Association of body mass index with hemoglobin level, erythrocyte indices and red cell distribution width.

2021 ◽  
Vol 28 (03) ◽  
pp. 311-317
Author(s):  
Saleemullah Abro ◽  
Qurratulain Saleem ◽  
Syeda Asiya Parveen ◽  
Ali Ahmed ◽  
Syed Hafeezul Hussan ◽  
...  

Objectives: Objective of this study is to evaluate the association of body mass index with hemoglobin Level, erythrocyte Indices and red cell distribution width in medical students of Baqai Medical University Karachi. Study Design: Descriptive cross - sectional study. Setting: Physiology Department of Baqai Medical University Karachi. Period: 15 February 2017 to 15 August 2017. Material & Methods: A total of 500 students were enrolled in this study. The anthropometric measurement [height (m2) and weight (kg)] was recorded for calculation of the Body Mass Index and Complete blood count i-e Hemoglobin%, erythrocyte indices {Mean corpuscular volume(MCV), Mean corpuscular hemoglobin(MCH), Mean corpuscular hemoglobin concentration (MCHC), Red cell distribution width (RDW) were done and Mentzer’s Index was calculated. Statistical Package for the Social Sciences (SPSS) version 22.0 was used to analyze the collected data. Results: It was observed in 500 medical students that 36% of the students were having low hemoglobin % level, while low values of erythrocyte indices (MCH: 38.0%, MCV 36.6% and MCHC 39.0% respectively)  and 93.8% of participants had a higher values of RDW in study participants. Iron deficiency anemia (87.2%) and thalassemia (carrier or minor: 12.8%) were determined by using Menterzer Index. Mean body mass index of study participants were 23.04±3.68 and it was observed in study participants that only RDW was significantly associated with obese students (X²=9.878, p=0.02). Conclusion: With regard to our study results, higher percentage (87.2%) of Iron deficiency anemia were observed and having association between red cell distribution width to obesity.

2018 ◽  
Vol 9 (2) ◽  
pp. 137-141
Author(s):  
Gazi Sharmin Sultana ◽  
Syed Aminul Haque ◽  
Ayatunnesa ◽  
Md MA Muttalib ◽  
Md Quddusur Rahman

Background: Detection of iron deficiency early during pregnancy is essential for correct management. Red cell distribution width (RDW) is a new routine parameter in fully automated hematology analyzer that can give the idea of early iron deficiency before Hb%. This study was aimed to see the role of red cell distribution width and Hb% in determining early iron deficiency in pregnant women.Methods: In this study 190 pregnant women were included. CBC including Hb% and RDW and iron profile were done. RDW were compared with Hb% in various stages of iron deficiency.Results: RDW was more significant than Hb level in latent iron deficiency when Hb level was normal (p<0.05). In mild and moderate iron deficiency anemia, RDW was increased progressively though Hb level was reduced. In this study RDW had sensitivity 82.3% and specificity 97.4%. Whereas Hb level had sensitivity 56.6% and specificity 90.9% for iron deficiency.Conclusion: Latent iron deficiency without other complicating disease could be screened out early by increased RDW when Hb% was normal.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 137-141


1970 ◽  
Vol 37 (3) ◽  
pp. 102-105 ◽  
Author(s):  
GS Sultana ◽  
SA Haque ◽  
T Sultana ◽  
Q Rahman ◽  
ANN Ahmed

Iron deficiency anemia is common problem during pregnancy. Red cell size variation (anisocytosis) is the earliest morphologic changes in iron deficiency anemia. Red cell distribution width is a quantitative measure of red cell size variation and it can give the idea of early iron deficiency before other test to become positive.190 pregnant women were included in this study. Red cell distribution width was compared between iron deficient & non-iron deficient pregnant women. Red cell distribution width also compared with Hb level, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration and peripheral blood film in prelatent iron deficiency, latent iron deficiency, mild and moderate iron deficiency anemia. Red cell distribution width had sensitivity 82.3% and specificity 97.4%. Whereas Hb level, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration and peripheral blood film all had 56.6%, 29.2%, 68.1%, 15% and 38.9% sensitivity but specificity was 90.9%, 98.7%, 83.1%, 96.1% and 98.7% in the detection of iron deficiency. Red cell distribution width appears to be a reliable and useful parameter for detection of iron deficiency during pregnancy. DOI: http://dx.doi.org/10.3329/bmrcb.v37i3.9122 BMRCB 2011; 37(3): 102-105


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