دورية أكاديمية

Iron status in Dutch and Finnish blood donor and general populations: A cross-cohort comparison study.

التفاصيل البيبلوغرافية
العنوان: Iron status in Dutch and Finnish blood donor and general populations: A cross-cohort comparison study.
المؤلفون: Karregat JHM; Donor Studies, Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.; Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Public Health, Amsterdam Public Health (APH) Research Institute, Academic Medical Center, Amsterdam UMC, Amsterdam, The Netherlands., Ekroos S; Faculty of Medicine, University of Helsinki, Helsinki, Finland., Castrén J; Finnish Red Cross Blood Service (FRCBS), Research and Development, Helsinki, Finland., Arvas M; Finnish Red Cross Blood Service (FRCBS), Research and Development, Helsinki, Finland., van den Hurk K; Donor Studies, Department of Donor Medicine Research, Sanquin Research, Amsterdam, The Netherlands.; Department of Public and Occupational Health, Amsterdam UMC, Amsterdam, The Netherlands.; Department of Public Health, Amsterdam Public Health (APH) Research Institute, Academic Medical Center, Amsterdam UMC, Amsterdam, The Netherlands.
المصدر: Vox sanguinis [Vox Sang] 2024 Jul; Vol. 119 (7), pp. 664-674. Date of Electronic Publication: 2024 Apr 15.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 0413606 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0410 (Electronic) Linking ISSN: 00429007 NLM ISO Abbreviation: Vox Sang Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : Oxford, UK : Blackwell Science
Original Publication: Basel : Karger
مواضيع طبية MeSH: Blood Donors* , Ferritins*/blood , Iron*/blood, Humans ; Finland/epidemiology ; Female ; Netherlands/epidemiology ; Middle Aged ; Adult ; Male ; Anemia, Iron-Deficiency/epidemiology ; Anemia, Iron-Deficiency/blood ; Cohort Studies ; Prevalence ; Aged ; Iron Deficiencies
مستخلص: Background and Objectives: Blood donors are at risk of developing iron deficiency (ID) (ferritin <15 μg/L, World Health Organization definition). Blood services implement different strategies to mitigate this risk. Although in Finland risk group-based iron supplementation is in place, no iron supplementation is provided in the Netherlands. We aim to describe differences in ferritin levels and ID prevalence in donor and general populations in these countries.
Materials and Methods: Six cohorts, stratified based on sex, and for women age, in the Netherlands and Finland were used to evaluate differences in ferritin levels and ID between donor populations (Donor InSight-III and FinDonor 10,000) and general populations (Prevention of Renal and Vascular End-Stage Disease [PREVEND], FinRisk 1997 and Health 2000) and newly registered Dutch donors. Multivariable logistic regression was used to quantify associations of various explanatory factors with ID.
Results: In total, 13,443 Dutch and 13,933 Finnish subjects were included. Donors, except for women aged ≤50 years old in Finland, had lower median ferritin levels compared with the general population and new donors. Dutch regular blood donors had higher or similar prevalence of ID as compared with the Dutch general population, including new donors. In contrast, Finnish donors showed similar prevalence of ID compared with the general population, except for a markedly lower prevalence in ≤50-year-old women who routinely receive iron supplements when donating.
Conclusion: Iron status in blood donors differs from that in the general population. The Finnish blood service donor management policy, for example, iron supplementation for risk groups, seemingly protects young female blood donors from developing ID.
(© 2024 The Authors. Vox Sanguinis published by John Wiley & Sons Ltd on behalf of International Society of Blood Transfusion.)
References: Prinsze FJ, de Groot R, Timmer TC, Zalpuri S, van den Hurk K. Donation‐induced iron depletion is significantly associated with low hemoglobin at subsequent donations. Transfusion. 2021;61:3344–3352.
Vinkenoog M, van den Hurk K, van Kraaij M, van Leeuwen M, Janssen MP. First results of a ferritin‐based blood donor deferral policy in The Netherlands. Transfusion. 2020;60:1785–1792.
Schotten N, Pasker‐de Jong PC, Moretti D, Zimmermann MB, Geurts‐Moespot AJ, Swinkels DW, et al. The donation interval of 56 days requires extension to 180 days for whole blood donors to recover from changes in iron metabolism. Blood. 2016;128:2185–2188.
Baart AM, van den Hurk K, de Kort WL. Minimum donation intervals should be reconsidered to decrease low hemoglobin deferral in whole blood donors: an observational study. Transfusion. 2015;55:2641–2644.
Wet inzake bloedvoorziening. 1997.
Cable RG. Hemoglobin determination in blood donors. Transfus Med Rev. 1995;9:131–144.
Sweegers MA‐O, Zalpuri S, Quee FA, Huis in ′t Veld EMJ, Prinsze FJ, Hoogendijk EO, et al. Ferritin measurement IN donors‐effectiveness of iron monitoring to diminish iron deficiency and low haemoglobin in whole blood donors (FIND'EM): study protocol for a stepped wedge cluster randomised trial. Trials. 2020;21:21.
de Kort W, Prinsze F, Nuboer G, Twisk J, Merz EM. Deferral rate variability in blood donor eligibility assessment. Transfusion. 2019;59:242–249.
Goldman M, Magnussen K, Gorlin J, Lozano M, Speedy J, Keller A, et al. International forum regarding practices related to donor haemoglobin and iron. Vox Sang. 2016;111:449–455.
Vuk T, Magnussen K, De Kort W, Folléa G, Liumbruno GM, Schennach H, et al. International forum: an investigation of iron status in blood donors. Blood Transfus. 2017;15:20–41.
Timmer TC, de Groot R, Habets K, Merz EM, Prinsze FJ, Atsma F, et al. Donor InSight: characteristics and representativeness of a Dutch cohort study on blood and plasma donors. Vox Sang. 2018;114:117–128.
Hillege HL, Fidler V, Diercks GFH, van Gilst WH, de Zeeuw D, van Veldhuisen DJ, et al. Urinary albumin excretion predicts cardiovascular and noncardiovascular mortality in general population. Circulation. 2002;106:1777–1782.
Lobier M, Niittymäki P, Nikiforow N, Palokangas E, Larjo A, Mattila P, et al. FinDonor 10 000 study: a cohort to identify iron depletion and factors affecting it in Finnish blood donors. Vox Sang. 2020;115:36–46.
Borodulin K, Tolonen H, Jousilahti P, Jula A, Juolevi A, Koskinen S, et al. Cohort profile: the national FINRISK study. Int J Epidemiol. 2018;47:696–696i.
Heistaro S. Methodology report: health 2000 survey. Helsinki: National Public Health Institute. 2008.
Bürkner P‐C. brms: an R package for Bayesian multilevel models using Stan. J Stat Softw. 2017;80:1–28.
Gabry J, Simpson D, Vehtari A, Betancourt M, Gelman A. Visualization in Bayesian workflow. J R Stat Soc Ser A Stat Soc. 2019;182:389–402.
Patel EU, White JL, Bloch EM, Grabowski MK, Gehrie EA, Lokhandwala PM, et al. Association of blood donation with iron deficiency among adolescent and adult females in the United States: a nationally representative study. Transfusion. 2019;59:1723–1733.
Vinkenoog M, Toivonen J, Brits T, de Clippel D, Compernolle V, Karki S, et al. An international comparison of haemoglobin deferral prediction models for blood banking. Vox Sang. 2023;118:430–439.
Maghsudlu M, Nasizadeh S, Toogeh GR, Zandieh T, Parandoush S, Rezayani M. Short‐term ferrous sulfate supplementation in female blood donors. Transfusion. 2008;48:1192–1197.
Lobier M, Castrén J, Niittymäki P, Palokangas E, Partanen J, Arvas M. The effect of donation activity dwarfs the effect of lifestyle, diet and targeted iron supplementation on blood donor iron stores. PloS One. 2019;14:e0220862.
Mast AE, Szabo A, Stone M, Cable RG, Spencer BR, Kiss JE. The benefits of iron supplementation following blood donation vary with baseline iron status. Am J Hematol. 2020;95:784–791.
Bialkowski W, Kiss JE, Wright DJ, Cable R, Birch R, D'Andrea P, et al. Estimates of total body iron indicate 19 mg and 38 mg oral iron are equivalent for the mitigation of iron deficiency in individuals experiencing repeated phlebotomy. Am J Hematol. 2017;92:851–857.
OECD. Fertility rates (indicator). 2024. https://doi.org/10.1787/8272fb01-en Last accessed 2024 Jan 15.
Lethaby A, Wise MR, Weterings MA, Bofill Rodriguez M, Brown J. Combined hormonal contraceptives for heavy menstrual bleeding. Cochrane Database Syst Rev. 2019;2:CD000154.
Kang W, Barad A, Clark AG, Wang Y, Lin X, Gu Z, et al. Ethnic differences in iron status. Adv Nutr. 2021;12:1838–1853.
Zalpuri S, Romeijn B, Allara E, Goldman M, Kamel H, Gorlin J, et al. Variations in hemoglobin measurement and eligibility criteria across blood donation services are associated with differing low‐hemoglobin deferral rates: a BEST collaborative study. Transfusion. 2020;60:544–552.
Shehu E, Hofmann A, Clement M, Langmaack A‐C. Healthy donor effect and satisfaction with health. Eur J Health Econ. 2015;16:733–745.
Braga F, Pasqualetti S, Frusciante E, Borrillo F, Chibireva M, Panteghini M. Harmonization status of serum ferritin measurements and implications for use as marker of iron‐related disorders. Clin Chem. 2022;68:1202–1210.
معلومات مُعتمدة: PPOC19-02 Sanquin's Research Programming Committee; Finnish Red Cross Blood Service
فهرسة مساهمة: Keywords: blood donation; cross‐cohort comparison; ferritin; iron deficiency; iron supplementation
المشرفين على المادة: 9007-73-2 (Ferritins)
E1UOL152H7 (Iron)
تواريخ الأحداث: Date Created: 20240416 Date Completed: 20240710 Latest Revision: 20240710
رمز التحديث: 20240710
DOI: 10.1111/vox.13639
PMID: 38622934
قاعدة البيانات: MEDLINE
الوصف
تدمد:1423-0410
DOI:10.1111/vox.13639