Nutritional Deficiency Anemia

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Nutritional Deficiency Anemia

A healthy and balanced diet, enriched with the essential


nutrients, is a must for overall well-being Children and
adults require proper nutrition for ensuring a healthy
and long life. deficiency of these vital elements can lead
to serious diseases and conditions.
Anemia Caused by Nutritional Deficiencies:
Objectives;
1-causes of deficiency anemia
2-some clinical features &management
3-prevention through nutrition
can result from deficiencies in iron, folate (vitamin B9) or
vitamin B12.
- Iron Deficiency Anemia: is a disease caused by the
deficiency of iron in the body. It is characterized by a
decrease in the red blood cell count or hemoglobin in
the body, resulting in fatigue, weakness, dyspnea and
pallor. It can be easily treated by changing to a healthy
diet and consuming iron supplements on a regular
basis.
In iron-deficiency anemia, the red cells appear
abnormal and are unusually small (microcytic) and
pale (hypochromic). The pallor of the red cells
reflects their low hemoglobin content.
A person with iron-deficiency anemia often has:
• pale skin
• fatigue and lack of energy
• shortness of breath
• heart palpitations, or irregular heart beat
Other symptoms include:
• headache
• tinnitus
• changes in the sense of taste (a desire to eat ice,
known as pica)
• sores or ulcers at the corner of the mouth
• sore tongue
• hair loss
• spoon-shaped fingernails and toenails
• depression (missed menstruation in women during
their reproductive years)
Iron-deficiency anemia is common in people who:
• consume little iron in their diet
• have a condition that prevents the body from
absorbing nutrients
• have a stomach ulcer, heavy menstruation, or
another cause of bleeding
• have a genetic disorder, such as sickle cell anemia
or another health condition, such as malaria.
Iron deficiency and diet
• Iron-deficiency anemia can result from a lack of iron
in the diet. During pregnancy, for example, women
need more iron to supply the fetus. If they do not
take in enough, this may lead to a dietary deficiency
anemia.
• Heme iron is the most bioavailable form of iron and
is found only in meat.
• Non-heme iron is found in plant-based foods and is
not as easily absorbed. Vegetarians and vegans
need to be mindful of their iron intake to ensure
they are meeting their needs.
• A lack of vitamin C in the diet can reduce the body's
ability to absorb iron, leading to anemia.
• Iron-deficiency anemia can affect a person's overall
health and their ability to function at work and in
their daily routine.
- Folate deficiency anemia (Women of Childbearing
Age)
• Folate, or folic acid, is a particularly important
vitamin for women of childbearing age . A folate
deficiency can decrease the total number of cells
and large red blood cells and cause neural tube
defects in an unborn child, Symptoms of a folate
deficiency include fatigue, mouth sores, poor
growth, and changes in the color of hair, skin, and
nails.
• The Institute of Medicine’s Food and Nutrition Board
recommends that women who could become
pregnant should make sure they get 400 mcg of
folic acid daily, whether through food or
a supplement. To get folate from food, go for
fortified cereals, beans, lentils, and leafy greens.
• When the intake of these nutrients is low, or if the
body is not absorbing them properly, red blood cells
may become too large or adequate amounts of red
blood cells are not produced. This is called
megaloblastic anemia.
• A person with vitamin-deficiency anemia may
experience:
Symptoms of anemia include:
• fatigue and lack of energy
• tingling, or pins and needles
• muscle weakness
• a sore, red tongue
• mouth ulcers
• visual disturbance
• depression and confusion
• problems with concentration, thinking, and memory
Long-term complications include:
• nervous system disorders, which may be
permanent
• infertility, which is usually reversible
• heart problems, and possible heart failure
• complications during pregnancy
• congenital disorders in newborns
Causes of deficiency anemia
Some people have low levels of the necessary nutrients
because of:
• a low dietary intake of iron, vitamin B12, or folate,
• a low dietary intake of Vitamin C
• a lack of intrinsic factor, a protein secreted by the
stomach that aids in the absorption of vitamin B12
• a health condition that makes it hard to absorb
nutrients, such as celiac disease.
Other risk factors for anemia
-HIV or AIDS: Infections or medicines used to treat
these diseases can lead to anemia.
-Pregnancy: During the first 6 months of pregnancy, the
fluid portion of a woman's blood, or plasma, increases
faster than the number of red blood cells. This dilutes
the blood and can lead to anemia.
-Alcohol consumption: This can affect the absorption
of folate and vitamin B12, potentially leading to anemia.
-Aplastic anemia: Some people are unable to make
enough red blood cells from birth. Infants and children
with aplastic anemia often need blood transfusions to
increase the number of red blood cells in their blood.
Certain medicines, toxins, and infectious diseases, also
can cause aplastic anemia.

Treatment
Treatment for nutritional deficiency anemia is through a
varied diet, including mineral-rich and fortified foods,
and vitamin and mineral supplements, if appropriate.
Food sources of iron, B12, and folate
Fortified cereals are a good source of nutrients. The
amount depends on the product and the manufacturer.
Vitamin C enhances iron absorption, while tannin, found
in tea, reduces it. Consuming more vitamin C and
reducing intake of tannin, therefore, can also help
prevent anemia. Good sources of vitamin C include red
peppers, oranges, strawberries, and broccoli.

Medical treatment
some causes of anemia require medical treatment, the
WHO estimated that in 2011, half of all cases of anemia
in women could be solved through supplementation
People who are at risk can take supplements orally or
by injection. Those with severe deficiencies may need
hospitalization, where they may receive the nutrients
intravenously.
A person with B12 anemia may need injections of the
vitamin once a month, or they may use a tablet that is
swallowed.
People with folate deficiency may need to take folate
tablets.
If deficiencies result from an inability to absorb nutrients,
supplements may be a life-long treatment.
During pregnancy, women may need to take
supplemental iron and folic acid. A health care
professional can advise about use of these
supplements.
However, for most people living in developed countries,
a healthful diet that meets the dietary guidelines for
nutrients will normally provide enough iron, folate, and
vitamin B12 to prevent anemia.

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