Iron status in pregnant women in the Republic of Seychelles.

Abstract:

OBJECTIVE:To establish the Fe status of pregnant women and their neonates in the Republic of Seychelles. DESIGN:A prospective study. SETTING:Republic of Seychelles. SUBJECTS:Pregnant women were recruited and blood samples taken at enrolment and post-delivery along with cord blood samples. Ferritin and soluble transferrin receptor (sTfR) were measured in maternal (n 220) and cord blood (n 123) samples. RESULTS:Maternal Fe deficiency (ferritin < 15 ng/ml, sTfR > 28 nmol/l) was present in 6 % of subjects at enrolment and in 20 % at delivery. There was no significant decrease in maternal ferritin. A significant increase in sTfR was observed between enrolment and delivery (P < 0.001). Maternal BMI and use of Fe supplements at 28 weeks' gestation were associated with improved maternal Fe status at delivery, whereas parity had a negative effect on sTfR and ferritin at delivery. CONCLUSIONS:Fe status of pregnant Seychellois women was, on average, within normal ranges. The incidence of Fe deficiency throughout pregnancy in this population was similar to that in a Westernised population. Increased awareness of the importance of adequate Fe intake during pregnancy, particularly in multiparous women, is warranted.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Duffy EM,Bonham MP,Wallace JM,Chang CK,Robson PJ,Myers GJ,Davidson PW,Clarkson TW,Shamlaye CF,Strain JJ

doi

10.1017/S1368980009991054

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

331-7

issue

3

eissn

1368-9800

issn

1475-2727

pii

S1368980009991054

journal_volume

13

pub_type

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