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2015, Number 1

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RCAN 2015; 25 (1)

State of anemia in elder women cared for in a nursery home in Havana city

Martín GE, Mesa MG, González RA, Santana PS, Bonilla SG, Cabreriza CJ, Ruiz AR

Language: Spanish
References: 68
Page: 48-59
PDF size: 532.56 Kb.


ABSTRACT

Rationale: Anemia represents an important nutritional problem in elders being cared for in specialized centers. Objective: To estimate the prevalence of anemia in elder women cared for in a nursery home. Study site: “Hermanas Giralt” Nursery Home, Havana City (Cuba). Material and method: Hemoglobin, erythrocyte sedimentation rate, and serum iron values were obtained from 87 elder women (Age: 81.3 ± 9.1 years) cared for in the nursery home between October 2013 and December 2013 (both included). In addition, blood drops were smeared over glass plates for inspection of the size, shape and color of the erythrocyte. Anticipating elders’s disabilities, nutritional status was established from the midarm circumference (MAC). Results: Thirty point nine percent of the elders presented with MAC ‹ 21.0 cm. Frequency of anemia (diagnosed after Hemoglobin values ‹ 110 g.L-1) was 20.7%. Nutritional status was independent from presence of anemia. Alterations of the color of the erythrocyte were observed in one quarter of the elders, hypochromia being the prevailing finding. Alterations of the size of the erythrocyte were also present in one quarter of the studied elders, with microcitosis and anisocitosis being the most frequent findings. Thirty-one point seven percent of the elders had serum Iron ‹ 10.0 µmol.L-1. Conclusions: Anemia might affect a significant part of elders being cared for in specialized centers. Adoption of dietetic interventions and mineral supplementation are urgently needed in order to treat iron deficiency states in this subpopulation. Comorbidities that might affect absorption and utilization of peripheral iron should be adequate and timely identified and corrected.


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