Prevalence and morphological subtype distributions of anaemia in a Chinese rural population: the Henan Rural Cohort study

This study aimed to evaluate the recent prevalence and the distributions of morphological subtypes of anaemia in the rural population. Anaemia was defined according to the WHO and the Chinese criteria, and the morphological subtypes of anaemia were classified based on the erythrocyte parameters. The...

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Published in:Public health nutrition 2023-06, Vol.26 (6), p.1254-1263
Main Authors: Zheng, Yiquan, Liu, Xiaotian, He, Yaling, Yuchi, Yinghao, Zhao, Hongfei, Li, Linlin, Huo, Wenqian, Mao, Zhenxing, Hou, Jian, Wang, Chongjian
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Anaemia
Anemia
Anemia - epidemiology
Blood pressure
China - epidemiology
Cholesterol
Classification
Cohort analysis
Cohort Studies
Criteria
Cross-Sectional Studies
Diabetes
Diet
Divorce
East Asian People
Education
Epidemiology
Female
Health care
Hematology
Hemoglobin
Humans
Hypertension
Male
Marital status
Mathematical analysis
Men
Menopause
Metabolic disorders
Middle Aged
Morphological subtypes
Morphology
Nutritional Epidemiology
Population
Prevalence
Questionnaires
Research Paper
Risk Factors
Rural areas
Rural Population
Rural populations
Self report
Smoking
Women
Womens health
Young Adult
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container_title Public health nutrition
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creator Zheng, Yiquan
Liu, Xiaotian
He, Yaling
Yuchi, Yinghao
Zhao, Hongfei
Li, Linlin
Huo, Wenqian
Mao, Zhenxing
Hou, Jian
Wang, Chongjian
description This study aimed to evaluate the recent prevalence and the distributions of morphological subtypes of anaemia in the rural population. Anaemia was defined according to the WHO and the Chinese criteria, and the morphological subtypes of anaemia were classified based on the erythrocyte parameters. The age-standardised prevalence was calculated according to the data of the Population Census 2010 in China. A cross-sectional study in Henan Province. 33 585 subjects aged 18-79 years old. The standardised prevalence of anaemia across the WHO and the Chinese definitions was 13·63 % and 5·45 %, respectively. Regardless of which criteria was used, the standardised prevalence of anaemia was higher among women than among men and that increased with age in men, while markedly decreased after menopause in women. There were shifts in morphological patterns of anaemia using the WHO and the Chinese criteria that the standardised prevalence of microcytic anaemia was 3·74 % and 2·97 %, normocytic anaemia was 9·20 % and 2·34 %, and macrocytic anaemia was 0·75 % and 0·14 %, respectively. Besides, there were differences in the influencing factors of anaemia according to different criteria or gender. However, age, education level and renal damage were consistently significantly associated with anaemia in all participants. Anaemia may still be a serious health problem in rural China. It is necessary to reformulate prevention and management strategies to reduce the disease burden of anaemia.
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Anaemia was defined according to the WHO and the Chinese criteria, and the morphological subtypes of anaemia were classified based on the erythrocyte parameters. The age-standardised prevalence was calculated according to the data of the Population Census 2010 in China. A cross-sectional study in Henan Province. 33 585 subjects aged 18-79 years old. The standardised prevalence of anaemia across the WHO and the Chinese definitions was 13·63 % and 5·45 %, respectively. Regardless of which criteria was used, the standardised prevalence of anaemia was higher among women than among men and that increased with age in men, while markedly decreased after menopause in women. There were shifts in morphological patterns of anaemia using the WHO and the Chinese criteria that the standardised prevalence of microcytic anaemia was 3·74 % and 2·97 %, normocytic anaemia was 9·20 % and 2·34 %, and macrocytic anaemia was 0·75 % and 0·14 %, respectively. Besides, there were differences in the influencing factors of anaemia according to different criteria or gender. However, age, education level and renal damage were consistently significantly associated with anaemia in all participants. Anaemia may still be a serious health problem in rural China. 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Published by Cambridge University Press on behalf of The Nutrition Society</rights><rights>The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). 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Besides, there were differences in the influencing factors of anaemia according to different criteria or gender. However, age, education level and renal damage were consistently significantly associated with anaemia in all participants. Anaemia may still be a serious health problem in rural China. It is necessary to reformulate prevention and management strategies to reduce the disease burden of anaemia.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>36788680</pmid><doi>10.1017/S1368980023000319</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-5091-6621</orcidid><oa>free_for_read</oa></addata></record>
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source Cambridge University Press; PubMed Central
subjects Adolescent
Adult
Age
Aged
Anaemia
Anemia
Anemia - epidemiology
Blood pressure
China - epidemiology
Cholesterol
Classification
Cohort analysis
Cohort Studies
Criteria
Cross-Sectional Studies
Diabetes
Diet
Divorce
East Asian People
Education
Epidemiology
Female
Health care
Hematology
Hemoglobin
Humans
Hypertension
Male
Marital status
Mathematical analysis
Men
Menopause
Metabolic disorders
Middle Aged
Morphological subtypes
Morphology
Nutritional Epidemiology
Population
Prevalence
Questionnaires
Research Paper
Risk Factors
Rural areas
Rural Population
Rural populations
Self report
Smoking
Women
Womens health
Young Adult
title Prevalence and morphological subtype distributions of anaemia in a Chinese rural population: the Henan Rural Cohort study
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