Moderate Iron Deficiency Anemia in the Treatment of Metabolic Syndrome

M. Helvaci, M. Albayrak, O. Balçik
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引用次数: 1

Abstract

Background: Body mass index (BMI), weight, and height may be due to various hereditary and environmental factors. Material and methods: Age and sex-matched cases with a hematocrit value of less than 30% were collected into the first, less than 36% into the second, less than 40% into the third, and 40% or greater into the fourth groups of patients. Results: The study included 108 anemia patients (101 females) with a mean age of 34.7 years (range 15-68). The anemia cases were mainly iron deficiency anemia and/or thalassemia minors. When we compared the first group with the second, the BMI and weight were significantly retarded in the first group (23.6 versus 26.9 kg/m2, p= 0.005 and 61.3 versus 69.9 kg, p= 0.008), whereas there were nonsignificant differences between the second, third, and fourth groups for both (p>0.05 for all). Although there was significantly retarded BMI and weight in the first group, body heights were similar in the four groups (p>0.05 for all). Conclusion: Although the BMI and weight can be affected by moderate anemia, the height may strongly be determined by heredity. Since the excess weight may be a significant underlying cause of the metabolic syndrome, and the metabolic syndrome shortens human lifespan significantly, and there is no case with shortened survival due to iron deficiency anemia and/or thalassemia minors, an iatrogenic and moderate iron deficiency anemia with frequent blood donation may prolong human survival by decreasing the BMI and weight in the overweight and obese individuals.
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中度缺铁性贫血在代谢综合征治疗中的作用
背景:身体质量指数(BMI)、体重和身高可能受各种遗传和环境因素的影响。材料与方法:将年龄与性别匹配且红细胞压积值小于30%的患者分为第一组,小于36%的患者分为第二组,小于40%的患者分为第三组,大于40%的患者分为第四组。结果:本研究纳入贫血患者108例(女性101例),平均年龄34.7岁(15-68岁)。贫血病例以缺铁性贫血和/或未成年地中海贫血为主。当我们将第一组与第二组进行比较时,第一组的BMI和体重显著延迟(23.6对26.9 kg/m2, p= 0.005, 61.3对69.9 kg, p= 0.008),而第二、第三和第四组之间的差异无统计学意义(p>0.05)。虽然第1组患者BMI和体重均有明显的发育迟缓,但4组患者身高无明显差异(p>0.05)。结论:中度贫血对BMI和体重有影响,但对身高有强烈的遗传决定作用。由于超重可能是代谢综合征的重要潜在原因,而代谢综合征会显著缩短人的寿命,且没有因缺铁性贫血和/或未成年地中海贫血而缩短生存期的病例,因此医源性和中度缺铁性贫血伴频繁献血可通过降低超重和肥胖个体的BMI和体重来延长人类生存期。
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