Prevalence of iron deficiency states and risk of haemoconcentration during pregnancy according to initial iron stores and iron supplementation.


OBJECTIVE:To describe the prevalence of iron depletion (ID), iron-deficiency anaemia (IDA) and risk of haemoconcentration during pregnancy and at delivery and to assess the influence of initial Fe stores and Fe supplementation on that prevalence. DESIGN:Longitudinal study. SETTING:Hospital Universitari Sant Joan de Reus (Catalonia, Spain). SUBJECTS:Two hundred and eighty-five pregnant women. Serum ferritin and Hb were measured in the first, second and third trimesters and at delivery. Women were classified according to initial Fe stores as ID or no ID (serum ferritin $12mg/l) and according to Fe supplement use as supplemented or nonsupplemented. RESULTS:Initial ID was 16.2%. At delivery, 45.7% had ID, 13.5% IDA and 13.3% had risk of haemoconcentration. Initial ID and non-supplemented groups had significantly higher prevalences of ID and IDA and lower risk of haemoconcentration at delivery than the other groups. In the multiple logistic models, no initial ID and Fe supplementation exerted a protective effect against ID at delivery (adjusted OR50.28; 95% CI 0.13, 0.58 and adjusted OR50.39; 95% CI 0.22, 0.69, respectively). Moderate Fe supplementation did not seem to clearly prevent IDA (adjusted OR50.91; 95% CI 0.42, 1.96) or to enhance the haemoconcentration (adjusted OR51.42; 95% CI 0.58, 3.50). CONCLUSIONS:The prevalence of ID and IDA was high in late pregnancy in healthy pregnant women, particularly in those with initial ID and/or those not taking supplements. Starting pregnancy with no ID and/or taking moderate Fe supplementation decreased the likelihood of ID at delivery. The risk of haemoconcentration was high at delivery, but did not seem to be promoted by Fe supplementation. Further research is necessary to determine the most appropriate nutritional advice for pregnant women.


Public Health Nutr


Public health nutrition


Arija V,Ribot B,Aranda N




Has Abstract


2013-08-01 00:00:00














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    abstract:OBJECTIVES:To investigate nutritional status and related living conditions among drug addicts in Oslo. DESIGN:A cross-sectional study of nutritional status evaluated by anthropometric and biochemical measurements; a structured interview concerning education, living conditions, income source, drug history and sex pract...

    journal_title:Public health nutrition

    pub_type: 杂志文章


    authors: Saeland M,Haugen M,Eriksen FL,Smehaugen A,Wandel M,Böhmer T,Oshaug A

    更新日期:2009-05-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2015-06-01 00:00:00

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    abstract::Public health nutrition sits at the nexus of a global crisis in food, environmental and health systems that has generated - along with numerous other problems - an urgent and changing problem of food insecurity. The 'new' food insecurity, however, is different from the old: it is bimodal, encompassing issues of both u...

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    authors: Ashe LM,Sonnino R

    更新日期:2013-06-01 00:00:00

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    authors: Vieira DA,Steluti J,Verly E Jr,Marchioni DM,Fisberg RM

    更新日期:2017-02-01 00:00:00

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    authors: De Meester F,De Bourdeaudhuij I,Deforche B,Ottevaere C,Cardon G

    更新日期:2011-12-01 00:00:00

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    pub_type: 杂志文章,评审


    authors: Fernández-Quintela A,Churruca I,Portillo MP

    更新日期:2007-10-01 00:00:00

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    pub_type: 杂志文章


    authors: Whati L,Senekal M,Steyn NP,Lombard C,Nel J

    更新日期:2009-10-01 00:00:00

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    更新日期:2020-08-05 00:00:00

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    authors: Barker ME,Hardy-Johnson P,Weller S,Haileamalak A,Jarju L,Jesson J,Krishnaveni GV,Kumaran K,Leroy V,Moore SE,Norris SA,Patil S,Sahariah SA,Ward K,Yajnik CS,Fall C,TALENT collaboration.

    更新日期:2020-10-28 00:00:00

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    pub_type: 杂志文章


    authors: Zerafati Shoae N,Omidvar N,Ghazi-Tabatabaie M,Houshiar Rad A,Fallah H,Mehrabi Y

    更新日期:2007-08-01 00:00:00

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    pub_type: 临床试验,杂志文章


    authors: Booth AO,Nowson CA,Huang N,Lombard C,Singleton KL

    更新日期:2006-12-01 00:00:00

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    更新日期:2017-02-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验


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    pub_type: 杂志文章,多中心研究


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    更新日期:2014-09-01 00:00:00

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    更新日期:2020-11-01 00:00:00

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    更新日期:2014-07-01 00:00:00

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    更新日期:2014-08-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2015-08-01 00:00:00

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    更新日期:2020-07-17 00:00:00

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    更新日期:2010-10-01 00:00:00

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    更新日期:2017-12-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2008-02-01 00:00:00

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    更新日期:2019-03-01 00:00:00