Iron Profile in Patients with Type II Diabetes Mellitus in — A study in a Tertiary Care Hospital

Background: The most prevalent metabolic condi?on, type 2 diabetes mellitus, is characterized by persistent hyperglycemia caused by abnormali?es in insulin produc?on, insulin ac?on, or both. Iron, a transi?onal metal, has been demonstrated to play a key role in the pathophysiology of Type 2 Diabetes Mellitus, with a bidirec?onal link in which iron influences glucose metabolism, which in turn influences the iron metabolic pathways. The current study aimed to es?mate the iron profile in Type 2 diabetes mellitus cases. Methods: This cross-sec?onal study was done in the Department of Biochemistry, Prathima Ins?tute of Medical Sciences, Naganoor, Karimnagar. A total of n=100 cases of type II diabetes mellitus were included in the study and age and sex-matched healthy controls were also included in the study. Laboratory inves?ga?ons included Fas?ng Blood glucose, Serum ferri?n, Total iron-binding capacity, serum iron, and serum transferrin satura?on. Results: The fas?ng blood glucose was found to be significantly higher in the diabetes mellitus cases. The serum ferri?n mean values were 105.32 µgm/dl. In the controls, the range of ferri?n levels was 145 µgm/dl. The serum ferri?n levels were found to be significantly reduced in the study cases as compared to the controls. Similarly, the total iron-binding capacity (TIBC) of the cases was found to be significantly increased as compared to the controls. The serum transferrin levels were also found to be elevated in the study cases as compared to the controls. Conclusion: Iron is closely related to the development of diabetes mellitus. Elevated iron and ferri?n levels are risk factors for diabetes and can lead to a variety of problems. Conversely in chronic diabe?cs, there is a tendency to develop iron deficiency anemia and other nutri?onal deficiency anemias as observed by the results of the current study. As a result, iron profile evalua?on can be a valuable output of the expected inves?ga?ons on diabetes and related problems.

A randomized controlled trial on lactoferrin versus ferrous sulphate for the treatment of mild to moderate iron deficiency anaemia in pregnancy

Background: One of the important factors associated with maternal and foetal complications during pregnancy is Anaemia. Various oral preparations of iron are available, and each has different bioavailability, efficacy and adverse effects. Lactoferrin is a naturally existing iron-binding multifunctional glycoprotein, and a member of a transferrin family, thus belonging to those proteins capable of binding and transferring iron. Lactoferrin has considerably less gastrointestinal side effects than ferrous sulfate and is very useful as well as promising alternative to ferrous sulphate.Methods: Prospective randomized controlled study. Total 100 females with 24 to 36 weeks of pregnancy with haemoglobin between 8 to 10 grams were included out of which 50 patients were given ferrous sulphate 200 mg BD and 50 patients were given lactoferrin 250 mg BD daily for 8 weeks. Various haematological parameters and the adverse effects of both the drugs were studied at registration, 4 weeks and 8 weeks and compared.Results: Thus, after this study authors can say that the rise in haemoglobin with lactoferrin was 1.58 g/dl while with ferrous sulphate it was 1.67 g/dl at 8 weeks. Adverse effects were much lesser in Group A taking lactoferrin compared to Group B.Conclusions: Thus, lactoferrin has the advantage over ferrous sulphate in having   less side effects and increasing the compliance and thus the efficacy of the drug compared to ferrous sulphate.

Comparative evaluation of iron profile in premenopausal obese women with women of normal body mass index

Background: Obesity has become a common problem worldwide due to changes in lifestyle and food habits. Obesity has been associated with many chronic diseases like diabetes mellitus, hypertension, gallstones etc. Excessive adipose tissue through release of adipokines maybe a risk factor for derangements in iron parameters. Authors aim is to study Serum Iron, TIBC, and Serum Ferritin levels in Obese women (BMI >25 kg/m2) in age group of 16 to 45 years and its comparison with normal BMI women.Methods: The case control study was conducted on 100 patients divided into two groups. Group A included 50 patients of obese women (BMI >25 kg/m2) in age group of 16 to 45 years. Group B consists of 50 control patients in similar age group with BMI of 18-23 kg/m2. Serum Iron, TIBC, and Serum Ferritin levels were measured in both groups and compared.Results: The study showed significant derangements of iron parameters in obese women.Serum Ferritin was significantly raised (p<0.001) in obese women whereas Serum Iron and TIBC were significantly decreased in obese women as compared to control group. No significant difference was seen in Serum Hemoglobin and MCV.Conclusions: Obesity is associated with derangements in iron parameters in women of reproductive age group similar to derangements seen in chronic inflammatory state.

Incidence of iron deficiency anaemia and it’s early detection in patients with hypoproliferative anaemia presentation in a tertiary care hospital

Background: Iron deficiency anaemia still remains the most common cause of anaemia not only in India but also world over. According to world heath report, there are 1,788,600 people in this world suffering from Iron deficiency anaemia. Iron deficiency anaemia is foremost prevalent disease-causing morbidity in world and therefore it is always absolutely necessary to detect this particular condition in early stages before the eventual development of various dreadful complications like Heart failure and Myocardial infarction. The aim of the study is to find incidence of iron deficiency anaemia in patients with hypo proliferative anaemia presentation, with a possible iron deficient state, by analyzing the haematological and biochemical parameters.Methods: The study was conducted from November 2017 to May 2018 for a period of 6 months which included 50 subjects from both sex groups, aged 20-80 years with the diagnosis of hypo proliferative anaemia.Results: The study results indicate that females (60%) were significantly overrepresented compared to males (40%). Of the 50 subjects 38% were in stage of negative iron balance (stage1) and 32% were in stage of iron deficient erythropoiesis(stage2) and 30% were in normal stage.Conclusions: This Observational study showed a majority of patients with hypo-proliferative anaemia presenting at early stages of negative iron balance and iron deficient erythropoiesis thereby indicating the importance of initiating iron therapy at an early stage even without correlative iron studies.

Investigation for the Reference Intervals of Serum Iron and Total Iron Binding Capacity among 60+ Years People in Beijing / 现代检验医学杂志

Objective To establish the reference intervals of serum iron and total iron binding capacity (TIBC) among 60+ years people in Beijing.Methods Collected Beijing TongRen Hospital,Capital Medical University from 60 to 79 year-old male 167 cases,173 cases of female serum samples of healthy subjects using Beckman's DXC-800 serum iron,total iron binding capacity,and comparative analysis of two kinds of indicators.Results The normal reference range of serum iron in Beijing (60 to 79 years) was 7.9～23.1 μmol/L.The values were 17.45±5.67 μmol/L in male,and 17.52±6.2 μmol/L in female (t=1.32,P ＞0.05).The normal reference range of total iron binding capacity was 37.8～ 62.2 μmol/L.The values were 50.78±9.17 μmol/L in male,and 52.17±9.75 μmol/L in female (t=1.75,P＞0.05).Conclusion There was no significant difference between serum iron and total iron binding capacity in elderly men and women.The investigation gave the reference intervals of serum iron and total iron binding capacity in Beijing Han elderly (60 to 79 years),which can provide useful reference to clinical.

Association of maternal iron status with birthweight at third trimester in pregnant women / 동물의과학연구지

To investigate the association between maternal iron status at the third trimester and fetal birthweight, maternal serum iron, ferritin, total iron-binding capacity (TIBC), and complete blood count values were measured at 36-weeks gestation. Delivery database on mothers who delivered babies at Chungbuk National University Hospital between January 2008 and March 2013 was extracted. A total of 353 uncomplicated term babies were analyzed using hierarchical regression and ANCOVA. Maternal age (standardized regression coefficient beta=0.115, P<0.05), height (beta=0.108, P<0.05), BMI (beta=0.210, P<0.001), and gestational age (beta=0.298, P<0.001) were significantly associated with birthweight. However, birthweight was not associated with maternal iron parameters. After adjusting for maternal age, height, BMI, and gestational age, babies born to mothers with lower mean values of hemoglobin, hematocrit, and serum ferritin were heavier than those born to mothers with higher values. Babies born to lower hemoglobin (11 g/dL) mothers were heavier than those born to higher hemoglobin (12 g/dL) mothers. However, birthweight was not significantly different between mothers with 10 g/dL or 13 g/dL of hemoglobin. Comparing birthweight according to 30 ug/dL of serum iron, 360 ug/dL of TIBC, 15 ng/mL of serum ferritin, and 10% transferrin saturation, babies born to mothers of the lower group were heavier than those born to mothers of the higher group. Therefore, maternal serum iron status at the third trimester seems to not be associated with birthweight.

Clinical significance of anemia associated metabolin detection in patients with chronic renal failure / 国际检验医学杂志

Objective To investigate the clinical value of serum iron(Fe),total iron binding capacity(TIBC),serum ferritin(SF), folic acid(FA)and vitamin 12(ViB12 )in the diagnosis and treatment of chronic renal failure(CRF).Methods Fasting blood sam-ples were collected from 72 patients with CRF and 83 normal controls.Then the serum SF,ViB12 and FA contents were measured by the ARCHITECT i2000SR fully automatic chemiluminescence immunoassay analyzer;serum Fe and TIBC were detected by the VITORS FS 5.1 dry biochemical analyzer;RBC,HGB,HCT and MCV were analyzed by the Mindray BC-6800 complete automated blood counter.The detection results were performed the statistical analysis by the SPSS16.0 software.Results The levels of TIBC,RBC,HGB and HCT in the CRF patients were significantly lower than those in the control group(P 0.05);the FA level in the female patients was lower than that in the control group,but which in the male patients had no statistical differences compared with the control group(P >0.05).Conclusion The indexes of anemia associat-ed metabolin in the CRF patients can provide certain reference value for the diagnosis and treatment of chronic renal fail and has cer-tain guidance significance for correcting anemia caused by renal insufficiency.

Parâmetros utilizados na avaliação do metabolismo do ferro em cães / Iron metabolism parameters in dogs

A avaliação do metabolismo de ferro associado aos resultados hematológicos constitui uma ferramenta importante para o diagnóstico, controle e diferenciação de estados anêmicos. O presente trabalho objetivou determinar os parâmetros utilizados na avaliação do metabolismo do ferro (ferro sérico, capacidade latente de ligação do ferro, capacidade total de ligação do ferro, índice de saturação do ferro, transferrina e ferritina) em cães sadios. Foram selecionados 120 cães, divididos em quatro grupos de sexo e faixa etária distintos (30 machos jovens e 30 adultos, 30 fêmeas jovens e 30 adultas). As amostras de sangue foram coletadas das 8h às 11h, com os cães em jejum. Os valores médios para as concentrações de ferro sérico, capacidade latente de ligação do ferro, capacidade total de ligação do ferro, índice de saturação do ferro e transferrina foram 138,2µl dl-1; 371µl dl-1; 232,6µl dl-1; 37,7 por cento e 259,6mg dl-1, respectivamente. Esses índices foram avaliados quanto às variações entre sexo e idade. Os valores médios foram submetidos ao teste de Tukey e não apresentaram variação significativa (P<0,01). A concentração de ferro sérico apresentou-se mais elevada em cães machos adultos, comparados aos machos jovens (P<0,05). O valor de ferritina obtido foi inferior a 1ng mL-1 com reagente comercial de imunoensaio quimioluminescente para humanos.

The determination of iron metabolism rates associated with hematological findings is an important tool to diagnosis, control and differentiation of anemic states. This study has as objective to determine the iron parameters (serum iron, unsaturated iron binding-capacity, total iron binding-capacity, transferrin saturation rate (IST), transferrin and ferritin) in healthy dogs. It was selected 120 dogs, shared in four different groups of sex and age (30 young males and 30 adult males, 30 young females and 30 adult females). The blood samples were collected between 8 and 11h AM, with fasted dogs. The average values to serum iron, unsaturated iron binding-capacity, total iron-binding-capacity, transferring percent saturation and transferrin are 138.2µl dl-1; 371µl dl-1; 232.6µl dl-1; 37.7 percent e 259.6mg dl-1 respectively. These rates were evaluated according to sex and age variation. The average values submitted to Tukey test it were not significant (P<0,01). Considering a 5 percent level variation of error probability, the serum iron was higher in adult male dogs, comparing with young male ones (P<0,05). The ferritin values were 0ng mL-1 in human chemiluminescent immunoassay kit.

Avaliação do estado nutricional de ferro e anemia em crianças menores de 5 anos de creches públicas / Nutritional assessment of iron status and anemia in children under 5 years old at public daycare centers

OBJETIVO: Avaliar o estado nutricional de ferro e a prevalência de anemia em crianças menores de 5 anos de creches públicas da cidade do Recife (PE). MÉTODOS: Estudo transversal, com amostra aleatória sistemática de 162 crianças, de 6 a 59 meses. O estado nutricional de ferro foi avaliado em termos de reservas corporais (ferritina sérica), transferrinemia (ferro sérico, capacidade total de ligação do ferro e por cento de saturação da transferrina), eritropoiese (protoporfirina eritrocitária livre) e hemoglobinogênese (hemoglobina). RESULTADOS: A prevalência de anemia (hemoglobina < 11,0 g/dL) foi de 55,6 por cento (IC95 por cento 47,3-63,5), a redução dos estoques de ferro (ferritina sérica < 12,0 ng/mL) foi evidenciada em 30,8 por cento (IC95 por cento 22,9-39,3), baixa transferrinemia ( por cento de saturação da transferrina < 16) em 60,1 por cento (IC95 por cento 51,7-68,0) e eritropoiese deficiente (protoporfirina eritrocitária livre > 40 æmol/mol heme) em 69,6 por cento (IC95 por cento 61,0-77,1) das crianças. Os parâmetros de ferro não apresentaram correlação com o gênero (p > 0,05). No entanto, crianças < 24 meses apresentaram concentrações mais baixas de hemoglobina (p < 0,00) e níveis mais elevados de protoporfirina eritrocitária livre (p < 0,000) e de capacidade total de ligação do ferro (p < 0,001), quando comparadas às crianças > 24 meses. A significante correlação observada entre reserva, transferrinemia e eritropoiese representa achado compatível com o esperado ciclo de vida do ferro no organismo. CONCLUSÕES: A deficiência de ferro e a anemia parecem ser um importante problema de saúde pública entre as crianças menores de 5 anos de creches públicas do Recife. Logo, ações efetivas direcionadas à prevenção e ao controle dessa deficiência são fortemente recomendadas nesse contexto ecológico.

OBJECTIVE: To assess nutritional iron status and anemia prevalence in children less than 5 years old at public daycare centers in the city of Recife, PE, Brazil. METHODS: A cross-sectional study, with a systematic random sampling of 162 children aged 6 to 59 months. Nutritional iron status was assessed in terms of body iron reserves (serum ferritin), transferrinemia (serum iron, total iron binding capacity, and transferrin saturation percent), erythropoiesis (free erythrocyte protoporphyrin) and hemoglobin production (hemoglobin). RESULTS: The prevalence of anemia (hemoglobin < 11.0 g/dL) was 55.6 percent (95 percentCI 47.3-63.5), evidence was found of depleted iron stocks (serum ferritin < 12.0 ng/mL) in 30.8 percent (95 percentCI 22.9-39.3), low transferrinemia levels (transferrin saturation percent < 16) in 60.1 percent (95 percentCI 51.7-68.0) and deficient erythropoiesis (free erythrocyte protoporphyrin > 40 æmol/mol heme) in 69.6 percent (95 percentCI 61.0-77.1) of the children. Iron parameters were not correlated with sex (p > 0.05). However, children < 24 months exhibited lower hemoglobin concentrations (p < 0.00) and higher levels of free erythrocyte protoporphyrin (p < 0.000) and total iron binding capacity (p < 0.001) when compared with children > 24 months. The significant correlation observed between reserves, transferrinemia and erythropoiesis is a finding that is compatible with the expected lifecycle of iron in the body. CONCLUSIONS: Iron deficiency and anemia appear to be an important public health problem among children less than 5 years old at public daycare centers in Recife. Therefore, effective actions aimed at the prevention and control of this deficiency are strongly recommended in this ecological context.

A Study on Serum Ferrum, TIBC, and Ferritin's Circadian Rhythm in Normal Adults / 기본간호학회지

PURPOSE: The purpose of this study was to identify characteristics of serum ferrum, TIBC and ferritin's circadian rhythm in normal adults and to prepare a standard to determine the examination material extraction time. METHOD: Nine women and ten men made up the convenience sample for this study. they were from the staff of D university hospital and students in D medical School located in K city who met the qualifications for inclusion in the sample. The value of serum ferrum, TIBC and circadian rhythm were calculated as follows; First, each variable's amplitude, the acrophase and average were measured for a 24 hour cycle using the cosinor method, and then each person's rhythm was analyzed. RESULTS: There were significant serum iron circadian rhythm for both men and women (p<.05). For the men, mesor was 105.91 microgram/dl, amplitude was 29.52 microgram/dl, and the acrophase was 9.76 hour. For the women, mesor was 108.17 microgram/dl, amplitude was 28.09 microgram/dl, and the acrophase was 11.42 hour. The rhythm change of TIBC was only significant for the women (p<.05), mesor was 383.39 mg/dl, amplitude was 60.29 mg/dl, and the acrophase was 14.93hour. As for the circadian rhythm of the ferritin, there are no diurnal variation in either sex, men were between 134.0 ng/ml and 137.4 ng/ml, and women, between 29.1 ng/ml and 30.1 ng/ml. CONCLUSION: To help diagnose the boundary line between normal or deficiency in iron, measurement should be carried out at a fixed time in the morning and evening, or a more proper time would be in the afternoon at the time when the width of amplitude is the least.

A Study of Serum Ferritin Levels in Patients with Acute Infectious Hepatitis

Serum ferritin, iron, and total iron binding capacity were measured in 47 patients who were admitted to Hanyang University Hospital under the diagnosis of acute infectious hepatitis(excluding HBsAg positive patients) from September 1980 to March 1981. At the same time, serum transminase were estimated as indicator of liver function. Then we evaluated the relationship between serum ferritin, iron, and iron binding capacity and transaminase. The results were as followings: 1. Among 47 cases, 25 cases were male and 22 cases were female. Age distribution was from 1 year and 10 months to 14 years old. 2. Serum transaminase levels, GOT were from 51 unit to 1,010 unit and mean value was 644.8+/-315.7unit, and GPT were from 139 unit to 825 unit and mean value was 662.3+/-231.6 unit. 3. Serum iron levels were from 33microgram/dl to 264microgram/dl and mean value was 103.6+/-42.7microgram/dl, total iron binding capacities were from 267microgram/dl to 588microgram/dl, and mean value was 393.5+/-80.6microgram/dl. Serum ferritin levels were from 12ng/ml to 1,420ng/ml and mean value was 184.3+/-251.7ng/ml. 4. There was no correlation between serum iron and serum transaminase. 5. There was no correlation between total iron binding capacity and serum transaminase. 6. There was no correlation between serum ferritin and serum transaminase.