Published: 2022-02-23

A study of anemia profile in a research hospital in Telangana, South India

Syeda Hajra Fatima, Tasleem Ahmad, Sree Latha, Ghazala Javed, Ahmed Minhajuddin


Background: Anemia is widespread public health problem with 1.62 billion people affected globally.  In India, Anemia is considered a major health problem. Children, women of child bearing age and pregnant women are more prone to develop anemia. Anemia affects the physical and mental growth of children, associated with increase maternal and fetal mortality, leads to reduced work productivity in adults. The present study was undertaken to determine prevalence and severity of anemia among patients who attended the outpatient clinics of a Unani research hospital in Telangana.

Methods: This hospital based retrospective observational study was conducted from January 2020 to December 2020 to investigate the prevalence, type, and determinants of anemia. The complete haemogram values of all the patients who underwent haemogram investigation were noted, information was compiled, tabulated, and analysed. Descriptive statistics were computed with percentages, mean, standard deviation, and student’s t-test was used find the significance of study parameters.

Results: Prevalence of anemia was 26.2% (872/3326), high prevalence of anemia was observed in females (44.04%) compared to males (5.72%) (p<0.0001). The prevalence was more in reproductive age group (58.6%). Moderate anemia (58.6%) was more prevalent followed by mild anemia (36.6%). Microcytic hypochromic blood picture predominates with the incidence of 53.6% followed by normocytic blood picture 42.2%.

Conclusions: Results confirmed high prevalence of anemia in females and moderate anemia being more prevalent followed by mild anemia and majority of anemia cases were microcytic, suggesting iron deficiency as the main cause of anemia.


Hemoglobin, Anemia, Microcytic, Hypochromic

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Hemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and mineral nutrition information system. Available at: Accessed on 20 October 2021.

Benoist B, McLean E, Egli I, Cogswell. Worldwide prevalence of anaemia 1993–2005. Available at: Accessed on 20 October 2021.

Key indicators for India. Available at: http//www. Accessed on 20 October 2021.

Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Available at: Accessed on 20 October 2021.

Siva PM, Sobha A, Manjula VD. Prevalence of Anaemia and Its Associated Risk Factors Among Adolescent Girls of Central Kerala. J Clin Diagn Res. 2016;10(11):LC19-23.

Raghuram V, Manjula A, Jayaram S. Prevalence of anaemia amongst women in the reproductive age group in a rural area in south India. Int J Biol Med Res. 2012;3(2):1482-4.

Baker RD, Greer FR, Committee on Nutrition American Academy of Pediatrics. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics. 2010;126:1040-50.

Moreno-Chulilla JA, Romero-Colás MS, Gutiérrez-Martín M. Classification of anemia for gastroenterologists. World J Gastroenterol. 2009; 15(37):4627-37.

Maner BS, Moosavi L. Mean Corpuscular Volume. Treasure Island (FL): Stat Pearls Publishing; 2021.

Tefferi A, Hanson CA, Inwards DJ. How to interpret and pursue an abnormal complete blood cell count in adults. Mayo Clin Proc. 2005;80:923-36.

Kandasamy K, Prasad A, Surendran A, Sebastian AC, Rajagopal SS, Ramanathan S. Epidemiological Study of prevalence of anemia and associated risk factors in a rural community; a home-based screening. Asian J Pharma Clin Res. 2017;10(2):307-9.

Sanjay KG, Sanjay SA, Rituja K, Ambuj J, Vineet KG, Neerj K. Prevalence of anemia among rural population living in and around of rural health and training centerRatua village of Madhya Pradesh. Muller J Med Sci Res. 2015;5(1):15-8.

Vitull KG, Arun KM, Rajiv K, Jagjeet SB, Sonia A. To study the prevalence of anemia in young males and females with respect to the age, body mass index (BMI), activity profile and the socioeconomic status in rural Punjab. J Clin Diagn Res. 2011;5(5):1020-6.

National Family Health Survey (NFHS-4). Available at: Accessed on 20 October 2021.

Raghuram V, Manjula Anil, JayaramS . Prevalence of anaemia amongst women in the reproductive age group in a rural area in south india. Int J Biol Med Res. 2012;3(2):1482-4.

Thankachan P, Muthayya S, Walczyk T, Kurpad AV, Hurrell RF. An analysis of the etiology of anemia and iron deficiency in young women of low socioeconomic status in Bangalore, India. Food Nutr Bullet. 2007;28(3):328-36.

Verma P, Singh S, Ghildiyal A, Kumar A, Krishna A. Prevalence of anemia in adults with respect to socio-demographic status, blood groups and religion in north Indian population. Int J Biol Med Res. 2012; 3(4):2422-8.

Alvarez-Uria G, Naik PK, Midde M, Yalla PS, Pakam R. Prevalence and severity of anaemia stratified by age and gender in rural Indis. Anemia. 2014;17:6182-7.

Lewis SM. Reference ranges and normal values. In: Lewis SM, Bain BJ, Bates I, eds. Practical haematology, 3th ed. New York: Churchill Levingstone; 2006:11-24.

Sundaram M, Mohanakrishnan J, Murugavel K, Muthu SE, Srinivas C, Solomon S, et al. Ethnic variation in certain hematological and biochemical reference intervals in a South Indian healthy adult population. Eur J Int Med. 2007;19:46-50.