Yazarlar : HOBOKEN, NJ, Peuranpää

Yayın : DGNews

Yayın Yılı : 2014

Pubmed Linki : http://www.docguide.com/iron-supplements-improve-anaemia-quality-life-women-menorrhagia?tsid=5

Konu : Anemi

Literatür İçeriği :  HOBOKEN, NJ -- June 9, 2014 -- Clinicians should screen for anaemia and recommend iron supplementation to women with menorrhagia, according to a study published in Acta Obstetricia et Gynecologica Scandinavica.

One of the common causes of iron deficiency and anaemia is heavy bleeding during menstruation. Over time monthly menstrual iron loss without adequate dietary iron supplementation can reduce iron stores in the body. Previous studies have found that iron deficiency anaemia may impact women’s physical performance, cognitive function, mood, and overall quality of life.

Pirkko Peuranpää, Md, Department of Obstetrics and Gynecology, Hyvinkää Hospital, Hyvinkää, Finland, and colleagues prospectively assessed the impact of anaemia and iron deficiency on health-related quality of life in 236 women treated for heavy menstrual bleeding. The participants were randomised to either hysterectomy or treatment with a levonorgestrel-releasing intrauterine system.

The team separated the participants into 2 groups: women with haemoglobin levels <120 g/L were defined as anaemic and those with levels >120 g/L were in the non-anaemic group. Researchers also measured levels of ferritin in the blood to assess iron stores in both groups.

Results showed that at the start of the study, 27% of women were anaemic and 60% were severely iron deficient with ferritin levels <15 µg/L. Among women who were anaemic, only 8% took an iron supplement. One year following treatment haemoglobin levels had increased in both groups, but women who were initially anaemic still had significantly lower levels compared with those in the non-anaemic group.

One year after treatment women in the anaemic group had a significant increase in energy, along with physical and social function, and a decrease in anxiety and depression compared with the non-anaemic group. It took 5 years for the iron stores to reach normal levels.

“The quality of life of women with heavy periods is plural, but the treatment of anaemia is important to get good results,” said Dr. Peuranpää. “Our findings suggest that clinicians should screen for anaemia in women with heavy menstrual bleeding and recommend early iron supplementation as part of the treatment process.”

Literatür Arşivi