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Published in: Nutrition Journal 1/2013

Open Access 01-12-2013 | Short report

Anemia in relation to body mass index and waist circumference among chinese women

Authors: Yu Qin, Alida Melse-Boonstra, Xiaoqun Pan, Baojun Yuan, Yue Dai, Jinkou Zhao, Michael B Zimmermann, Frans J Kok, Minghao Zhou, Zumin Shi

Published in: Nutrition Journal | Issue 1/2013

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Abstract

Background

This study aimed to investigate the relationship of anemia and body mass index among adult women in Jiangsu Province, China. Data were collected in a sub-national cross-sectional survey, and 1,537 women aged 20 years and above were included in the analyses. Subjects were classified by body mass index (BMI) categories as underweight, normal weight, overweight and obese according to the Chinese standard. Central obesity was defined as a waist circumference ≥ 80 cm. Anemia was defined as hemoglobin concentration < 12 g/dl. Prevalence ratios (PRs) of the relationship between anemia and BMI or waist circumference were calculated using Poisson regression.

Findings

Overall, 31.1% of the Chinese women were anemic. The prevalence of overweight, obesity and central obesity was 34.2%, 5.8% and 36.2%, respectively. The obese group had the highest concentrations of hemoglobin compared with other BMI groups. After adjustment for confounders, overweight and obese women had a lower PR for anemia (PR: 0.72, 95% CI: 0.62-0.89; PR: 0.59, 95% CI: 0.43-0.79). Central obesity was inversely associated with anemia.

Conclusion

In this Chinese population, women with overweight/obesity or central obesity were less likely to be anemic as compared to normal weight women. No measures are required currently to target anemia specifically for overweight and obese people in China.
Literature
1.
go back to reference World Health Organization: Iron deficiency anemia: assessment, prevention, and control. A guide for programme managers. 2001, Geneva: World Health Organization World Health Organization: Iron deficiency anemia: assessment, prevention, and control. A guide for programme managers. 2001, Geneva: World Health Organization
2.
go back to reference World Health Organization: Worldwide prevalence of anemia 1993–2005. WHO global database on Anemia. 2008, Geneva: World Health Organization World Health Organization: Worldwide prevalence of anemia 1993–2005. WHO global database on Anemia. 2008, Geneva: World Health Organization
3.
go back to reference Ma G, Jin Y, Li Y, Zhai F, Kok FJ, Jacobsen E, Yang X: Iron and zinc deficiencies in China: what is a feasible and cost-effective strategy?. Public Health Nutr. 2008, 11 (6): 632-638.CrossRefPubMed Ma G, Jin Y, Li Y, Zhai F, Kok FJ, Jacobsen E, Yang X: Iron and zinc deficiencies in China: what is a feasible and cost-effective strategy?. Public Health Nutr. 2008, 11 (6): 632-638.CrossRefPubMed
4.
go back to reference Ausk KJ, Ioannou GN: Is obesity associated with anemia of chronic disease? a population-based study. Obesity (Silver Spring). 2008, 16 (10): 2356-2361. 10.1038/oby.2008.353.CrossRef Ausk KJ, Ioannou GN: Is obesity associated with anemia of chronic disease? a population-based study. Obesity (Silver Spring). 2008, 16 (10): 2356-2361. 10.1038/oby.2008.353.CrossRef
5.
go back to reference Cepeda-Lopez AC, Osendarp SJ, Melse-Boonstra A, Aeberli I, Gonzalez-Salazar F, Feskens E, Villalpando S, Zimmermann MB: Sharply higher rates of iron deficiency in obese mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am J Clin Nutr. 2011, 93 (5): 975-983. 10.3945/ajcn.110.005439.CrossRefPubMed Cepeda-Lopez AC, Osendarp SJ, Melse-Boonstra A, Aeberli I, Gonzalez-Salazar F, Feskens E, Villalpando S, Zimmermann MB: Sharply higher rates of iron deficiency in obese mexican women and children are predicted by obesity-related inflammation rather than by differences in dietary iron intake. Am J Clin Nutr. 2011, 93 (5): 975-983. 10.3945/ajcn.110.005439.CrossRefPubMed
6.
go back to reference Eckhardt CL, Torheim LE, Monterrubio E, Barquera S, Ruel MT: The overlap of overweight and anaemia among women in three countries undergoing the nutrition transition. Eur J Clin Nutr. 2008, 62 (2): 238-246. 10.1038/sj.ejcn.1602727.CrossRefPubMed Eckhardt CL, Torheim LE, Monterrubio E, Barquera S, Ruel MT: The overlap of overweight and anaemia among women in three countries undergoing the nutrition transition. Eur J Clin Nutr. 2008, 62 (2): 238-246. 10.1038/sj.ejcn.1602727.CrossRefPubMed
7.
go back to reference Fanou-Fogny N, JS N, Koreissi Y, AMD R, Melse-Boonstra A, DB I: Weight status and iron deficiency among urban malian women of reproductive age. Br J Nutr. 2011, 105 (4): 574-579. 10.1017/S0007114510003776.CrossRefPubMed Fanou-Fogny N, JS N, Koreissi Y, AMD R, Melse-Boonstra A, DB I: Weight status and iron deficiency among urban malian women of reproductive age. Br J Nutr. 2011, 105 (4): 574-579. 10.1017/S0007114510003776.CrossRefPubMed
8.
go back to reference Gillum RF: Association of serum ferritin and indices of body fat distribution and obesity in Mexican American men–the third national health and nutrition examination survey. Int J Obes Relat Metab Disord. 2001, 25 (5): 639-645. 10.1038/sj.ijo.0801561.CrossRefPubMed Gillum RF: Association of serum ferritin and indices of body fat distribution and obesity in Mexican American men–the third national health and nutrition examination survey. Int J Obes Relat Metab Disord. 2001, 25 (5): 639-645. 10.1038/sj.ijo.0801561.CrossRefPubMed
9.
go back to reference Neymotin F, Sen U: Iron and obesity in females in the United States. Obesity (Silver Spring). 2011, 19 (1): 191-199. 10.1038/oby.2010.112.CrossRef Neymotin F, Sen U: Iron and obesity in females in the United States. Obesity (Silver Spring). 2011, 19 (1): 191-199. 10.1038/oby.2010.112.CrossRef
10.
go back to reference Karl JP, Lieberman HR, Cable SJ, Williams KW, Glickman EL, Young AJ, McClung JP: Poor iron status is not associated with overweight or overfat in non-obese pre-menopausal women. J Am Coll Nutr. 2009, 28 (1): 37-42.CrossRefPubMed Karl JP, Lieberman HR, Cable SJ, Williams KW, Glickman EL, Young AJ, McClung JP: Poor iron status is not associated with overweight or overfat in non-obese pre-menopausal women. J Am Coll Nutr. 2009, 28 (1): 37-42.CrossRefPubMed
11.
go back to reference Cheng PP, Jiao XY, Wang XH, Lin JH, Cai YM: Hepcidin expression in anemia of chronic disease and concomitant iron-deficiency anemia. Clin Exp Med. 2011, 11 (1): 33-42. 10.1007/s10238-010-0102-9.CrossRefPubMed Cheng PP, Jiao XY, Wang XH, Lin JH, Cai YM: Hepcidin expression in anemia of chronic disease and concomitant iron-deficiency anemia. Clin Exp Med. 2011, 11 (1): 33-42. 10.1007/s10238-010-0102-9.CrossRefPubMed
12.
go back to reference Wang Y, Mi J, Shan XY, Wang QJ, Ge KY: Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes. 2007, 31 (1): 177-188. 10.1038/sj.ijo.0803354.CrossRef Wang Y, Mi J, Shan XY, Wang QJ, Ge KY: Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes. 2007, 31 (1): 177-188. 10.1038/sj.ijo.0803354.CrossRef
13.
go back to reference Qin Y, Melse-Boonstra A, Shi Z, Pan X, Yuan B, Dai Y, Zhao J, Zimmermann MB, Kok FJ, Zhou M: Dietary intake of zinc in the population of Jiangsu Province, China. Asia Pac J Clin Nutr. 2009, 18 (2): 193-199.PubMed Qin Y, Melse-Boonstra A, Shi Z, Pan X, Yuan B, Dai Y, Zhao J, Zimmermann MB, Kok FJ, Zhou M: Dietary intake of zinc in the population of Jiangsu Province, China. Asia Pac J Clin Nutr. 2009, 18 (2): 193-199.PubMed
14.
go back to reference Yang Y, Wang G, Pan X: China Food Composition Table 2002. 2002, Beijing: Beijing Medical University Publishing House Yang Y, Wang G, Pan X: China Food Composition Table 2002. 2002, Beijing: Beijing Medical University Publishing House
15.
go back to reference Bei-Fan Z: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults: study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Asia Pac J Clin Nutr. 2002, 11 (Suppl 8): S685-S693.CrossRef Bei-Fan Z: Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults: study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Asia Pac J Clin Nutr. 2002, 11 (Suppl 8): S685-S693.CrossRef
16.
go back to reference Chinese Nutrition Association: Chinese Dietary Reference Intakes. 2001, Beijing: Chinese Light Industry Press Chinese Nutrition Association: Chinese Dietary Reference Intakes. 2001, Beijing: Chinese Light Industry Press
17.
go back to reference Czernichow S, Kengne AP, Stamatakis E, Hamer M, Batty GD: Body mass index, waist circumference and waist-hip ratio: which is the better discriminator of cardiovascular disease mortality risk? Evidence from an individual-participant meta-analysis of 82 864 participants from nine cohort studies. Obes Rev. 2011, 12 (9): 680-687.PubMedPubMedCentral Czernichow S, Kengne AP, Stamatakis E, Hamer M, Batty GD: Body mass index, waist circumference and waist-hip ratio: which is the better discriminator of cardiovascular disease mortality risk? Evidence from an individual-participant meta-analysis of 82 864 participants from nine cohort studies. Obes Rev. 2011, 12 (9): 680-687.PubMedPubMedCentral
Metadata
Title
Anemia in relation to body mass index and waist circumference among chinese women
Authors
Yu Qin
Alida Melse-Boonstra
Xiaoqun Pan
Baojun Yuan
Yue Dai
Jinkou Zhao
Michael B Zimmermann
Frans J Kok
Minghao Zhou
Zumin Shi
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2013
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-12-10

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