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Kusuma Neela Bolla M.Sc, M.B.A
Dept. Appiled Nutrition
Anemia is a major killer in India.
Statistics reveal that every second Indian woman is anemic
One in every five maternal deaths is directly due to anemia.
Anemia affects both adults and children of both sexes, although pregnant
women and adolescent girls are most susceptible and most affected by this
disease.
As per National Family Health Survey, more than half of women in India
(55%) have anemia, including 39% with mid anemia, 15% with moderate
anemia, 2% were severe anemic.
Nearly 50-80% of Indian mothers are iron deficiency.
Young children 40-50%
Non pregnant women’s 35%
Definition
 defined as a decrease in the
amount of red blood cells (RBCs) or
the amount of hemoglobin in the
blood.
 It can also be defined as a lowered
ability of the blood to carry
oxygen.
 There are more than 400 types of Anemia currently known
Based on clinical picture-
 Iron deficiency anemia.
 Megaloblastic anemia.
 Pernicious anemia.
 Hemorrhagic anemia.
 Hemolytic anemia.
-Thalassemia anemia
-Sickle cell anemia
 Aplastic anemia
 Hematocrit Anemia
Types
Causes
 Blood loss
 Decreased production or production
of faulty red blood cells.
 The destruction (breakdown) of red blood
cells.
Symptoms of anemia
 The most common symptom of anemia, regardless of type, is a feeling
of fatigue and a lack of energy. Other common symptoms of anemia may
include:
 Paleness of skin
 Fast or irregular heartbeat
 Shortness of breath
 Chest pain
 Headache
 Light-headedness
In mild cases of anemia, individuals have little to no symptoms. Some forms of
anemia can have specific symptoms unique to their type:
 Aplastic anemia - fever, frequent infections, and skin rashes
 Folic acid deficiency anemia - irritability, diarrhea, and a smooth tongue
 Hemolytic anemia - jaundice, dark colored urine, fever, and abdominal pains
 Sickle cell anemia - painful swelling of the feet and hands, fatigue, and jaundice
signs
Normal range:
 Birth: 13.5 to 24.0 g/dl (mean 16.5 g/dl)
 Age <1 month: 10.0 to 20.0 g/dl (mean 13.9 g/dl)
 Age 1-2 months: 10.0 to 18.0 g/dl (mean 11.2 g/dl)
 Age 2-6 months: 9.5 to 14.0 g/dl (mean 12.6 g/dl)
 Age 0.5 to 2 years: 10.5 to 13.5 g/dl (mean 12.0 g/dl)
 Age 2 to 6 years: 11.5 to 13.5 g/dl (mean 12.5 g/dl)
 Age 6-12 years: 11.5 to 15.5 g/dl (mean 13.5)
 Female
 Age 12-18 years: 12.0 to 16.0 g/dl (mean 14.0 g/dl)
 Age >18 years: 12.1 to 15.1 g/dl (mean 14.0 g/dl)
 Male
 Age 12-18 years: 13.0 to 16.0 g/dl (mean 14.5 g/dl)
 Age >18 years: 13.6 to 17.7 g/dl (mean 15.5 g/dl)
Diagnosis
Hemoglobin test
 Hemoglobin levels
 Hematocrit
 Mean corpuscular
hemoglobin
Severity of Anemia
Mild 9.5-13.0g/dl
Moderate 8-9.5g/dl
Sever > 8.0g/dl
Diet Therapy - IRON
 This mineral plays a key role in the blood’s
distribution of Oxygen to the body. A serious shortage
of iron- iron deficiency anemia. Produce fatigue,
impaired immunity.
 Iron is found in red meat, poultry, fish, egg yolks,
legumes, nuts, dried fruits, leafy greens and foods
such as fortified breakfast cereals bread and pasta.
 There are 2 types of iron foods
Haem iron, Non Haem iron.
A balanced
Food pyramid
Be Physically Active
Intentional exercise
Walking
Running
Cycling
Swimming
Active lifestyle
 Take the stairs
Walk to work
Sit less, move more
Anemia

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Anemia

  • 1. Kusuma Neela Bolla M.Sc, M.B.A Dept. Appiled Nutrition
  • 2.
  • 3. Anemia is a major killer in India. Statistics reveal that every second Indian woman is anemic One in every five maternal deaths is directly due to anemia. Anemia affects both adults and children of both sexes, although pregnant women and adolescent girls are most susceptible and most affected by this disease. As per National Family Health Survey, more than half of women in India (55%) have anemia, including 39% with mid anemia, 15% with moderate anemia, 2% were severe anemic. Nearly 50-80% of Indian mothers are iron deficiency. Young children 40-50% Non pregnant women’s 35%
  • 4. Definition  defined as a decrease in the amount of red blood cells (RBCs) or the amount of hemoglobin in the blood.  It can also be defined as a lowered ability of the blood to carry oxygen.
  • 5.  There are more than 400 types of Anemia currently known Based on clinical picture-  Iron deficiency anemia.  Megaloblastic anemia.  Pernicious anemia.  Hemorrhagic anemia.  Hemolytic anemia. -Thalassemia anemia -Sickle cell anemia  Aplastic anemia  Hematocrit Anemia Types
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  • 7. Causes  Blood loss  Decreased production or production of faulty red blood cells.  The destruction (breakdown) of red blood cells.
  • 8. Symptoms of anemia  The most common symptom of anemia, regardless of type, is a feeling of fatigue and a lack of energy. Other common symptoms of anemia may include:  Paleness of skin  Fast or irregular heartbeat  Shortness of breath  Chest pain  Headache  Light-headedness In mild cases of anemia, individuals have little to no symptoms. Some forms of anemia can have specific symptoms unique to their type:  Aplastic anemia - fever, frequent infections, and skin rashes  Folic acid deficiency anemia - irritability, diarrhea, and a smooth tongue  Hemolytic anemia - jaundice, dark colored urine, fever, and abdominal pains  Sickle cell anemia - painful swelling of the feet and hands, fatigue, and jaundice
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  • 11. Normal range:  Birth: 13.5 to 24.0 g/dl (mean 16.5 g/dl)  Age <1 month: 10.0 to 20.0 g/dl (mean 13.9 g/dl)  Age 1-2 months: 10.0 to 18.0 g/dl (mean 11.2 g/dl)  Age 2-6 months: 9.5 to 14.0 g/dl (mean 12.6 g/dl)  Age 0.5 to 2 years: 10.5 to 13.5 g/dl (mean 12.0 g/dl)  Age 2 to 6 years: 11.5 to 13.5 g/dl (mean 12.5 g/dl)  Age 6-12 years: 11.5 to 15.5 g/dl (mean 13.5)  Female  Age 12-18 years: 12.0 to 16.0 g/dl (mean 14.0 g/dl)  Age >18 years: 12.1 to 15.1 g/dl (mean 14.0 g/dl)  Male  Age 12-18 years: 13.0 to 16.0 g/dl (mean 14.5 g/dl)  Age >18 years: 13.6 to 17.7 g/dl (mean 15.5 g/dl)
  • 12. Diagnosis Hemoglobin test  Hemoglobin levels  Hematocrit  Mean corpuscular hemoglobin Severity of Anemia Mild 9.5-13.0g/dl Moderate 8-9.5g/dl Sever > 8.0g/dl
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  • 14. Diet Therapy - IRON  This mineral plays a key role in the blood’s distribution of Oxygen to the body. A serious shortage of iron- iron deficiency anemia. Produce fatigue, impaired immunity.  Iron is found in red meat, poultry, fish, egg yolks, legumes, nuts, dried fruits, leafy greens and foods such as fortified breakfast cereals bread and pasta.  There are 2 types of iron foods Haem iron, Non Haem iron.
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  • 19. Be Physically Active Intentional exercise Walking Running Cycling Swimming Active lifestyle  Take the stairs Walk to work Sit less, move more