Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity
Abstract Objective National Health and Nutrition Examination Survey 2001-2002 data were used to examine gender and ethnicity relationships to iron, folate, and vitamin B12 status, and anemia in 1770 elderly persons. Methods Dependent variables included dietary intakes and biochemical measures of iro...
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| Veröffentlicht in: | Journal of the National Medical Association 2011-09, Vol.103 (9), p.870-878 |
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| creator | Hinds, Hesma E., PhD, LN Johnson, Allan A., PhD, LN Webb, Marquitta C., PhD, LN Graham, Avis P., PhD, RD |
| description | Abstract Objective National Health and Nutrition Examination Survey 2001-2002 data were used to examine gender and ethnicity relationships to iron, folate, and vitamin B12 status, and anemia in 1770 elderly persons. Methods Dependent variables included dietary intakes and biochemical measures of iron, folate, and vitamin B12 status, and hemoglobin. t Tests were performed using SUDAAN software (version 9.0; Research Triangle Institute International, Research Triangle Park, North Carolina). The relationships of gender and ethnicity to adequacy of iron, folate, and vitamin B12 status, and anemia were investigated using x2 tests. Results Males had significantly higher nutrient intakes and better biochemical measures of iron status but lower biochemical measures of folate and vitamin B12 . Whites were significantly more likely to have nutrient intakes higher than those recommended by the Food and Nutrition Board. No clear pattern of biochemical measures of iron status was seen among the ethnic groups, and there was no significant relationship between iron status and ethnicity. Biochemical measures of folate status were significantly higher in whites and Mexican Americans than in blacks. No significant relationships were found between folate status and ethnicity. Mean serum vitamin B12 was significantly higher in blacks than in whites and was lowest in other Hispanics who were significantly more likely to be vitamin B12 deficient. Blacks had significantly lower mean hemoglobin values than whites and were significantly more likely to be anemic. Conclusions Based on biochemical measures, elderly males are at higher risk of folate and vitamin B12 deficiencies. Ethnicity was not significantly related to either iron or folate status. Other Hispanics were significantly more likely to be vitamin B12 deficient. |
| doi_str_mv | 10.1016/S0027-9684(15)30442-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_923954043</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0027968415304429</els_id><sourcerecordid>923954043</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-769f6f2f0f177201007ef246df0bd027a1089f8f29a7105ebb22c67e90d914823</originalsourceid><addsrcrecordid>eNqFkV1rFDEUhoModq3-BGUQRIWOnnzO5kbRsq3FghdVb0Mmc0JTZ2faJCPMvzf74Qq98SoJPOflPU8IeU7hHQWq3l8BsKbWaineUPmWgxCs1g_IgmrBa6E0f0gWB-SIPEnpBgCWWsrH5IgxrgRIuSBfL-I4nFRnY28znlR26KqfIdt1GKrPlFVX2eYpVeWVr7Fa9R3Gfq7auTrHody3_CpfD8GFPD8lj7ztEz7bn8fkx9nq--mX-vLb-cXpp8vacU1z3SjtlWcePG0aBhSgQc-E6jy0XWlsaanpl55p21CQ2LaMOdWghk5TsWT8mLze5d7G8W7ClM06JId9bwccp2Q041oKELyQL--RN-MUh1KuQAyk0EoVSO4gF8eUInpzG8PaxtlQMBvXZuvabEQaKs3WtdFl7sU-fGrX2B2m_sotwKs9YJOzvY92cCH94yTnWjWicB93HBZpvwNGk1zAwWEXIrpsujH8t8qHewmuD-VTbP8LZ0yHpalJzMAuZJNB5TZB8z8IC6vf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>922054966</pqid></control><display><type>article</type><title>Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity</title><source>MEDLINE</source><source>ProQuest Central UK/Ireland</source><source>Alma/SFX Local Collection</source><creator>Hinds, Hesma E., PhD, LN ; Johnson, Allan A., PhD, LN ; Webb, Marquitta C., PhD, LN ; Graham, Avis P., PhD, RD</creator><creatorcontrib>Hinds, Hesma E., PhD, LN ; Johnson, Allan A., PhD, LN ; Webb, Marquitta C., PhD, LN ; Graham, Avis P., PhD, RD</creatorcontrib><description>Abstract Objective National Health and Nutrition Examination Survey 2001-2002 data were used to examine gender and ethnicity relationships to iron, folate, and vitamin B12 status, and anemia in 1770 elderly persons. Methods Dependent variables included dietary intakes and biochemical measures of iron, folate, and vitamin B12 status, and hemoglobin. t Tests were performed using SUDAAN software (version 9.0; Research Triangle Institute International, Research Triangle Park, North Carolina). The relationships of gender and ethnicity to adequacy of iron, folate, and vitamin B12 status, and anemia were investigated using x2 tests. Results Males had significantly higher nutrient intakes and better biochemical measures of iron status but lower biochemical measures of folate and vitamin B12 . Whites were significantly more likely to have nutrient intakes higher than those recommended by the Food and Nutrition Board. No clear pattern of biochemical measures of iron status was seen among the ethnic groups, and there was no significant relationship between iron status and ethnicity. Biochemical measures of folate status were significantly higher in whites and Mexican Americans than in blacks. No significant relationships were found between folate status and ethnicity. Mean serum vitamin B12 was significantly higher in blacks than in whites and was lowest in other Hispanics who were significantly more likely to be vitamin B12 deficient. Blacks had significantly lower mean hemoglobin values than whites and were significantly more likely to be anemic. Conclusions Based on biochemical measures, elderly males are at higher risk of folate and vitamin B12 deficiencies. Ethnicity was not significantly related to either iron or folate status. Other Hispanics were significantly more likely to be vitamin B12 deficient.</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>DOI: 10.1016/S0027-9684(15)30442-9</identifier><identifier>PMID: 22364055</identifier><identifier>CODEN: JNMAAE</identifier><language>eng</language><publisher>Washington, DC: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Anemia, Iron-Deficiency - epidemiology ; Anemia, Iron-Deficiency - ethnology ; Biological and medical sciences ; elderly health ; Female ; Folic Acid Deficiency - epidemiology ; Folic Acid Deficiency - ethnology ; gender ; General aspects ; Geriatric Assessment ; Health Status ; Humans ; Internal Medicine ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nutrition Surveys ; Prevalence ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; race/ethnicity ; Sex Factors ; Vitamin B 12 Deficiency - epidemiology ; Vitamin B 12 Deficiency - ethnology ; vitamins and minerals</subject><ispartof>Journal of the National Medical Association, 2011-09, Vol.103 (9), p.870-878</ispartof><rights>National Medical Association</rights><rights>2011 National Medical Association</rights><rights>2015 INIST-CNRS</rights><rights>Copyright National Medical Association Sep/Oct 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-769f6f2f0f177201007ef246df0bd027a1089f8f29a7105ebb22c67e90d914823</citedby><cites>FETCH-LOGICAL-c391t-769f6f2f0f177201007ef246df0bd027a1089f8f29a7105ebb22c67e90d914823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/922054966?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25339674$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22364055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hinds, Hesma E., PhD, LN</creatorcontrib><creatorcontrib>Johnson, Allan A., PhD, LN</creatorcontrib><creatorcontrib>Webb, Marquitta C., PhD, LN</creatorcontrib><creatorcontrib>Graham, Avis P., PhD, RD</creatorcontrib><title>Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>Abstract Objective National Health and Nutrition Examination Survey 2001-2002 data were used to examine gender and ethnicity relationships to iron, folate, and vitamin B12 status, and anemia in 1770 elderly persons. Methods Dependent variables included dietary intakes and biochemical measures of iron, folate, and vitamin B12 status, and hemoglobin. t Tests were performed using SUDAAN software (version 9.0; Research Triangle Institute International, Research Triangle Park, North Carolina). The relationships of gender and ethnicity to adequacy of iron, folate, and vitamin B12 status, and anemia were investigated using x2 tests. Results Males had significantly higher nutrient intakes and better biochemical measures of iron status but lower biochemical measures of folate and vitamin B12 . Whites were significantly more likely to have nutrient intakes higher than those recommended by the Food and Nutrition Board. No clear pattern of biochemical measures of iron status was seen among the ethnic groups, and there was no significant relationship between iron status and ethnicity. Biochemical measures of folate status were significantly higher in whites and Mexican Americans than in blacks. No significant relationships were found between folate status and ethnicity. Mean serum vitamin B12 was significantly higher in blacks than in whites and was lowest in other Hispanics who were significantly more likely to be vitamin B12 deficient. Blacks had significantly lower mean hemoglobin values than whites and were significantly more likely to be anemic. Conclusions Based on biochemical measures, elderly males are at higher risk of folate and vitamin B12 deficiencies. Ethnicity was not significantly related to either iron or folate status. Other Hispanics were significantly more likely to be vitamin B12 deficient.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Anemia, Iron-Deficiency - ethnology</subject><subject>Biological and medical sciences</subject><subject>elderly health</subject><subject>Female</subject><subject>Folic Acid Deficiency - epidemiology</subject><subject>Folic Acid Deficiency - ethnology</subject><subject>gender</subject><subject>General aspects</subject><subject>Geriatric Assessment</subject><subject>Health Status</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nutrition Surveys</subject><subject>Prevalence</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>race/ethnicity</subject><subject>Sex Factors</subject><subject>Vitamin B 12 Deficiency - epidemiology</subject><subject>Vitamin B 12 Deficiency - ethnology</subject><subject>vitamins and minerals</subject><issn>0027-9684</issn><issn>1943-4693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkV1rFDEUhoModq3-BGUQRIWOnnzO5kbRsq3FghdVb0Mmc0JTZ2faJCPMvzf74Qq98SoJPOflPU8IeU7hHQWq3l8BsKbWaineUPmWgxCs1g_IgmrBa6E0f0gWB-SIPEnpBgCWWsrH5IgxrgRIuSBfL-I4nFRnY28znlR26KqfIdt1GKrPlFVX2eYpVeWVr7Fa9R3Gfq7auTrHody3_CpfD8GFPD8lj7ztEz7bn8fkx9nq--mX-vLb-cXpp8vacU1z3SjtlWcePG0aBhSgQc-E6jy0XWlsaanpl55p21CQ2LaMOdWghk5TsWT8mLze5d7G8W7ClM06JId9bwccp2Q041oKELyQL--RN-MUh1KuQAyk0EoVSO4gF8eUInpzG8PaxtlQMBvXZuvabEQaKs3WtdFl7sU-fGrX2B2m_sotwKs9YJOzvY92cCH94yTnWjWicB93HBZpvwNGk1zAwWEXIrpsujH8t8qHewmuD-VTbP8LZ0yHpalJzMAuZJNB5TZB8z8IC6vf</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Hinds, Hesma E., PhD, LN</creator><creator>Johnson, Allan A., PhD, LN</creator><creator>Webb, Marquitta C., PhD, LN</creator><creator>Graham, Avis P., PhD, RD</creator><general>Elsevier Inc</general><general>National Medical Association</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201109</creationdate><title>Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity</title><author>Hinds, Hesma E., PhD, LN ; Johnson, Allan A., PhD, LN ; Webb, Marquitta C., PhD, LN ; Graham, Avis P., PhD, RD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-769f6f2f0f177201007ef246df0bd027a1089f8f29a7105ebb22c67e90d914823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Anemia, Iron-Deficiency - ethnology</topic><topic>Biological and medical sciences</topic><topic>elderly health</topic><topic>Female</topic><topic>Folic Acid Deficiency - epidemiology</topic><topic>Folic Acid Deficiency - ethnology</topic><topic>gender</topic><topic>General aspects</topic><topic>Geriatric Assessment</topic><topic>Health Status</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nutrition Surveys</topic><topic>Prevalence</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>race/ethnicity</topic><topic>Sex Factors</topic><topic>Vitamin B 12 Deficiency - epidemiology</topic><topic>Vitamin B 12 Deficiency - ethnology</topic><topic>vitamins and minerals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hinds, Hesma E., PhD, LN</creatorcontrib><creatorcontrib>Johnson, Allan A., PhD, LN</creatorcontrib><creatorcontrib>Webb, Marquitta C., PhD, LN</creatorcontrib><creatorcontrib>Graham, Avis P., PhD, RD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the National Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hinds, Hesma E., PhD, LN</au><au>Johnson, Allan A., PhD, LN</au><au>Webb, Marquitta C., PhD, LN</au><au>Graham, Avis P., PhD, RD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity</atitle><jtitle>Journal of the National Medical Association</jtitle><addtitle>J Natl Med Assoc</addtitle><date>2011-09</date><risdate>2011</risdate><volume>103</volume><issue>9</issue><spage>870</spage><epage>878</epage><pages>870-878</pages><issn>0027-9684</issn><eissn>1943-4693</eissn><coden>JNMAAE</coden><abstract>Abstract Objective National Health and Nutrition Examination Survey 2001-2002 data were used to examine gender and ethnicity relationships to iron, folate, and vitamin B12 status, and anemia in 1770 elderly persons. Methods Dependent variables included dietary intakes and biochemical measures of iron, folate, and vitamin B12 status, and hemoglobin. t Tests were performed using SUDAAN software (version 9.0; Research Triangle Institute International, Research Triangle Park, North Carolina). The relationships of gender and ethnicity to adequacy of iron, folate, and vitamin B12 status, and anemia were investigated using x2 tests. Results Males had significantly higher nutrient intakes and better biochemical measures of iron status but lower biochemical measures of folate and vitamin B12 . Whites were significantly more likely to have nutrient intakes higher than those recommended by the Food and Nutrition Board. No clear pattern of biochemical measures of iron status was seen among the ethnic groups, and there was no significant relationship between iron status and ethnicity. Biochemical measures of folate status were significantly higher in whites and Mexican Americans than in blacks. No significant relationships were found between folate status and ethnicity. Mean serum vitamin B12 was significantly higher in blacks than in whites and was lowest in other Hispanics who were significantly more likely to be vitamin B12 deficient. Blacks had significantly lower mean hemoglobin values than whites and were significantly more likely to be anemic. Conclusions Based on biochemical measures, elderly males are at higher risk of folate and vitamin B12 deficiencies. Ethnicity was not significantly related to either iron or folate status. Other Hispanics were significantly more likely to be vitamin B12 deficient.</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>22364055</pmid><doi>10.1016/S0027-9684(15)30442-9</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Anemia, Iron-Deficiency - epidemiology Anemia, Iron-Deficiency - ethnology Biological and medical sciences elderly health Female Folic Acid Deficiency - epidemiology Folic Acid Deficiency - ethnology gender General aspects Geriatric Assessment Health Status Humans Internal Medicine Male Medical sciences Middle Aged Miscellaneous Nutrition Surveys Prevalence Public health. Hygiene Public health. Hygiene-occupational medicine race/ethnicity Sex Factors Vitamin B 12 Deficiency - epidemiology Vitamin B 12 Deficiency - ethnology vitamins and minerals |
| title | Iron, Folate, and Vitamin B12 Status in the Elderly by Gender and Ethnicity |
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