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Screening for Anemia and Iron Deficiency in the Adult Portuguese Population

2020Artigo científico Acesso aberto
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dc.contributor.authorRobalo Nunes, António
dc.contributor.authorMairos, João
dc.contributor.authorBrilhante, Dialina
dc.contributor.authorMarques, Filipa
dc.contributor.authorBelo, Aurora
dc.contributor.authorCortez, José
dc.contributor.authorFonseca, Cândida
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblJohn Wiley and Sons Ltd
dc.date.accessioned2020-09-09T02:37:26Z
dc.date.available2020-09-09T02:37:26Z
dc.date.issued2020
dc.description.abstractAnemia and iron deficiency (ID) can impair quality of life and socioeconomic development. We evaluated the prevalence of anemia and ID in the adult Portuguese population in real-life contexts by gender, age, and pregnancy status. We performed a cross-sectional screening in adult individuals in mainland Portugal from 2013 to 2017. Participants completed a survey about demographics and signs or symptoms compatible with anemia, and ID and hemoglobin and ferritin concentrations were determined by point-of-care tests. We estimated and compared prevalence ratios (PR) of anemia and ID using Poisson regression with robust variance and the Wald chi-square test. We collected data from 11,030 individuals (26% men, 64% nonpregnant women, and 10% pregnant women). We found anemia in 51.8% (95% CI 50.1-53.4%) of nonpregnant women in fertile age, 46.6% (95% CI 44.7-48.6%) of nonpregnant women >51 years, 38.2% (95% CI 35.4-41.1%) of pregnant women, and 33.3% (95% CI 31.6-35.1%) of men. The prevalence of ID was 72.9% (95% CI 71.4-74.4%) in nonpregnant women in fertile age, 50.5% (95% CI 48.5-52.4%) in nonpregnant women >51 years, 94.8% (95% CI 93.3-96.0%) in pregnant women, and 28.9% (95% CI 27.3-30.6%) in men. We found significant associations between the prevalence of anemia or ID and nonpregnant women (PR: 1.50, 95% CI 1.42-1.59 or PR: 2.21, 95% CI 2.09-2.35, respectively), manifestation of signs or symptoms (PR: 1.19, 95% CI 1.53-1.23 or PR: 1.22, 95% CI 1.18-1.26), pregnant women (PR: 0.74, 95% CI 0.68-0.80 or PR: 1.30, 95% CI 1.27-1.33), and nonpregnant women ≤51 years (PR: 1.11, 95% CI 1.06-1.17 or PR: 1.42, 95% CI 1.36-1.48). In conclusion, anemia and ID represent moderate to severe public health problems, particularly among women in fertile age and in 3rd trimester, of pregnancy emphasizing the need to raise the public and health professionals' awareness of these problems and their prevention, diagnosis, and treatment.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1303967
dc.identifier.doi10.1155/2020/1048283
dc.identifier.issn2090-1267
dc.identifier.otherPURE: 19741556
dc.identifier.otherPURE UUID: d6b0bd84-ed5c-4d39-b8f9-74baa179a093
dc.identifier.otherScopus: 85089535026
dc.identifier.otherPubMed: 32802501
dc.identifier.otherWOS: 000561833300001
dc.identifier.urihttp://hdl.handle.net/10362/103790
dc.identifier.urlhttps://www.scopus.com/pages/publications/85089535026
dc.language.isoeng
dc.peerreviewedyes
dc.subjectHematology
dc.subjectCell Biology
dc.subjectSDG 3 - Good Health and Well-being
dc.titleScreening for Anemia and Iron Deficiency in the Adult Portuguese Populationen
dc.typejournal article
degois.publication.titleAnemia
degois.publication.volume2020
dspace.entity.typePublication
rcaap.rightsopenAccess

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