An Analytical Study on Anemia in Rural Population
DOI:
https://doi.org/10.48165/17fety08Keywords:
Anemia, Hemoglobin, Iron deficiency, Leukemia, Bleeding disordersAbstract
Background: Anemia is one of the common Hematological disorders in India and worldwide. It affects all the age groups both in Males and Females. Moderate to Severe Anemia causes increased morbidity and mortality in elderly patients (AWHO expert group) - According to Worlds Health Organization, Anemia is a define when adults males are having Hemoglobin less than 13.5gr% when adults females non-pregnant less than 12 gr% and when pregnant females are having less than 11 ger%. The incidence of Anemia is very high in old age people who are more than 75 years of age. It ranges from 9% to 41%. In India Anemia is commonly due to nutrition, pregnancy, Hookworm infestation, DUB in the case of females, and Malignancy. The prevalence of anemia in the elderly has been found to range from 9% to 42% with the highest prevalence in 80 years and above. The common causes of anemia in India are Nutritional, Pregnancy, Hookworm infestation, and DUB in the case of Females and Malignancy. The common symptom is General weakness, Fatigue, Lack of concentration, Shortness of Breath, and Palpitations. A WHO expert group proposed that anemia should be considered when hemoglobin level below 13.5gr& in adult males; 12gr% in adults females non-pregnant; 11 gr% in adult female pregnant; 12gr% in children over 14yrs(1). The aim is to evaluate the etiology and clinical features of anemia in adults in rural medical colleges. Subjects & Methods: This study is conducted at GEMS Medical College, Srikakulam, A.P for the period of 1 year from April 2018 to March 2019. This study includes 120 patients with Anemia. The age group is between 20 years and 70 years. Males were 56 and females were 64. Results: We have conducted this study at GEMS Medical College, Srikakulam for 1 year, from April 2019 to March 2019 total no. of patients included in this study are 120 males 56 and females 64. The age group is between 20 years and 70 years. The maximum patients are in between 30 years and 70 years in both sexes. Conclusion: Anemia is a common medical problem in developing countries. In a rural part of India, the disorders will complicate the pregnancy also. So periodical examination and education of the people can decrease morbidity and mortality. In our area still, the common cause is nutritional.
References
1. Chaparro CM, Suchdev PS. Anemia epidemiology, pathophys iology, and etiology in low- and middle-income countries. Ann N Y Acad Sci. 2019;1450(1):15–31. Available from: https: //dx.doi.org/10.1111/nyas.14092.
2. Shavelle RM, MacKenzie R, Paculdo DR. Anemia and mortality in older persons: does the type of anemia affect survival? Int J Hematol. 2012;95(3):248–256. Available from: https://dx.doi.org/10.1007/s12185-012-1007-z.
3. Aslinia F, Mazza JJ, Yale SH. Megaloblastic Anemia and Other Causes of Macrocytosis. Clin Med Res. 2006;4(3):236–241. Available from: https://dx.doi.org/10.3121/cmr.4.3.236.
4. Fisher JW, Koury S, Ducey T, Mendel S. Erythropoietin production by interstitial cells of hypoxic monkey kidneys. Br J Haematol. 1996;95(1):27–32. Available from: https://dx.doi. org/10.1046/j.1365-2141.1996.d01-1864.x.
5. Molloy AM, Kirke PN, Brody LC, Scott JM, Mills JL. Effects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant, and child development. Food Nutr Bull. 2008;29(2 Suppl):S101–11. Available from: https://dx.doi.org/10.1177/ 15648265080292S114.
6. Maamar M, Tazi-Mezalek Z, Harmouche H, Ammouri W, Zahlane M, Adnaoui M, et al. Neurological manifestations of vitamin B12 deficiency: a retrospective study of 26 cases. Rev Med Interne. 2006;27(6):442–7. Available from: https: //dx.doi.org/10.1016/j.revmed.2006.01.012.
7. Linder MC. Mobilization of Stored Iron in Mammals: A Review. Nutrients. 2013;5(10):4022–4050. Available from: https://dx.doi.org/10.3390/nu5104022.
8. Manning JM. Normal and abnormal protein submit interaction in hemoglobin. J Biol Chem. 1998;273(31):19359–62–19352. Available from: https://doi.org/10.1074/jbc.273.31.19359.
9. Johnson-Wimbley TD, Graham DY. Diagnosis and manage ment of iron deficiency anemia in the 21st century. Therap Adv Gastroenterol. 2011;4(3):177–184. Available from: https: //dx.doi.org/10.1177/1756283X11398736.
10. Patel KV. Epidemiology of Anemia in Older Adults. Semin Hematol. 2008;45(4):210–217. Available from: https://dx.doi. org/10.1053/j.seminhematol.2008.06.006.
11. Tettalante M, Luca V. Gandini F prevalence, incidence, and types of Mild Anemia in the elderly. The Health and Anemia “Population-based study. vol. 95; 2010. Available from: https: //doi.org/10.3324/haematol.2010.023101.
12. Nguyen PH, Scott S, Avula R, Tran LM, Menon P. Trends and drivers of change in the prevalence of anaemia among 1 million women and children in India, 2006 to 2016. BMJ Glob Health. 2018;3(5):e001010. Available from: https://dx.doi.org/ 10.1136/bmjgh-2018-001010.
13. Narayanan M, Reddy KM, Marsicano E. Peptic Ulcer Disease and Helicobacter pylori infection. Mo Med. 2018;115(3):219– 224.
14. Boone S, Powers JM, Goodgame B, Peacock WF. Identification and Management of Iron Deficiency Anemia in the Emergency Department. J Emerg Med. 2019;57(5):637–645. Available from: https://dx.doi.org/10.1016/j.jemermed.2019.08.052.
15. Nagao T, Hirokawa M. Diagnosis and treatment of macrocytic anemias in adults. J Gen Fam Med. 2017;18(5):200–204. Available from: https://dx.doi.org/10.1002/jgf2.31.
16. Dignass A, Farrag K, Stein J. Limitations of Serum Ferritin in Diagnosing Iron Deficiency in Inflammatory Conditions. Int J Chronic Dis. 2018;2018:9394060. Available from: https: //dx.doi.org/10.1155/2018/9394060.
17. Milman N. Anemia - still a Major health problem in many parts of the world. Ann Hematol. 2011;90(4):369–377. Available from: https://doi.org/10.1007/s00277-010-1144-5.
18. Melman N Anemia – still a major health problem in many parts of the world. Ann Hematol. 2011;90:369–369.
19. Gardner RV. Sickle Cell Disease: Advances in Treatment. Ochsner J. 2018;18(4):377–389. Available from: https://dx.doi. org/10.31486/toj.18.0076.
20. O’Leary F, Samman S. Vitamin B12 in Health and Disease. Nutrients. 2010;2(3):299–316. Available from: https://dx.doi. org/10.3390/nu2030299.
21. Haidar J. Prevalence of Anaemia, Deficiencies of Iron and Folic Acid and Their Determinants in Ethiopian Women. J Health Popul Nutr. 2010;28(4):359–368. Available from: https: //dx.doi.org/10.3329/jhpn.v28i4.6042.