Prevalence of Iron Deficiency Anemia among Adolescent Girls in the City of Saravan


  • Omid Sabet Ghadam Shiraz University of Medical Sciences, Shiraz, Iran
  • Mohammad Fararouei Shiraz University of Medical Sciences, Shiraz, Iran
  • Mansour Shahraki   Zahedan University of Medical Sciences, Zahedan, Iran
  • Zahra Sohrabi Shiraz University of Medical Sciences, Shiraz, Iran



 Iron deficiency anemia, adolescent girls, Iron stores.


Background and Objective: Iron deficiency anemia (IDA) is the most common type of micronutrient deficiency in the world. Numerous reports indicated that adolescence is a period which has an increased risk of development of IDA. Given the importance of IDA and lack of studies in Saravan, a city of Iran, this study was performed to assess the prevalence of IDA among adolescent girls.
Methods: In this cross-sectional study, 460 high-school girls were randomly selected. Demographic data was collected using a questionnaire. Knowledge, attitude and practice of participants with regard to iron deficiency anemia was measured at the beginning of the interview. Accordingly, five cc of blood sample was drawn from each student to determine the prevalence of anemia, which was defined by a hemoglobin level lower than 12 mg / dL. The level of ferritin was analyzed to confirm the IDA for students diagnosed with anemia. Ferritin level lower than 12 ?g / dl was considered as IDA. Data was analyzed using SPSS software version 22.
Results: Prevalence of anemia and IDA was 24% (n = 111) and 12.6% (n = 58), respectively. Results showed that 37 % of students had good knowledge, 45. 5 % good attitude, and 6.7 % had good practice. Also, there was no significant association between IDA and socio-economic status including parental education, job, and household income (P>0.05).
Conclusion: The findings of this study showed that the prevalence of IDA was moderate in Saravan city. Given the importance of IDA and its complications, further studies are needed, especially in high risk populations for IDA such as children.


Shahalvand F, Ghazanfari Z, Gholami Parizad E, Pournajaf A H, Ranjbar E. Assessing Knowledge Attitude and Practice of Ilam Girl High School Students Towards Iron Deficiency Anemia 2013. sjimu 2015; 23 (4): 209-216.

Conrad ME, Umbreit JN. Iron absorption and transport—an update. American journal of hematology 2000; 64(4): 287-98.<287::AID-AJH9>3.0.CO;2-L

World health Organization WH. Turning the tide of malnutrition: responding to the challenge of the 21st century. Geneva: World Health Organization; 2000.

K?n?k E. Derman O, Öksüz-Kanbur N, Yenicesu ?, Iron deficiency anemia in a group of Turkish adolescents: Frequency and contributing factors De Gruyter; 2005.

Mozaffari-Khosravi H, Noori Shadkam M, Naghiaee Y. prevalence of Iron deficiency and Iron deficiency anemia in high-school girl students of yazd. SSU_Journals 2009; 17(3): 135-41.

Fakhri Ma, Ahadi F. Prevalence Of Iron Deficiency Anemia In High School Girls In Semnan City 2005.

Pourghassem B, Kimiagar G, Abolfathi A, Vallaii N, Ghaffarpour M. Prevalence of iron deficiency, anaemia, and iron-deficiency anaemia in high-school students in Jolfa, East Azerbaijan. Food and Nutrition Bulletin 2000; 21(3): 301-4.

Fesharakiniya A, Sharifzadeh G, Sadrzadeh, M, Segalahgi H. Prevalence of iron deficiency and its related anemia in junior school students in Birjand. J Birjand Univ Med Sci 2007; 14 (3): 9-15.

Premalatha T, Valarmathi S, Srijayanth P, Sundar J, Kalpana S. Prevalence of anemia and its associated factors among adolescent school girls in Chennai, Tamil Nadu, India. Epidemiology 2012; 2(118): 1165-2161.

De Benoist 10-B, Cogswell M, Egli I, McLean E. Worldwide prevalence of anaemia 1993-2005; WHO Global Database of anaemia 2008.

Chen M-H, Su T-P, Chen Y-S, Hsu J-W, Huang K-L, Chang W-H, et al. Association between psychiatric disorders and iron deficiency anemia among children and adolescents: a nationwide population-based study. BMC psychiatry 2013; 13(1): 161.

Olude O. Impact of nutrition education and counseling on anemia prevalence and iron status in women of reproductive age: a systematic review: Doctoral dissertation. Emory University: 2005.

Pasricha S-R, Biggs B-A, Prashanth N, Sudarshan H, Moodie R, Black J, et al. Factors influencing receipt of iron supplementation by young children and their mothers in rural India: local and national cross-sectional studies. BMC public health 2011; 11(1): 617.

Yalç?n SS, Tezel B, Yurdakök K, Pekcan G, Özba? S, Köksal E, et al. A community-based iron supplementation program,“Iron-Like Turkey”, and the following prevalence of anemia among infants aged 12-23 months. Turk J Pediatr 2013; 55: 16-28.

Baker Jr WF. Iron deficiency in pregnancy, obstetrics, and gynecology. Hematology/oncology clinics of North America 2000; 14(5): 1061-77.

Khazaee T, Zardast M, SADAT JS. Prevalence of Iron deficiency anemia in Birjand high school students 2003.

Schaaf D, Scragg R, Metcalf P, Grant C, Buchanan J. Prevalence of iron deficiency in Auckland high school students 2000.

Abedini S, Shahi A, Abedini S, Aghamolaei T. Prevalence of anemia and Iron deficiency anemia in high school girls of Bandar Abbas in 2013. Journal of Preventive Medicine 2016; 3(1): 43-37.

Akramipour R, Rezaei M, Rahimi Z. Prevalence of iron deficiency anemia among adolescent schoolgirls from Kermanshah, Western Iran. Hematology 2008; 13(6): 352-5.

Morón C, Viteri FE. Update on common indicators of nutritional status: food access, food consumption, and biochemical measures of iron and anemia. Nutrition reviews 2009; 67(suppl_1): S31-S5.

Islam M, Kabir I, Fuchs GJ, Ahmed F, Khan M. Anaemia and iron deficiency among adolescent schoolgirls in peri-urban Bangladesh. European journal of clinical nutrition 2000; 54(9): 678.

Mousa SMO, Saleh SM, Higazi AMM, Ali HAA. Iron deficiency and iron deficiency anemia in adolescent girls in rural upper Egypt. International Blood Research & Reviews 2016: 1-6.

Alaofe H, Zee J, O'Brien HT. Dietary iron and iron deficiency anemia among adolescent girls from Benin. Revue d'epidemiologie et de sante publique 2007; 55.

Ngui R, Lim YAL, Kin LC, Chuen CS, Jaffar S. Association between anaemia, iron deficiency anaemia, neglected parasitic infections and socioeconomic factors in rural children of West Malaysia. PLoS neglected tropical diseases 2012; 6(3): e1550.

Abalkhail B, Shawky S. Prevalence of daily breakfast intake, iron deficiency anaemia and awareness of being anaemic among Saudi school students. International journal of food sciences and nutrition 2002; 53(6): 519-28.

Pasdar Y, Heydarpour F, Darbandi M, Niazi P, Izadi N. Anemia, Iron Deficiency And Affecting Factors On It In Between Girls’students Of Kermanshah University Of Medical Science 2015.

Kim J, Shin S, Han K, Lee KC, Kim J, Choi YS, et al. Relationship between socioeconomic status and anemia prevalence in adolescent girls based on the fourth and fifth Korea National Health and Nutrition Examination Surveys. European journal of clinical nutrition 2014; 68(2): 253.

Amirkhizi F, Siassi F, Djalali M, Minaie S. Assessment of body mass index and its relationship with iron status indices among women in rural areas of Kerman province, Iran. koomesh 2007; 9 (1): 41-46

Haidari F, Haghighi-Zade M, Kayedani G, Birgani N K. Evaluation of the relationship between iron status with obesity and obesity-induced inflammation in female students. Tehran Univ Med J 2018; 76 (2): 129-134.

Tabatabaei F, Sharif M, Kheirkhah D, Madani M. Iron profile in obese compared to normal children. Feyz Journal of Kashan University of Medical Sciences 2016; 20

Falahi E, Rashidi M, Ebrahimzadeh F, Karbasi S, Shokrollahi N. Effect of nutritional education on iron-deficiency anemia in high schools girls. J Shahrekord Univ Med Sci 2010; 12 (1): 37-45(1).

Shahzad S, Islam K, Azhar S, Fiza S, Ahmed W, Murtaza Z. Impact of Knowledge, Attitude and Practice on Iron Deficiency Anaemia Status Among Females of Reproductive Age Group (20-21-year-old) Studying in Government Home Economics College Lahore, Pakistan. Int Arch BioMed Clin Res.

Jose S, Antony S.C, Issac B.R. Impact of knowledge, Attitude and Practice on anemia status among women in coastal Kochi, Kerala. Int. J. of Multidisciplinary and Current Research 2016; 4: available at http: //

Arab M, Abbasszadeh A, Abazary F, Nikian Y. Prevalence of Anemia in 15-45 Year old Women Referring to the Health Centers of Bam, 2002. Journal of Rafsanjan University of Medical Sciences 2004; 3(3): 193-8.




How to Cite

Omid Sabet Ghadam, Mohammad Fararouei, MansourShahraki , & Zahra Sohrabi. (2020). Prevalence of Iron Deficiency Anemia among Adolescent Girls in the City of Saravan. Journal of Pharmacy and Nutrition Sciences, 10(2), 68–73.