Prevalence, Severity of Anemia and Meal Skipping Behaviour among Undergraduate Students: A Cross Sectional Study

Main Article Content

Husan Bano Channar
Almas Chapsi
Saifullah Mahar
Abdul Hameed Bhacho
Muneem Khan
Mehwish khan Rafique

Abstract

Background: Iron Deficiency Anemia (IDA) is a significant global health challenge, particularly affecting women and students in developing countries. Despite its prevalence, IDA often remains underdiagnosed and overlooked, especially in regions with limited resources. The World Health Organization identifies iron deficiency as one of the leading risk factors contributing to global mortality.


Objective: This study aimed to evaluate the prevalence and severity of anemia and to assess dietary habits among undergraduate nursing students in a private sector institution in Pakistan, with a focus on understanding the gender differences in anemia prevalence.


Methods: A cross-sectional study was conducted involving 105 first- and second-year nursing students (47 females, 58 males) at a private nursing institution in Karachi, from August to December 2022. Data collection included demographic information, dietary habits, and a 3-milliliter venous blood sample for hematological analysis. Anemia was classified based on hemoglobin levels, with thresholds set at <12 g/dl for females and <13 g/dl for males.


Results: The prevalence of anemia was found to be significantly higher in females (53.2%) compared to males (15.5%). Among the anemic participants, 55.8% had mild anemia, 41.2% moderate anemia, and 2.9% severe anemia. The severity of anemia was predominantly higher among females, with 29.8% experiencing moderate and 2.1% severe anemia. Additionally, 60.9% of the students reported skipping breakfast, with a higher tendency observed among anemic females (51.0%).


Conclusion: The study highlights a considerable prevalence of anemia among female nursing students, with moderate anemia being more common. The association between anemia and dietary habits, particularly skipping breakfast, was evident. These findings underscore the need for targeted nutritional interventions and regular health monitoring in this demographic.

Article Details

How to Cite
Channar, H. B., Chapsi, A., Mahar, S., Bhacho, A. H., Khan , M., & Rafique , M. khan. (2023). Prevalence, Severity of Anemia and Meal Skipping Behaviour among Undergraduate Students: A Cross Sectional Study. Journal of Health and Rehabilitation Research, 3(2), 590–594. https://doi.org/10.61919/jhrr.v3i2.182
Section
Articles
Author Biographies

Husan Bano Channar, Liaquat University of Medical and Health Sciences-Jamshoro

Assistant Professor, People’s Nursing School

Almas Chapsi, Advance Health Sciences Institute of Nursing Karachi

Principal

Saifullah Mahar, Begum Bilques Institute of Nursing- Peoples University of Medical and Health Sciences For Women (PUMHSW)

Associate Professor

Abdul Hameed Bhacho, Liaquat University of Medical and Health Sciences-Jamshoro

Lecturer People’s Nursing School

Muneem Khan , Civil Hospital Karachi

Staff Nurse

Mehwish khan Rafique , Advance Health Sciences Institute of Nursing

Senior Lecturer

References

Chandrakumari AS, Sinha P, Singaravelu S, Jaikumar S. Prevalence of anemia among adolescent girls in a rural area of Tamil Nadu, India. Journal of family medicine and primary care. 2019;8(4):1414.

Taha A, Azhar S, Lone T, Murtaza G, Khan SA, Mumtaz A, et al. Iron deficiency anaemia in reproductive age women attending obstetrics and gynecology outpatient of university health centre in Al-Ahsa, Saudi Arabia. African Journal of Traditional, Complementary and Alternative Medicines. 2014;11(2):339-42.

Khalafallah AA, Dennis AE. Iron deficiency anaemia in pregnancy and postpartum: pathophysiology and effect of oral versus intravenous iron therapy. Journal of pregnancy. 2012;2012.

Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2014;19(2):164.

AlQuaiz AM, Gad Mohamed A, Khoja TA, AlSharif A, Shaikh SA, Al Mane H, et al. Prevalence of anemia and associated factors in child bearing age women in Riyadh, Saudi Arabia. Journal of nutrition and metabolism. 2013;2013.

Alquaiz A-JM, Khoja TA, Alsharif A, Kazi A, Mohamed AG, Al Mane H, et al. Prevalence and correlates of anaemia in adolescents in Riyadh city, Kingdom of Saudi Arabia. Public Health Nutrition. 2015;18(17):3192-200.

Hadaye RS, Dass R, Lavangare S. Health status and health seeking behaviour among urban and rural nursing students of a tertiary care hospital: a comparative study. International Journal Of Community Medicine And Public Health. 2018;5:4419-22.

AlSheikh MH. Prevalence and risk factors of iron-deficiency anemia in Saudi female medical students. Saudi Journal for Health Sciences. 2018;7(3):148-52.

Jawed S, Tariq S, Tariq S, Kamal A. Frequency of nutritional anemia among female medical students of Faisalabad. Pakistan journal of medical sciences. 2017;33(2):398.

Altaf B, Khan MB, Aftaab RK, Jawed S, Salam RMT, Amir F. NUTRITIONAL DEFICIENCY ANEMIA: ROLE OF JUNK FOOD IN NUTRITIONAL DEFICIENCY ANEMIA AMONG YOUNGSTERS. The Professional Medical Journal. 2018;25(07):1018-23.

Joshi D, Kushwaha A. Prevalence and Correlates of Nutritional Anaemia among Adolescent Girls of Distt. US Nagar, Uttarakhand. European Journal of Nutrition & Food Safety. 2018:348-60.

Jalambo MO, Hamad A, Abed Y. Anemia and risk factors among female secondary students in the Gaza Strip. Journal of Public Health. 2013;21(3):271-8.

Al-Alimi AA, Bashanfer S, Morish MA. Prevalence of iron deficiency anemia among university students in Hodeida Province, Yemen. Anemia. 2018;2018.

Rosseter R, Kuriakose D. Media Relations/Nursing Shortage. American Association of college of Nursing. 2012.

Organization WH. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Document Reference WHOGeneva, Switzerland. NMH/NHD/MNM/11.1. http://www. who. int/entity/vmnis/indicators/haemoglobin; 2011.

Friedman AJ, Shander A, Martin SR, Calabrese RK, Ashton ME, Lew I, et al. Iron deficiency anemia in women: a practical guide to detection, diagnosis, and treatment. Obstetrical & Gynecological Survey. 2015;70(5):342-53.

Jarrah SS, Halabi JO, Bond AE, Abegglen J. Iron deficiency anemia (IDA) perceptions and dietary iron intake among young women and pregnant women in Jordan. Journal of Transcultural Nursing. 2007;18(1):19-27.

McLean E, Cogswell M, Egli I, Wojdyla D, De Benoist B. Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public health nutrition. 2009;12(4):444-54.

Shill KB, Karmakar P, Kibria MG, Das A, Rahman MA, Hossain MS, et al. Prevalence of iron-deficiency anaemia among university students in Noakhali region, Bangladesh. Journal of health, population, and nutrition. 2014;32(1):103.

Shrivastava S, Bhattacharjee M, Panchmahalkar A. PREVALENCE OF ANAEMIA AMONGST NURSING STUDENTS-A SURVEY. EPRA International Journal of Research and Development (IJRD). 2022;7(3):44-7.

Rani NA, Arasegowda R, Mukherjee P, Dhananjay SY. Prevalence of Nutritional Deficiency Anaemia and Its Impact on Scholastic Performance among Undergraduate Medical Students. Journal of clinical and diagnostic research : JCDR. 2017;11(3):Bc21-bc3.

Jamali NH, Jamali AA, Ahmer A, Jamali AA, Shah K, Shaikh SU, et al. Iron deficiency anemia among the female students of Dolatpur town Sindh, Pakistan. Isra Med J. 2019;11(4):242-6.

Channar HB, Laghari ZA, Samo AA, Ujjan ID. Factors And Determinants Associated With Prevalence Of Anaemia In Adults In Karachi, Pakistan. JPMA. The Journal of the Pakistan Medical Association. 2023 Nov 1;73(11):2165-70.

Mehboob Q, Shahzed F, Arif W, Arif S. Frequency of Nutritional Anemia among Medical Students of Faisalabad Medical University, Faisalabad. Annals of Punjab Medical College (APMC). 2022;16(3):197-201.

Alzaheb RA, Al-Amer O. The prevalence of iron deficiency anemia and its associated risk factors among a sample of female university students in Tabuk, Saudi Arabia. Clinical medicine insights: women's health. 2017;10:1179562X17745088.

Al-Jamea L, Woodman A, Elnagi EA, Al-Amri SS, Al-Zahrani AA, Al-shammari NH, et al. Prevalence of Iron-deficiency anemia and its associated risk factors in female undergraduate students at prince sultan military college of health sciences. Journal of Applied Hematology. 2019;10(4):126-33.

Fayet-Moore F, Petocz P, Samman S. Micronutrient status in female university students: iron, zinc, copper, selenium, vitamin B12 and folate. Nutrients. 2014;6(11):5103-16.

Pandey S, Singh A. A cross sectional study of nutritional anemia among medical students in a medical college, at Bilaspur, Chhattisgarh. Natl J Med Res. 2013;3(2):143-6.

CHANNAR H, SAMO A, CHAPSI A, CHANDO K, HAQ M, MAHAR S. PREVALENCE OF ANEMIA ASSOCIATED WITH MENSTRUAL DISORDERS AMONG NURSING STUDENTS IN A PRIVATE NURSING COLLEGE AT KARACHI. Biological and Clinical Sciences Research Journal. 2023;2023(1):528-.

Habib N, Abbasi S-U-RS, Aziz W. An analysis of societal determinant of anemia among adolescent girls in Azad Jammu and Kashmir, Pakistan. Anemia. 2020;2020.

Hamali HA, Mobarki AA, Saboor M, Alfeel A, Madkhali AM, Akhter MS, et al. Prevalence of anemia among Jazan university students. International journal of general medicine. 2020:765-70.

Kanchana R, Pushpa K. Prevalence of anemia among 1st year MBBS students. National Journal of Physiology, Pharmacy and Pharmacology. 2019;9(1):74-7.

Pourghassem B, Kimiagar G, Abolfathi A, Vallaii N, Ghaffarpour M. Prevalence of iron deficiency, anaemia, and iron-deficiency anaemia in high-school students in Jolfa, East Azerbaijan. Food and Nutrition Bulletin. 2000;21(3):301-4.

Al-Jamea L, Woodman A, Elnagi EA, Al-Amri SS, Al-Zahrani AA, Al-shammari NH, et al. Prevalence of Iron-deficiency anemia and its associated risk factors in female undergraduate students at prince sultan military college of health sciences. Journal of Applied Hematology. 2019;10(4):126.

Abalkhail B, Shawky S. Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. International journal of food sciences and nutrition. 2002;53(6):519-28.

Andiarna F, editor Analysis of breakfast habits on the incidence of anemia. International Conference on Sustainable Health Promotion; 2018.

Kannan B, Ivan E. Prevalence of anemia among female medical students and its correlation with menstrual abnormalities and nutritional habits. Int J Reprod Contracept Obstet Gynecol. 2017;6:2241-5.