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Research ArticleOriginal Article
Open Access

Is it necessary to consider obesity when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels?

Fahaid H. Al-Hashem
Saudi Medical Journal January 2007, 28 (1) 41-45;
Fahaid H. Al-Hashem
Chairman, Department of Physiology, College of Medicine, King Khalid University, PO Box 641, Abha 61421, Kingdom of Saudi Arabia. Fax. +966 (7) 2264438. E-mail: [email protected]
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Abstract

OBJECTIVE: To assess the relationship of total adiposity and abdominal adiposity on hemoglobin levels in Saudi nonpregnant women.

METHODS: We carried out this cross-sectional study during winter of 2002 (from January to March) in and around Abha city, Kingdom of Saudi Arabia. Included in the study were 530 non-pregnant women between the age of 18-65 years. Body weight was measured using an Avery Beam weighing scale, while height was measured using a stadiometer and waist circumference using a fiberglass. Hemoglobin levels were estimated using cyanmethemoglobin method. Total obesity was defined as body mass index (BMI) >/=30 and abdominal obesity as WC >88 cm.

RESULTS: The mean and median hemoglobin levels were significantly higher in abdominally obese women compared with totally obese (p<0.04 versus <0.02) and non obese ones (p<0.04 versus <0.03). No significant differences in the mean and median hemoglobin levels were observed when abdominally obese women were compared with both abdominally and totally obese ones (p<0.7 for both). The mean and the median hemoglobin levels were virtually identical in non-obese and totally obese women. Statistical analysis showed that the mean hemoglobin level was positively and significantly associated with WC (p<0.005) and negatively and insignificantly associated with BMI (p<0.8).

CONCLUSION: In view of the positive and significant association between abdominal obesity and the mean hemoglobin level in this population, abdominal obesity should be considered when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 28 (1)
Saudi Medical Journal
Vol. 28, Issue 1
1 Jan 2007
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Is it necessary to consider obesity when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels?
Fahaid H. Al-Hashem
Saudi Medical Journal Jan 2007, 28 (1) 41-45;

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Is it necessary to consider obesity when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels?
Fahaid H. Al-Hashem
Saudi Medical Journal Jan 2007, 28 (1) 41-45;
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© 2022 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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