Iron status and iron deficiency anaemia in adolescents in a Tanzanian suburban area
Massawe, S.N.; Ronquist, G.; Nyström, L.; Lindmark, G.
Gynecologic and Obstetric Investigation 54(3): 137-144
2002
ISSN/ISBN: 0378-7346 PMID: 12571434 DOI: 10.1159/000067879Document Number: 245862
To assess the extent and degree of anaemia in adolescents in a Tanzanian suburban area, to estimate the contribution of iron deficiency, using serum (S)-ferritin and soluble transferrin receptor (sTfR) as markers of iron deficiency. Consecutive primigravidae at booking for antenatal care (n = 76), primary school boys (n = 101) and postmenarchal girls (n = 130) age >or=12 years were investigated. Weight and height were measured; venous blood was drawn for haematological analyses, malaria screening, S-ferritin, sTfR, and C-reactive protein. Stool specimens were analysed for intestinal parasites. Anaemia (Hb <105 g/l) was highly prevalent in adolescent primigravidae (75.5%). Adolescent girls were more anaemic (Hb <120 g/l) than boys (14.5 vs. 7.9%). Iron deficiency and hookworm infestation were predominant in both groups of adolescents, however, malaria contributed more to anaemia in the primigravidae. Nearly 40% of the anaemic primigravidae had indication of infection, and S-ferritin was less useful as a marker of iron deficiency in this group. sTfR identified iron deficiency in both pregnant and non-pregnant adolescents.