Universidad Peruana Cayetano Heredia

Ethnic differences in adverse iron status in early pregnancy: a cross-sectional population-based study

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dc.contributor.author Quezada-Pinedo, HG
dc.contributor.author Cassel, F
dc.contributor.author Muckenthaler, MU
dc.contributor.author Gassmann, M
dc.contributor.author Huicho Oriundo, Luis
dc.contributor.author Reiss, IK
dc.contributor.author Duijts, L
dc.contributor.author Gaillard, R
dc.contributor.author Vermeulen, MJ
dc.date.accessioned 2022-06-25T20:36:44Z
dc.date.available 2022-06-25T20:36:44Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11901
dc.description.abstract We studied ethnic differences in terms of iron status during pregnancy between Dutch women and other ethnicities and explore to what extent these differences can be explained by environmental factors. This cross-sectional population-based study (2002–2006) was embedded in the Generation R study and included a total of 4737 pregnant women from seven ethnic groups (Dutch, Turkish, Moroccan, Cape Verdean, Surinamese-Hindustani, Surinamese-Creole and Antillean). Ethnicity was defined according to the Dutch classification of ethnic background. Ferritin, iron and transferrin were measured in early pregnancy. The overall prevalence of iron deficiency was 7 %, ranging from 4 % in both Dutch and Surinamese-Creoles, to 18 % in Turkish, Moroccan and Surinamese-Hindustani women. Iron overload was most prevalent in Surinamese-Creole (11 %) and Dutch (9 %) women. Socioeconomic factors accounted for 5–36 % of the differences. Income was the strongest socioeconomic factor in the Cape Verdean and Surinamese-Hindustani groups and parity for the Turkish and Moroccan groups. Lifestyle determinants accounted for 8–14 % of the differences. In all groups, the strongest lifestyle factor was folic acid use, being associated with higher iron status. In conclusion, in our population, both iron deficiency and iron overload were common in early pregnancy. Our data suggest that ethnic differences in terms of socioeconomic and lifestyle factors only partly drive the large ethnic differences in iron status. Our data support the development of more specific prevention programmes based on further exploration of socioeconomic inequities, modifiable risk and genetic factors in specific ethnic subgroups, as well as the need for individual screening of iron status before supplementation. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartofseries Journal of Nutritional Science
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Ferritin en_US
dc.subject Haemoglobin en_US
dc.subject Iron-deficiency anaemia en_US
dc.subject Iron overload en_US
dc.title Ethnic differences in adverse iron status in early pregnancy: a cross-sectional population-based study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/jns.2022.35
dc.relation.issn 2048-6790


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