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Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba

Received: 4 April 2022    Accepted: 27 April 2022    Published: 9 June 2022
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Abstract

Anemia, an unresolved health problem in Cuba, has been attributed to iron (Fe) deficiency. There is little information regarding the relationship between anemia, zinc (Zn) deficiency and the effect of inflammation on Fe and Zn deficiencies. It is intended to identify hematological manifestations of anemia, iron and zinc deficiency and its relationship with inflammation in women of reproductive age (WRA) from different provinces of Cuba. An exploratory cross-sectional study was carried out from 2016 to 2018. 654 apparently healthy women aged 18 to 40 years were selected from different provinces of Cuba through multistage cluster sampling. The following were measured: hemoglobin (Hb), ferritin, C-reactive proteins (CRP), alpha glycoprotein (AGP), serum Zn. Ferritin concentrations were adjusted for inflammation using Thurnham's correction factors. International cut-off points were used. The median age was 28 years. Of the women, 18.3% (116/633) had anemia and 18.3% (21/115) of them had Fe deficiency. Adjusting ferritin concentrations for inflammation, the proportion of anemic women with Fe deficiency increased to 22.6% (26/115), and Fe deficiency in the total sample varied from 7.5% (48/639) to 10.0%. (62/639). Serum Zn deficiency was high, 35.7% (234/654), 25.0% of women with Zn deficiency had anemia, with or without inflammation. 42.7% (273/641) women had inflammation. The results suggest an apparent association between anemia and Zn deficiency, a nutritional disorder little studied in Cuba. There is high concordance between the unadjusted and adjusted ferritin concentrations values for inflammation.

Published in Biomedical Sciences (Volume 8, Issue 2)
DOI 10.11648/j.bs.20220802.13
Page(s) 63-67
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anemia, Zinc Deficiency, Women, Ferritin, Cuba

References
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[2] Raiten DJ, Sakr Ashour FA, Ross C, Meydani SN, Dawson HD, Stephensen CB et al. (2015). Inflammation and Nutritional Science for Programs/Policies and Interpretation of Research Evidence (INSPIRE). The Journal of Nutrition, 145 (5), 1039S–1108S. doi: 10.3945/jn.114.194571.
[3] Greffeuille V, Fortin S, Gibson R, Rohner F, Williams A, Young MF, et al. (2021). Associations between Zinc and Hemoglobin Concentrations in Preschool Children and Women of Reproductive Age: An Analysis of Representative Survey Data from the Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project. The Journal of Nutrition, 151 (5), 1277–1285. doi: 10.1093/jn/nxaa444.
[4] International Zinc Nutrition Consultative Group (IZiNCG). (2004). Assessment of the Risk of Zinc Deficiency in Populations and Options for Its Control. Technical Document # 1. Food Nutrition Bulletin, 25 (1 Suppl 2), S99-S203.
[5] Hess SY. (2017). National Risk of Zinc Deficiency as Estimated by National Surveys. Food and Nutrition Bulletin, 38 (1), 3-17. doi: 10.1177/0379572116689000.
[6] Pita Rodríguez GM, BasabeTuero B, Díaz Sánchez ME, Gómez Álvarez AM, Campos Hernández D, ArochaOriol C, et al. (2017). Anaemia and Iron Deficiency Related to Inflammation, Helicobacter pylori Infection and Adiposity in Reproductive-age Cuban Women. Medicc Review, 19 (2–3), 10-17. doi: 10.37757/MR2017.V19.N2-3.3.
[7] Wirth JP, Woodruff BA, Engle-Stone R, Namaste S ML, Temple VJ, Petry N et al. (2017). Predictors of anemia in women of reproductive age: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project. The American Journal of Clinical Nutrition, 106 (Suppl 1), 416S–427S. doi: 10.3945/ajcn.116.143073.
[8] McDonald CM, Suchdev PS, Krebs NF, Y Hess S, Wessells KR, Ismaily S et al. (2020). Adjusting plasma or serum zinc concentrations for inflammation: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project. The American Journalof Clinical Nutrition, 111 (4): s927–937. doi: 10.1093/ajcn/nqz304.
[9] Thurnham DI, McCabe LD, Haldar S, Wieringa FT, Northrop-Clewes CA, McCabe GP. (2010). Adjusting plasma ferritin concentrations to remove the effects of subclinical inflammation in the assessment of iron deficiency: a meta-analysis. The American Journal of Clinical Nutrition, 92 (3), 546–55. doi: 10.3945/ajcn.2010.29284.
[10] Pita Rodríguez GM, Chávez-Chong C, Lambert-Lamazares B, Montero-Díaz M, Selgas-Lizano R, Basabe-Tuero B et al. (2021). Influence of Inflammation on Assessing Iron-Deficiency Anemia in Cuban Preschool Children. Meddicc Review, 23 (3–4), 37-45. doi: 10.37757/MR2021.V23.N3.7.
[11] Gómez Álvarez AM, Pita Rodríguez GM, GarcíaPino C, Bacallao Gallestey J, Ordás González Arletys, Cardellá Rosales L et al. (2020). Deficienciade Zinc en Mujeres de Edad Reproductiva, Cuba. Zinc Deficiencyin Age Reproductive Women, Cuba. Revista Cubana de Salud Publica, 46 (4), e2224.
[12] Cook RL, O’Dwyer NJ, Parker HM, Donges CE, Cheng HL, Katharine S. (2017). Iron Deficiency Anemia, Not Iron Deficiency, Is Associated with Reduced Attention in Healthy Young Women. Nutrient, 9, 1216. Doi: 10.3390/nu9111216.
[13] Declaration of Helsinki of the World Medical Association. (2013). Ethical principles for medical research in human beings. 64th General Assembly, Fortaleza. Etices Bulletin of Bioethics, 5 (4), 9p.
[14] Holmes JB, Kroeun H, Houghton LA, Gibson RS, Harding KB, De-Regil LM et al. (2019). Including 60 mg Elemental Iron in a Multiple Micronutrient Supplement Blunts the Increase in Serum Zinc after 12 Weeks of Daily Supplementation in predominantly Anemic, Nonpregnant Cambodian Women of Reproductive Age. The Journal of Nutrition, 149 (9), 1503–1510. doi: 10.1093/jn/nxz097.
[15] Merrill RD, Burke RM, Northrop-Clewes CA, Rayco-Solon P, Flores-Ayala R, Namaste SML. (2017). Factors associated with inflammation in preschool children and women of reproductive age: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project. The American Journal of Clinical Nutrition, 106 (Suppl 1): 348S–358S. doi: 10.3945/ajcn.116.142315.
Cite This Article
  • APA Style

    Ana Maria Gomez-Alvarez, Gisela Maria Pita-Rodriguez, Carlos Garcia-Pino, Angel Mollineda-Trujillo, Jorge Bacallao-Gallestey, et al. (2022). Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba. Biomedical Sciences, 8(2), 63-67. https://doi.org/10.11648/j.bs.20220802.13

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    ACS Style

    Ana Maria Gomez-Alvarez; Gisela Maria Pita-Rodriguez; Carlos Garcia-Pino; Angel Mollineda-Trujillo; Jorge Bacallao-Gallestey, et al. Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba. Biomed. Sci. 2022, 8(2), 63-67. doi: 10.11648/j.bs.20220802.13

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    AMA Style

    Ana Maria Gomez-Alvarez, Gisela Maria Pita-Rodriguez, Carlos Garcia-Pino, Angel Mollineda-Trujillo, Jorge Bacallao-Gallestey, et al. Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba. Biomed Sci. 2022;8(2):63-67. doi: 10.11648/j.bs.20220802.13

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  • @article{10.11648/j.bs.20220802.13,
      author = {Ana Maria Gomez-Alvarez and Gisela Maria Pita-Rodriguez and Carlos Garcia-Pino and Angel Mollineda-Trujillo and Jorge Bacallao-Gallestey and Lidia Leonor Cardella-Rosales and Lismery Valdes-Collazo},
      title = {Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba},
      journal = {Biomedical Sciences},
      volume = {8},
      number = {2},
      pages = {63-67},
      doi = {10.11648/j.bs.20220802.13},
      url = {https://doi.org/10.11648/j.bs.20220802.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20220802.13},
      abstract = {Anemia, an unresolved health problem in Cuba, has been attributed to iron (Fe) deficiency. There is little information regarding the relationship between anemia, zinc (Zn) deficiency and the effect of inflammation on Fe and Zn deficiencies. It is intended to identify hematological manifestations of anemia, iron and zinc deficiency and its relationship with inflammation in women of reproductive age (WRA) from different provinces of Cuba. An exploratory cross-sectional study was carried out from 2016 to 2018. 654 apparently healthy women aged 18 to 40 years were selected from different provinces of Cuba through multistage cluster sampling. The following were measured: hemoglobin (Hb), ferritin, C-reactive proteins (CRP), alpha glycoprotein (AGP), serum Zn. Ferritin concentrations were adjusted for inflammation using Thurnham's correction factors. International cut-off points were used. The median age was 28 years. Of the women, 18.3% (116/633) had anemia and 18.3% (21/115) of them had Fe deficiency. Adjusting ferritin concentrations for inflammation, the proportion of anemic women with Fe deficiency increased to 22.6% (26/115), and Fe deficiency in the total sample varied from 7.5% (48/639) to 10.0%. (62/639). Serum Zn deficiency was high, 35.7% (234/654), 25.0% of women with Zn deficiency had anemia, with or without inflammation. 42.7% (273/641) women had inflammation. The results suggest an apparent association between anemia and Zn deficiency, a nutritional disorder little studied in Cuba. There is high concordance between the unadjusted and adjusted ferritin concentrations values for inflammation.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Zinc Deficiency and Anemia in Women of Reproductive Age, Cuba
    AU  - Ana Maria Gomez-Alvarez
    AU  - Gisela Maria Pita-Rodriguez
    AU  - Carlos Garcia-Pino
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    AU  - Jorge Bacallao-Gallestey
    AU  - Lidia Leonor Cardella-Rosales
    AU  - Lismery Valdes-Collazo
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    N1  - https://doi.org/10.11648/j.bs.20220802.13
    DO  - 10.11648/j.bs.20220802.13
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    JO  - Biomedical Sciences
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    EP  - 67
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20220802.13
    AB  - Anemia, an unresolved health problem in Cuba, has been attributed to iron (Fe) deficiency. There is little information regarding the relationship between anemia, zinc (Zn) deficiency and the effect of inflammation on Fe and Zn deficiencies. It is intended to identify hematological manifestations of anemia, iron and zinc deficiency and its relationship with inflammation in women of reproductive age (WRA) from different provinces of Cuba. An exploratory cross-sectional study was carried out from 2016 to 2018. 654 apparently healthy women aged 18 to 40 years were selected from different provinces of Cuba through multistage cluster sampling. The following were measured: hemoglobin (Hb), ferritin, C-reactive proteins (CRP), alpha glycoprotein (AGP), serum Zn. Ferritin concentrations were adjusted for inflammation using Thurnham's correction factors. International cut-off points were used. The median age was 28 years. Of the women, 18.3% (116/633) had anemia and 18.3% (21/115) of them had Fe deficiency. Adjusting ferritin concentrations for inflammation, the proportion of anemic women with Fe deficiency increased to 22.6% (26/115), and Fe deficiency in the total sample varied from 7.5% (48/639) to 10.0%. (62/639). Serum Zn deficiency was high, 35.7% (234/654), 25.0% of women with Zn deficiency had anemia, with or without inflammation. 42.7% (273/641) women had inflammation. The results suggest an apparent association between anemia and Zn deficiency, a nutritional disorder little studied in Cuba. There is high concordance between the unadjusted and adjusted ferritin concentrations values for inflammation.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of Physiological Sciences, Latin American School of Medicine, Havana, Cuba

  • Department of Biochemistry, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Department of Biochemistry, National Institute of Hygiene, Epidemiology and Microbiology, Havana, Cuba

  • Agricultural Research Center, Faculty of Agricultural Sciences, Central University of Las Villas, Villa Clara, Cuba

  • Higher Institute of Medical Sciences of Havana, Havana, Cuba

  • Department of Physiological Sciences, Latin American School of Medicine, Havana, Cuba

  • Department of Physiological Sciences, Latin American School of Medicine, Havana, Cuba

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