Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study

Introduction: Iron deficiency is a major complication of repeated blood donation. However, most of the blood screening methods employed by blood collection agents do not include iron status markers, leading to possible subclinical iron deficiency. The aim of this study was to evaluate the effects o...

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Main Authors: Vhanda, Donald, Chinowaita, Frank, Nkomo, Sisodwa, Timire, Collins, Kouamou, Vinie
Format: Article
Language:English
Published: Wiley Open Access 2022
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Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562310/pdf/HSR2-4-e426.pdf
http://hdl.handle.net/11408/4654
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author Vhanda, Donald
Chinowaita, Frank
Nkomo, Sisodwa
Timire, Collins
Kouamou, Vinie
author_facet Vhanda, Donald
Chinowaita, Frank
Nkomo, Sisodwa
Timire, Collins
Kouamou, Vinie
author_sort Vhanda, Donald
collection DSpace
description Introduction: Iron deficiency is a major complication of repeated blood donation. However, most of the blood screening methods employed by blood collection agents do not include iron status markers, leading to possible subclinical iron deficiency. The aim of this study was to evaluate the effects of repeated blood donation on the iron status of this vulnerable population in Zimbabwe. Methods: All donors were categorized into groups based on number of donations made in the previous 2-year period prior to enrolment into the study. Serum iron, total iron-binding capacity (TIBC), and ferritin were analyzed on automated chemistry analyzers while transferrin saturation (TSAT) was calculated. The Wilcoxon rank-sum and ANOVA tests were used to assess the variation of iron profiles by gender and frequency of donations. All data analysis was performed using Stata software v13. Results: Study participants included 170 repeat donors and 20 first-time blood donors. The median (IQR) age was 23 (19-27) years, while the majority were males 57% (n = 109/190). The overall prevalence of iron deficiency and reduced iron stores was 12.6% and 38.9%, respectively. There were statistically significant differences between males and females in all the iron status parameters (P < .05). TIBC increased with number of donations, while iron, ferritin, and TSAT decreased with increased number of donations. Conclusion: A high proportion of blood donors had iron deficiency despite being eligible to donate. Repeated blood donation may lead to substantial reduction in iron stores among blood donors. Inclusion of iron biochemical markers may enhance proper screening and monitoring of blood donors in Zimbabwe to prevent development of iron deficiency anemia.
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spelling ir-11408-46542022-06-27T13:49:06Z Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study Vhanda, Donald Chinowaita, Frank Nkomo, Sisodwa Timire, Collins Kouamou, Vinie blood donation iron deficiency iron status negative iron balance reduced iron stores Introduction: Iron deficiency is a major complication of repeated blood donation. However, most of the blood screening methods employed by blood collection agents do not include iron status markers, leading to possible subclinical iron deficiency. The aim of this study was to evaluate the effects of repeated blood donation on the iron status of this vulnerable population in Zimbabwe. Methods: All donors were categorized into groups based on number of donations made in the previous 2-year period prior to enrolment into the study. Serum iron, total iron-binding capacity (TIBC), and ferritin were analyzed on automated chemistry analyzers while transferrin saturation (TSAT) was calculated. The Wilcoxon rank-sum and ANOVA tests were used to assess the variation of iron profiles by gender and frequency of donations. All data analysis was performed using Stata software v13. Results: Study participants included 170 repeat donors and 20 first-time blood donors. The median (IQR) age was 23 (19-27) years, while the majority were males 57% (n = 109/190). The overall prevalence of iron deficiency and reduced iron stores was 12.6% and 38.9%, respectively. There were statistically significant differences between males and females in all the iron status parameters (P < .05). TIBC increased with number of donations, while iron, ferritin, and TSAT decreased with increased number of donations. Conclusion: A high proportion of blood donors had iron deficiency despite being eligible to donate. Repeated blood donation may lead to substantial reduction in iron stores among blood donors. Inclusion of iron biochemical markers may enhance proper screening and monitoring of blood donors in Zimbabwe to prevent development of iron deficiency anemia. 2022-01-14T09:35:27Z 2022-01-14T09:35:27Z 2021 Article 2398-8835 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562310/pdf/HSR2-4-e426.pdf http://hdl.handle.net/11408/4654 en Health Science Reports;Vol.4, Iss.4 open Wiley Open Access
spellingShingle blood donation
iron deficiency
iron status
negative iron balance
reduced iron stores
Vhanda, Donald
Chinowaita, Frank
Nkomo, Sisodwa
Timire, Collins
Kouamou, Vinie
Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title_full Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title_fullStr Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title_full_unstemmed Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title_short Effects of repeated blood donation on iron status of blood donors in Zimbabwe: a cross-sectional study
title_sort effects of repeated blood donation on iron status of blood donors in zimbabwe: a cross-sectional study
topic blood donation
iron deficiency
iron status
negative iron balance
reduced iron stores
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562310/pdf/HSR2-4-e426.pdf
http://hdl.handle.net/11408/4654
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