Anemia-an Unnoticed Entity in Asian Males A Focus on the Anemic Parameters of Adult Males in Pakistan
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 22, Issue 1
Abstract
Background: There is a general lack of awareness that anemia could be present in a significant number of apparently healthy adult males which might then lead to a misdiagnosis and a prolonged suffering of the patient. This study questions the frequency of anemia in healthy adult males which if found high will be an eye opener and an alarm for the doctors. Aims: This study was to determine the extent of anemia and its related parameters in apparently healthy adult males of a general population. Study Design: A cross sectional, observational study. Place and Duration of Study: The research was done in a tertiary care hospital, Creek General Hospital, Karachi from May 2016 to August 2016. Methodology: we included 493 healthy adult males by convenient sampling. The exclusion criteria included males less than 18 years or with any organ insufficiency, terminal illness or blood dyscrasias or hemoglobinopathies. Complete Blood Count was done to mark anemia and to assess its severity. The Mean Corpuscular Volume was categorized as normocytic, microcytic, and macrocytic. The data was analyzed on SPSS version 20. Results: Out of the 493 males, 238(51.4%) were anemic out of which114 (47.8%) were normocytic, 98(41.1%) were microcytic and 26(11%) were macrocytic (P=0.00). The severity of anemia among the 238 anemic males showed 164(69%) males to have mild anemia, 44(18.4%) to have moderate and 30(12.6%) to have severe anemia. (P=.000). The mean hemoglobin in males is 12.5 (STD±2.4).In younger age group (<30 years) of 210 males, 102 (42%) were anemic. In the middle age group (31- 50 years), out of the 165 that presented 76 (46%) were anemic while 118 patients in the elderly age group (> 50 years), 60 (51%) had anemia (P=0.72). There were 45 diabetic males, out of which 27(60%) were anemic and among them 20 had mild (74%) anemia and 18 (67%) were normocytic (P=0.049). In accordance to ethnicity, in decreasing order, 60% of Sindhis, 54% of Pashtuns, 51% of the Urdu speaking sector, 51% of Bengalis,46% of Gilgitis, 35% of Punjabis and 22% of Balouchis were anemic (p=0.04). 49% of Muslims, 35.7% of Christians were anemic. 168 were smokers in which 72 (42.8%) were anemic (P=0.132) with 46% being normocytic and 33% being microcytic. Logistic regression did not show any correlation between hemoglobin and age in the study. Conclusion: Anemia is highly prevalent in the adult males- a fact which has remained unnoticed.
Authors and Affiliations
Ayesha Nageen, Saera Suhail Kidwai, Farhat Bashir, Jamal Ara, Syed Muhammad Munir
Keywords
Related Articles
- EP ID EP311777
- DOI 10.9734/BJMMR/2017/33695
- Views 76
- Downloads 0
Comparison of Fentanyl Citrate-midazolam-propofol and Fentanyl Citrate-ketamine Propofol Combinations with Regards to Efficiency and Safety in Sedation Practices for the ERCP
Aims: The objective of our study is to compare the efficiency and safety of fentanyl citrate-midazolam-propofol combination with fentanyl citrate-ketamine-propofol combination used as sedative and analgesic medication in...
Prognostic Implications of Expression of the Wilms Tumor 1 (WT1) Gene in Acute Leukemia (Experience from South Egypt)
Background: Wilms’ tumor (WT1) gene expression has been reported in the majority of acute leukemia patients at diagnosis and has been evaluated as a prognostic and minimal residual disease (MRD) marker but its role is st...
Caring within a Web of Paradoxes: The Critical Care Nurses’ Experiences of Beneficial and Harmful Effects of Technology on Nursing Care
Introduction: Technology plays a major role in caring for critically ill patients. Its’ use in patient care can improve patient safety, save patients’ lives, facilitate nurses’ work and save time for them and reduce hosp...
Scalp Metastasis from Thyroid Carcinoma 12 Years Post-thyroidectomy: Clinical and Ethical Lessons
Aim: We describe a rare presentation of thyroid carcinoma, to highlight thyroid carcinoma in the differential diagnosis of skin lesions; and emphasize the importance of efficient record keeping in patient management. Pre...
Salvaging an Endodontically Treated Mandibular Molar with a Furcation Perforation by Root Hemisection Followed by Fixed Prosthesis: A Case Report
Hemisection is the splitting of a two-rooted tooth into two separate portions. This process has also been called bicuspidization in the mandibular molar because it changes a molar into two separate bicuspids. A case invo...