Article Text


Chronic disease
SP1-74 The prevalence of iron deficiency anaemia and a comparison of the intake of iron among pregnant women with the dietary reference intakes for Japanese
  1. M Sawada1,2,
  2. Y Kobayashi1,
  3. Y Tanaka1,
  4. C Shigemura1,3,
  5. K Harada1,
  6. H Tamura4,
  7. H Tamura4,
  8. M Matsumoto5,
  9. H Asano6,
  10. N Hagiwara7,
  11. I Kitagawa8,
  12. J Ikeda9,
  13. Y Kido1,
  14. A Higashi1
  1. 1Graduate School of Life and Environmental Sciences, Kyoto Prefectural University, Kyoto, Japan
  2. 2Kyoto Patisserie Art College, Kyoto, Japan
  3. 3Kyoto College of Nutritional & Medical Sciences, Kyoto, Japan
  4. 4Tamura Ladies Clinic, Kameoka, Japan
  5. 5Department of Nutritional Management, University Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan
  6. 6School of Nursing, Kyoto Prefectural University of Medicine, Kyoto, Japan
  7. 7Faculty of Home Sciences and Welfare, Kyoto Notre Dame University, Kyoto, Japan
  8. 8Faculty of Human Life and Environment, Nara Women's University, Nara, Japan
  9. 9Kyoto Bunkyo Junior College, Uji, Japan


Introduction In order to determine the prevalence of anaemia and to explore the associations between iron status and intake in the process of pregnancy, we compared the dietary and total intake of iron with the Dietary Reference Intakes (DRIs) for Japanese in a population of pregnant women in the suburbs.

Methods A total of 109 pregnant women participated in the survey and were measured for blood haemoglobin (Hb). For 42 (mean age ±SD: 30.2±4.5) clinically normal pregnant women (Hb concentration >11 g/dl) in the first trimester of pregnancy, we used the dietary record methods for two consecutive weekdays and a weekend day with a handy camera, to examine dietary intake of iron in the second trimester. Dietary intake analysis was performed using Healthy Maker Pro 501 software, Mushroom-soft. Statistical analysis was performed with SPSS for Windows, Version 11.5. Blood haemoglobin, haematocrit, serum iron, and ferritin were measured at the third trimester.

Results At the first trimester, anaemia was diagnosed in 48.6% of the subjects (Hb <11.0 g/dl). At the second trimester, iron intake was lower than the estimated average requirement of DRIs (16.5 mg/day) in 93% of the subjects. The level of latent iron deficiency anaemia (Ferritin <12 ng/dl) was 88.1% and the anaemia (Hb <11.0 g/dl) was 52.4% at the third trimester.

Conclusion The results of our study support that the iron deficiency anaemia is a physiological adaptation for prevention of thrombosis during pregnancy.

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