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Iron status of South African women working in a fruit-packing factory

Bibliographic Data

ID15093789
AuthorsP Wolmarans (South African Medical Research Council, corresponding author), MA Dhansay (South African Medical Research Council), EPG Mansvelt (Stellenbosch University), JA Laubscher, J A Laubscher (South African Medical Research Council), AJS Benadé (South African Medical Research Council)
Year2003
Volume6
Issue5
Pages439-445
Publication date2003-08-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2003460
PMID12943559
OpenAlexW1991952409
LanguageEN
Citations received4
References cited9

Objective: The aim of this study was to determine the iron status, and the risk factors for iron deficiency (ID) and iron-deficiency anaemia (IDA), of non-pregnant adult women working in a fruit-packing factory. Design: A cross-sectional analytical study was done on 338 women, 18 to 55 years of age. Information on demographic data, risk factors for ID, smoking, and the consumption of red meat, chicken and fish was collected by questionnaire. Height and weight were measured and the body mass index (BMI) calculated. A non-fasting venous blood sample was analysed for haemoglobin (Hb), serum ferritin (SF), serum iron, serum transferrin and C-reactive protein; transferrin saturation (TFS) was calculated. Setting: Fruit-packing factory in the Western Cape, South Africa. Results: The mean value for Hb was 13.06 (standard deviation (SD) 1.16) g dl −1 and for SF 48.0 (SD 47.8) μgl −1 (geometric mean 26.44 μgl −1 ). Women ( n = 325) were categorised on the basis of iron status: 60% had a normal iron status (NIS); 12.6% had low TFS ( −1 ) and SF (≥12 μgl −1 ) concentrations (LTS); and 27.4% had low iron status (LIS), defined as combinations of low SF ( −1 or −1 ), low TFS ( −1 ). More than 30% of the women were obese (BMI ≥ 30 kgm −2 ). The risk ratio for LIS (LIS vs. NIS) was 3.8 (95% confidence interval (CI) 1.9–7.6) if women were still menstruating or 3.2 (95% CI 1.6–6.2) if they were pregnant during the past 12 months. Women with LIS consumed significantly smaller portions of red meat, chicken and fish than did women in the other two groups. Conclusions: IDA (low Hb, SF and TFS) and ID (low SF and TFS) did not seem to be a major problem. Women who were still menstruating or were pregnant during the past 12 months were at greater risk for ID. The consumption of smaller portions of red meat, chicken and fish was related to LIS. A high prevalence of obesity, which demonstrated the coexistence of both under- and overnutrition, was observed

Anemia · Animal science · Biology · Body mass index · Confidence interval · Cross-sectional study · Ferritin · Iron deficiency · Iron status · Serum ferritin · Serum iron · Transferrin · Transferrin saturation · Body Composition Measurement Techniques · Iron Metabolism and Disorders · Medicine · Nutrition and Health in Aging · Internal Medicine

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Citations per year0.19
Citation span2005 - 2021 (17)
Highly citedNo

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