Dominance of Iron Deficiency Anemia among Adolescent Females in OPD of Hayatabad Medical Complex, Peshawar, Pakistan
DOI:
https://doi.org/10.55735/qybbh562Keywords:
Adolescent females, Hematological parameters, Iron deficiency anemia, Nutritional deficiencies, Socioeconomic factorsAbstract
Background: A common public health issue, especially in developing countries, is iron deficiency anemia. Teenage girls are more vulnerable because of their fast growth, higher iron needs, and menstruation. Objective: To find the prevalence of iron deficiency anemia among adolescent females in the OPD of Hayatabad Medical Complex, Peshawar, Pakistan. Methodology: A cross-sectional study was conducted at Hayatabad Medical Complex, Peshawar, over a duration of six months. A convenient sampling technique was used to recruit 306 participants. Adolescent female patients aged 10 to 19 years old were included in the study, while patients with blood cancer, thalassemia, accident, psychological disability, and cardiac patients were excluded. The patients had undergone their serum ferritin and complete blood tests, and written informed consent was obtained from each participant. Following the consent process, each participant was asked to complete a structured questionnaire, which gathered demographic information, medical history, and dietary habits relevant to the study. Subsequently, blood samples were drawn, and these samples were then processed and analyzed to determine serum ferritin and CBC parameters for the diagnosis of iron deficiency anemia. The data was analyzed and transformed into appropriate graphs and tables by using SPSS version 22. Results: The study, which involved 306 participants between the ages of 10 and 19, discovered that the overall prevalence of iron deficiency anemia was 35.9%, with the highest incidence occurring in the 17–19 age range (19.9%). The prevalence of anemia overall, including non-IDA forms, was 68.3%. Of the individuals, 33.3% had mild anemia, 23.2% had moderate anemia, and 11.8% had severe anemia. There were notable socioeconomic differences; iron deficiency anemia rates were greater in the middle-income (22.2%) and low-income (11.8%) groups than in the high-income (2.3%) group. Adolescents in urban areas were more prevalent (27.5%) than those in rural areas (8.5%). Furthermore, non-IDA anemia was present in 32.4% of subjects. Conclusion: The study’s findings highlight the critical need for public health programs that target IDA in teenage girls by enhancing food education, providing iron supplements, and providing socioeconomic support. To create specialized treatments for this population, future studies should investigate additional causes of anemia.
Downloads
References
1. Sari P, Judistiani RTD, Herawati DMD, et al. Iron deficiency anemia and associated factors among adolescent girls and women in a rural area of Jatinangor, Indonesia. International Journal of Women’s Health 2022; 14: 1137–47.
https://doi.org/10.2147/IJWH.S376023
2. Khamaiseh AM, Khamayseh AA. Iron deficiency anemia in southern Jordanian adolescent girls: A study of prevalence and contributing factors. Anemia 2025: 2484033.
https://doi.org/10.1155/anem/2484033
3. Habtegiorgis SD, Petrucka P, Telayneh AT, et al. Prevalence and associated factors of anemia among adolescent girls in Ethiopia: A systematic review and meta-analysis. PLoS One 2022; 17(3): e0264063.
https://doi.org/10.1371/journal.pone.0264063
4. Bhandari B, Kachapati A, Lamichhane K, et al. Anemia among adolescent girls attending the pediatric outpatient department of a tertiary care hospital: a descriptive cross-sectional study. JNMA: Journal of the Nepal Medical Association 2021; 59(241): 862–66.
https://doi.org/10.31729/jnma.6897
5. Hassan F, Salim S, Humayun A. Prevalence and determinants of iron deficiency Anemia in adolescents girls of low income communities in Lahore. Annals of King Edward Medical University 2017; 23(2): 116–25.
https://doi.org/10.21649/akemu.v23i2.1565
6. Wang W, Knovich MA, Coffman LG, et al. Serum ferritin: past, present and future. Biochimica et Biophysica Acta 2010; 1800(8): 760–69.
https://doi.org/10.1016/j.bbagen.2010.03.011
7. Pasricha SR, Tye-Din J, Muckenthaler MU, et al. Iron deficiency. Lancet (London, England) 2021; 397(10270): 233–48.
https://doi.org/10.1016/S0140-6736(20)32594-0
8. Camaschella C. Iron-deficiency anemia. New England Journal of Medicine 2015; 372(19): 1832–43.
https://doi.org/10.1056/NEJMra1401038
9. Lopez A, Cacoub P, Macdougall IC, et al. Iron deficiency anaemia. Lancet (London, England) 2016; 387(10021): 907–16.
https://doi.org/10.1016/S0140-6736(15)60865-0
10. Haripriya H, Agrawal N, Kumar P, et al. Prevalence of iron deficiency and iron deficiency anemia among adolescent girls at a tertiary care centre in Bihar: A cross-sectional study. Cureus 2025; 17(6): e87078.
https://doi.org/10.7759/cureus.87078
11. Pai RD, Chong YS, Clemente-Chua LR, et al. Prevention and management of iron deficiency/iron-deficiency anemia in women: an Asian expert consensus. Nutrients 2023; 15(14): 3125.
https://doi.org/10.3390/nu15143125
12. Mahmood R, Khan R, Saleem S. Association of anaemia with dietary practices in adolescent girls. Pakistan Journal of Physiology 2018; 14(3): 41–45.
https://doi.org/10.69656/pjp.v14i3.166
13. Kumar A, Sharma E, Marley A, et al. Iron deficiency anaemia: pathophysiology, assessment, practical management. BMJ Open Gastroenterol 2022; 9(1): e000759.
https://doi.org/10.1136/bmjgast-2021-000759
14. Mazhar S. Prevalence of anemia and dietary iron intake among female adolescents (Grade 8-12) in Lahore. Journal of the Dow University of Health Sciences (JDUHS) 2015; 9(3): 99–105.
15. Kundu S, Alam SS, Mia MA, et al. Prevalence of anemia among children and adolescents of Bangladesh: A systematic review and meta-analysis. International Journal of Environmental Research And Public Health 2023; 20(3): 1786.
https://doi.org/10.3390/ijerph20031786
16. Mahar B, Shah T, Shaikh K, et al. Uncovering the hidden health burden: a systematic review and meta-analysis of iron deficiency anemia among adolescents, and pregnant women in Pakistan. Journal of Health, Population, and Nutrition 2024; 43(1): 149.
https://doi.org/10.1186/s41043-024-00643-y
17. Ashraf K, Dibley MJ, Ikram J, et al. The effectiveness of nutritional interventions on maternal and childhood anaemia in Sindh, Pakistan. Nutrients 2025; 17(23): 3701.
https://doi.org/10.3390/nu17233701
18. Endale F, Woldeyohannes D, Belayneh F, et al. Menstrual abnormality, maternal illiteracy, and household factors as main predictors of anemia among adolescent girls in Ethiopia: systematic review and meta-analysis. Women’s Health (London, England) 2022; 18: 17455057221129398.
https://doi.org/10.1177/17455057221129398
19. Wati EK, Sistiarani C, Rahardjo S. Diet behavior and consumption of iron inhibitors: Incidence anemia in adolescent girls. Journal of Public Health in Africa 2023; 14(11): 2593.
https://doi.org/10.4081/jphia.2023.2593
20. Wiafe MA, Ayenu J, Eli-Cophie D. A review of the risk factors for iron deficiency anaemia among adolescents in developing countries. Anemia 2023: 6406286.
https://doi.org/10.1155/2023/6406286
21. Aabdien M, Al Kaabi N, Al-Kohji SMS, et al. Epidemiology of iron deficiency among adolescents aged 10-19 years old in Qatar: a cross-sectional study. BMJ Open 2022; 12(12): e061666.
https://doi.org/10.1136/bmjopen-2022-061666
22. World Health Organization. Weekly iron and folic acid supplementation as an anaemia-prevention strategy in women and adolescent girls. 2017.
23. Wiafe MA, Apprey C, Annan RA. Effectiveness of nutrition education and counselling programme on iron deficiency anaemia among adolescents: A study protocol of a randomized trial. Nutrition and Health 2022; 28(3): 301–09.
https://doi.org/10.1177/02601060221074433
24. Gore MN, Drozd ME, Patil RS. Anemia prevalence and socioeconomic status among adolescent girls in rural western India: A cross-sectional study. Ethiopian Journal of Health Sciences 2024; 34(1): 57–64.
https://doi.org/10.4314/ejhs.v34i1.7
25. Balarajan Y, Ramakrishnan U, Özaltin E, et al. Anaemia in low-income and middle-income countries. Lancet (London, England) 2011; 378(9809): 2123–35.
https://doi.org/10.1016/S0140-6736(10)62304-5
26. Habib N, Abbasi SS, Aziz W. An analysis of societal determinant of anemia among adolescent girls in Azad Jammu and Kashmir, Pakistan. Anemia 2020: 1628357.
https://doi.org/10.1155/2020/1628357
27. Kumari R, Bharti RK, Singh K, et al. Prevalence of iron deficiency and iron deficiency anaemia in adolescent girls in a tertiary care hospital. Journal of Clinical and Diagnostic Research: JCDR 2017; 11(8): BC04–BC06.
https://doi.org/10.7860/JCDR/2017/26163.10325
28. Akramipour R, Rezaei M, Rahimi Z. Prevalence of iron deficiency anemia among adolescent schoolgirls from Kermanshah, Western Iran. Hematology (Amsterdam, Netherlands) 2008; 13(6): 352–55.
Downloads
Published
License
Copyright (c) 2026 Shuja Ahmad, Nadeem Ullah, Bilal Musa, Attiqa Raza, Khadija Rehman, Ruqia Hayat, Saddam

This work is licensed under a Creative Commons Attribution 4.0 International License.