Prevalence of Anemia and Associated Factors among Pregnant Women in an Urban Area of Eastern Ethiopia. Anaemia. 2014a;2014 (May 2013):561567.

Available: https://doi.org/10.1155/2014/561567

Kumar R, Cs S. Iron Deficiency Anemia: a burden for World Health. 2014;1(1):32–38.

Mekonnen FA, Ambaw YA, Neri GT. Socio-economic determinants of anaemia in pregnancy in North Shoa Zone, Ethiopia. 2018;1–9.

World Health Organisation. Global Nutrition targets 2015 Anaemia Policy Brief. Global Nutrition Targets 2025, 2(WHO/NMH/NHD/14.4). 2014;8.

Available:https://doi.org/WHO/NMH/NHD/14.4

Presidency THE, Devolution MOF. National Drought Early Warning Bulletin (January); 2017.

Brady R, Suksiri S, Tan S, Dodds J, Aine D. (Current Health and Environmental status of the Maasai People in Sub-Saharan Africa. California Polytechnic Honors Undergraduate Research Journal. 2008;1(1):17–32.

Lindsay KL, Gibney ER, Mcauliffe FM. Maternal nutrition among women from Sub-Saharan Africa, with a focus on Nigeria , and potential implications for pregnancy outcomes among immigrant Populations in Developed Countries; 2012.

Available: https://doi.org/10.1111/j.1365-277X.2012.01253.x

Abrehet Abriha MEY, MMW. Prevalence and associated factors of anaemia among pregnant women of Mekelle town : A cross-sectional study Prevalence and associated factors of anaemia among pregnant women of Mekelle town : a cross-sectional study. BMC Research Notes. 2015;7(888): 1–6.

Available: https://doi.org/10.1186/1756-0500-7-888

Alemayehu A, Gedefaw L, Yemane T, Asres Y. Prevalence, Severity, and Determinant Factors of Anemia among Pregnant Women in South Sudanese Refugees, Pugnido, Western Ethiopia. Anaemia; 2016.

Available:https://doi.org/10.1155/2016/9817358

Soto R, Guilloty N, Anzalota L, Rosario Z, Campus MS. a Hispanic Population. 2017;65(2):86–96.