Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age

The present study aimed to assess the associations of the stages of Fe deficiency (Fe deficiency without anaemia (ID) and Fe-deficiency anaemia (IDA)) and anaemia with metabolic syndrome (MetS) in Ecuadorian women. A cross-sectional study was conducted in 5894 women aged 20–59 years, based on data f...

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Main Authors: Melisa A. Muñoz-Ruiz, Laura I. González-Zapata, Victoria Abril-Ulloa, Diego A. Gaitán-Charry
Format: Article
Language:English
Published: Cambridge University Press 2021-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679020000555/type/journal_article
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author Melisa A. Muñoz-Ruiz
Laura I. González-Zapata
Victoria Abril-Ulloa
Diego A. Gaitán-Charry
author_facet Melisa A. Muñoz-Ruiz
Laura I. González-Zapata
Victoria Abril-Ulloa
Diego A. Gaitán-Charry
author_sort Melisa A. Muñoz-Ruiz
collection DOAJ
description The present study aimed to assess the associations of the stages of Fe deficiency (Fe deficiency without anaemia (ID) and Fe-deficiency anaemia (IDA)) and anaemia with metabolic syndrome (MetS) in Ecuadorian women. A cross-sectional study was conducted in 5894 women aged 20–59 years, based on data from the 2012 Ecuadorian National Health and Nutrition Survey. The sample was stratified by age. A χ2 test was used to assess the possible associations of ID, IDA and anaemia with MetS. The prevalence ratio (PR) for each stage of Fe deficiency and anaemia was estimated considering women without MetS as a reference. The total prevalence of MetS, ID, IDA and anaemia was 32⋅3 % (se 0⋅6), 6⋅2 % (se 0⋅3), 7⋅1 % (se 0⋅3) and 5⋅0 % (se 0⋅3), respectively. In women aged 20–29, 30–39 and 40–49 years, MetS was associated with a lower prevalence of ID (PR (95 % CI; P-value)): 0⋅17 (0⋅06, 0⋅46; P < 0⋅001), 0⋅69 (0⋅48, 0⋅99; P = 0⋅044) and 0⋅44 (0⋅29, 0⋅67; P < 0⋅001), respectively. In women aged 50–59 years, MetS was associated with IDA and anaemia (PR (95 % CI; P-value)): 0⋅12 (0⋅02, 0⋅96; P = 0⋅026) and 0⋅22 (0⋅07, 0⋅64; P = 0⋅002), respectively. In conclusion, Ecuadorian women of reproductive age with MetS have a lower prevalence of ID compared with those without MetS. Furthermore, the MetS and IDA coexist at the population level. These findings require an analysis from a dietary pattern approach, which could provide key elements for developing public policies that simultaneously address all forms of malnutrition.
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spelling doaj.art-24f6b5e82f034d5186cf096d81e0c6d92023-03-09T12:38:45ZengCambridge University PressJournal of Nutritional Science2048-67902021-01-011010.1017/jns.2020.55Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive ageMelisa A. Muñoz-Ruiz0https://orcid.org/0000-0001-5415-3166Laura I. González-Zapata1Victoria Abril-Ulloa2Diego A. Gaitán-Charry3Unidad de Problemáticas de Interés en Nutrición Pública, Escuela de Nutrición y Dietética, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, ColombiaUnidad de Problemáticas de Interés en Nutrición Pública, Escuela de Nutrición y Dietética, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia Grupo de investigación Determinantes Sociales y Económicos de la Situación de Salud y Nutrición, Escuela de Nutrición y Dietética, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, ColombiaGrupo de investigación Salud Pública, Alimentación y Actividad física en el ciclo de la vida, Carrera de Nutrición y Dietética, Facultad de Ciencias Médicas, Universidad de Cuenca, Cuenca, Ecuador Dirección de Investigación de la Universidad de Cuenca, Cuenca, EcuadorUnidad de Problemáticas de Interés en Nutrición Pública, Escuela de Nutrición y Dietética, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, ColombiaThe present study aimed to assess the associations of the stages of Fe deficiency (Fe deficiency without anaemia (ID) and Fe-deficiency anaemia (IDA)) and anaemia with metabolic syndrome (MetS) in Ecuadorian women. A cross-sectional study was conducted in 5894 women aged 20–59 years, based on data from the 2012 Ecuadorian National Health and Nutrition Survey. The sample was stratified by age. A χ2 test was used to assess the possible associations of ID, IDA and anaemia with MetS. The prevalence ratio (PR) for each stage of Fe deficiency and anaemia was estimated considering women without MetS as a reference. The total prevalence of MetS, ID, IDA and anaemia was 32⋅3 % (se 0⋅6), 6⋅2 % (se 0⋅3), 7⋅1 % (se 0⋅3) and 5⋅0 % (se 0⋅3), respectively. In women aged 20–29, 30–39 and 40–49 years, MetS was associated with a lower prevalence of ID (PR (95 % CI; P-value)): 0⋅17 (0⋅06, 0⋅46; P < 0⋅001), 0⋅69 (0⋅48, 0⋅99; P = 0⋅044) and 0⋅44 (0⋅29, 0⋅67; P < 0⋅001), respectively. In women aged 50–59 years, MetS was associated with IDA and anaemia (PR (95 % CI; P-value)): 0⋅12 (0⋅02, 0⋅96; P = 0⋅026) and 0⋅22 (0⋅07, 0⋅64; P = 0⋅002), respectively. In conclusion, Ecuadorian women of reproductive age with MetS have a lower prevalence of ID compared with those without MetS. Furthermore, the MetS and IDA coexist at the population level. These findings require an analysis from a dietary pattern approach, which could provide key elements for developing public policies that simultaneously address all forms of malnutrition.https://www.cambridge.org/core/product/identifier/S2048679020000555/type/journal_articleMetabolic syndromeIron deficiencyIron-deficiency anaemiaWomen
spellingShingle Melisa A. Muñoz-Ruiz
Laura I. González-Zapata
Victoria Abril-Ulloa
Diego A. Gaitán-Charry
Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
Journal of Nutritional Science
Metabolic syndrome
Iron deficiency
Iron-deficiency anaemia
Women
title Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
title_full Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
title_fullStr Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
title_full_unstemmed Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
title_short Metabolic syndrome may be associated with a lower prevalence of iron deficiency in Ecuadorian women of reproductive age
title_sort metabolic syndrome may be associated with a lower prevalence of iron deficiency in ecuadorian women of reproductive age
topic Metabolic syndrome
Iron deficiency
Iron-deficiency anaemia
Women
url https://www.cambridge.org/core/product/identifier/S2048679020000555/type/journal_article
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