Prevalence of iron deficiency and health-related quality of life among female students.
ABSTRACT To investigate prevalence of iron deficiency and examine the relationship between iron status and Health-related Quality of Life among female students.
Data were collected from 543 female students, aged 17 to 38 years, attending University or secondary schools in Clermont-Ferrand (France) and its metropolitan area. Three groups were defined, according to the rate of serum ferritin: iron deficient (serum ferritin < 15 microg/L), iron depletion borderline (serum ferritin 15-20 microg/L), and iron replete (serum ferritin > 20 microg/L). Those 3 groups of menstruating female students were compared in terms of health-related quality of life using univariate analysis.
Health-related Quality of Life based on SF-36 questionnaire, and iron status measured by serum ferritin.
The prevalence of iron deficiency was 19.3%, the prevalence of borderline iron status was 11.4%. Regarding the SF-36 questionnaire, the only significant difference between iron deficient and iron replete female students concerned the dimension reflecting 'general health', which was significantly lower in iron deficient group (p = 0.015).
Iron deficiency seems to impair the perceived general health in female students. Further research should be conducted on this little known subject.
SourceAvailable from: Chantal Stheneur[Show abstract] [Hide abstract]
ABSTRACT: (1) To describe the frequency of somatic pathologies and depression among former anorexia nervosa (AN) patients; (2) to study links with subjects' clinical history and global outcomes. 97 women hospitalised for AN during adolescence, 9.00 ± 1.92 years previously, were interviewed using structured questionnaires concerning somatic and psychiatric disorders that they had experienced. Iron deficiency, migraine, cystitis, upper digestive system disorders, fractures, osteoporosis, and dental problems were reported with a frequency >20 %. Depression was reported by 2/3 of the sample. Osteoporosis was 14 times more frequent in case of vitamin D deficiency. Fractures were three times more frequent in presence of osteoporosis and less frequent when the overall outcome was better. Among women who had AN in adolescence, somatic comorbidities are frequent in adulthood. They are linked to the severity and the duration of AN, and to the overall outcome of the subject.Eating and weight disorders: EWD 06/2013; 18(2):175-82. DOI:10.1007/s40519-013-0030-2 · 0.68 Impact Factor
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ABSTRACT: The purpose of this study was to assess the health-related quality of life (HRQoL) in a sample of Croatian university students and to determine its association with sociodemographic and lifestyle characteristics. The study was conducted on a random sample of 1750 students in Zagreb, Croatia. We used the 12-item Short-Form Health Survey (SF-12v2) and separate questions on sex, age, body mass index (BMI), settlement size, disposable income, cigarette consumption, alcohol consumption, and exercise frequency. The HRQoL scale on which Croatian students scored the highest was Physical Functioning. High mean scores were also found for other physical health measures, while the scores in mental health scales were somewhat lower. Male students scored significantly higher than females on all SF-12 scales (p < 0.05). The regression analysis showed that Physical Component Summary score (PCS) is negatively related to BMI (partial r = −0.09) and cigarette consumption (partial r = −0.06), and positively related to alcohol consumption and exercise frequency (partial r = 0.08, for both), while Mental Component Summary score (MSC) is positively related to BMI (partial r = 0.07) and exercise frequency (partial r = 0.10). Although HRQoL-scores for the Croatian students were higher than in the general population of Croatia and student populations in several other countries, there is still room for improvement, especially in the mental health aspect. In general, HRQoL was found to be significantly lower among females and smokers, but positively related with exercise frequency. In order to improve students’ HRQoL, university authorities should consider initiating health-promotion programs with emphasis on females, smokers and non-exercisers.Applied Research in Quality of Life 11/2012; 8(4). DOI:10.1007/s11482-012-9203-9 · 0.74 Impact Factor
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ABSTRACT: Objective. To assess the impact of anemia and iron deficiency on health-related quality of life (HRQoL) in women treated for heavy menstrual bleeding (HMB). Design. Secondary analysis of a randomized controlled trial. Setting. Five university hospitals in Finland. Sample. A total of 236 women referred for HMB. Methods. Women were randomized to treatment with hysterectomy or a levonorgestrel-releasing intrauterine system. We defined groups based on women's pretreatment hemoglobin [hemoglobin <120 g/L (anemic) vs. hemoglobin >= 120 g/L (nonanemic)] and serum ferritin (ferritin <15 mu g/L vs. >= 15 mu g/L) concentrations. HRQoL was compared between groups at baseline, 6 and 12 months after treatment. Hemoglobin and ferritin were followed for 5 years. Main outcome measures. HRQoL was measured by the RAND 36-item health survey (RAND-36), 5-Dimensional EuroQol and two questionnaires of mental wellbeing. Results. At baseline, 63 women (27%) were anemic and 140 (60%) were severely iron deficient (ferritin <15 mu g/L). Only 8% of the anemic women had taken iron supplementation. Twelve months after treatment hemoglobin had increased in both hemoglobin groups, but was still significantly lower (p < 0.001) in initially anemic women (128 g/L) compared with nonanemic women (136 g/L). Twelve months after treatment three domain scores of RAND-36 increased more (energy, p = 0.002; physical functioning, p = 0.04; social functioning, p = 0.05), and anxiety (p = 0.02) and depression scores (p = 0.002) decreased more in anemic compared with nonanemic women. Serum ferritin took 5 years to reach normal levels. Conclusions. Improved HRQoL after treatment of HMB is associated with correction of anemia. Clinicians should actively screen for anemia in women with HMB and emphasize early iron substitution as an integral part of treatment.Acta Obstetricia Et Gynecologica Scandinavica 06/2014; 93(7). DOI:10.1111/aogs.12394 · 1.99 Impact Factor