J Korean Med Sci.  2014 Feb;29(2):224-229. 10.3346/jkms.2014.29.2.224.

Prevalence and Risk Factors for Iron Deficiency Anemia in the Korean Population: Results of the Fifth Korea National Health and Nutrition Examination Survey

Affiliations
  • 1Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. smbang7@snu.ac.kr
  • 2Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

This study assessed the prevalence of, and risk factors for, iron deficiency (ID) and iron deficiency anemia (IDA) among participants of the fifth Korean Health and Nutrition Examination Survey, 2010. Of 8,958 participants, 6,758 individuals > or =10 yr had sufficient data for the analysis of anemia and iron status. ID was defined as a transferrin saturation <10% or serum ferritin <15 microg/L. The prevalence of ID and IDA was 2.0% (95% confidence interval [CI], 1.3%-2.6%) and 0.7% (95% CI, 0.3%-1.0%), respectively, in males, and 22.4% (95% CI, 20.7%-24.2%) and 8.0% (95% CI, 6.8%-9.2%), respectively, in females. In reproductive age females, the prevalence of ID and IDA was 31.4% (95% CI, 28.9%-33.8%) and 11.5% (95% CI, 9.6%-13.4%), respectively. Compared to the prevalence of IDA in adult males 18-49 yr, the relative risks of IDA in adults > or =65 yr, lactating females, premenopausal females, and pregnant females were 8.1, 35.7, 42.8, and 95.5, respectively. Low income, underweight, iron- or vitamin C-poor diets were also associated with IDA. For populations with defined risk factors in terms of age, gender, physiological state and socioeconomic and nutritional status, national health policy to reduce IDA is needed.

Keyword

Anemia, Iron Deficiency; Korea

MeSH Terms

Adolescent
Adult
Aged
Anemia, Iron-Deficiency/*epidemiology/pathology
Child
Female
Ferritins/blood
Food Habits
Humans
Lactation
Male
Menopause
Middle Aged
*Nutrition Surveys
Pregnancy
Prevalence
Republic of Korea
Risk Factors
Socioeconomic Factors
Thinness
Transferrins/analysis
Young Adult
Ferritins
Transferrins

Cited by  4 articles

Recent advances in pediatric hemato-oncologic disease
Hoi Soo Yoon
J Korean Med Assoc. 2016;59(9):676-677.    doi: 10.5124/jkma.2016.59.9.676.

Iron-deficiency anemia in children: from diagnosis to treatment
Jae Hee Lee
J Korean Med Assoc. 2016;59(9):678-682.    doi: 10.5124/jkma.2016.59.9.678.

Association between vitamin D deficiency and anemia among Korean adolescent girls and young women
Haeun Jang, Seonghee Park, Kyong Park
J Nutr Health. 2019;52(6):552-558.    doi: 10.4163/jnh.2019.52.6.552.

Comprehensive Analysis of Iron Deficiency Anemia and Its Related Disorders in Premenopausal Women Based on a Propensity Score Matching Case Control Study Using National Health Insurance Service Database in Korea
Hyun Jung Lee, Haeyong Pak, Jae Joon Han, Myung Hee Chang
J Korean Med Sci. 2023;38(37):e299.    doi: 10.3346/jkms.2023.38.e299.


Reference

1. World Health Organization. The world health report 2002: reducing risks, promoting healthy life. accessed on 1 May 2013. Available at http://www.who.int/whr/2002/en.
2. Looker AC, Dallman PR, Carroll MD, Gunter EW, Johnson CL. Prevalence of iron deficiency in the United States. JAMA. 1997; 277:973–976.
3. Cogswell ME, Looker AC, Pfeiffer CM, Cook JD, Lacher DA, Beard JL, Lynch SR, Grummer-Strawn LM. Assessment of iron deficiency in US preschool children and nonpregnant females of childbearing age: National Health and Nutrition Examination Survey 2003-2006. Am J Clin Nutr. 2009; 89:1334–1342.
4. Bhaskaram P. Micronutrient malnutrition, infection, and immunity: an overview. Nutr Rev. 2002; 60:S40–S45.
5. Zimmermann MB, Hurrell RF. Nutritional iron deficiency. Lancet. 2007; 370:511–520.
6. World Health Organization. Iron deficiency anaemia: assessment, prevention and control. accessed on 1 May 2013. Available at http://www.who.int/nutrition/publications/micronutrients/anaemia_iron_deficiency/WHO_NHD_01.3/en.
7. Baltussen R, Knai C, Sharan M. Iron fortification and iron supplementation are cost-effective interventions to reduce iron deficiency in four subregions of the world. J Nutr. 2004; 134:2678–2684.
8. The Korean Ministry of Health and Welfare. Korean Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). accessed on 1 May 2013. Available at http://knhanes.cdc.go.kr/knhanes/index.do.
9. Kim SK, Kang HS, Kim CS, Kim YT. The prevalence of anemia and iron depletion in the population aged 10 years or older. Korean J Hematol. 2011; 46:196–199.
10. World Health Organization. Worldwide prevalence of anaemia 1993-2005. accessed on 1 May 2013. Available at http://www.who.int/vmnis/publications/anaemia_prevalence/en.
11. The Korean Nutrition Society. Dietary reference intakes for Koreans 2010. accessed on 1 May 2013. Available at http://www.kns.or.kr/frontpage.asp?catalogid=kns2008&language=ko.
12. McLean E, Cogswell M, Egli I, Wojdyla D, de Benoist B. Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutr. 2009; 12:444–454.
13. Yu KH, Yoon JS, Hahm YS. A cross-sectional study of biochemical analysis and assessment of iron deficiency by gestational age (II). Korean J Nutr. 1999; 32:887–896.
14. Lee HS, Kim MS, Kim MH, Kim YJ, Kim WY. Iron status and its association with pregnancy outcome in Korean pregnant women. Eur J Clin Nutr. 2006; 60:1130–1135.
15. World Health Organization. Assessing the iron status of populations. accessed on 1 May 2013. Available at http://www.who.int/nutrition/publications/micronutrients/anaemia_iron_deficiency/9789241596107/en.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr