ANAEMIA IN MEN - HEALTH 

News: Is anaemia seen in three in 10 rural men due to iron deficiency?

 

What's in the news?

       While anaemia among adolescent girls and boys, and women, particularly those of reproductive age has been studied extensively, anaemia in men has been largely ignored.

       In 2019, a paper published in 'The Lancet Global Health' highlighted that nearly one in four men (23.2%) in the age group 15-54 years in India were anaemic (mild, moderate, or severe).

       The conclusion was based on the analysis of over 1,06,000 men from the fourth round of the National Family Health Survey carried out from January 2015 to December 2016. 

 

Key takeaways:

       Men are considered to have anaemia if haemoglobin concentration is less than 13.0 g/dL.

       While iron deficiency is the main cause of anaemia, particularly in women, other causes of anaemia are deficiency in folate, vitamin B12, or vitamin A.

 

Anaemia:

       The condition of having lower than normal number of red blood cells or quantity of haemoglobin.

       It can make one feel tired, cold, dizzy, and irritable and short of breath, among other symptoms.

       A diet which does not contain enough iron, folic acid or vitamin B12 is a common cause of anaemia.

 

Why anaemia is a concern?

       Adverse effects of anaemia affect all age groups lower physical and cognitive growth and alertness among children and adolescents, and lesser capacity to learn and play, directly impacting their future potential as productive citizens.

       Anaemia among adolescent girls (59.1 percent) advances to maternal anaemiaand is a major cause of maternal and infant mortality and general morbidity and ill health in a community.

 

Trends of anaemia in Men:

A recent analysis of the fifth National Family Health Survey (NFHS-5) has shed light on anaemia among men living in rural areas. The findings of the report are as follows.

       The report found that three out of ten men in rural areas were anaemic.

       The prevalence of anaemia was more in rural areas than in urban areas - one of five urban men are anaemic, while three out of every ten rural men are anaemic.

       Prevalence of anaemia was found to be higher (34.7%) among men who were underweight compared with men who were overweight (19.3%).

       Men who consumed alcohol and smoked had “slightly higher” occurrences of anaemia, and older men were found to be more vulnerable.

       Men in the southern States had lower anaemia prevalence (18.5%), while prevalence was highest in the eastern region (34.1%). Anaemia prevalence was 27.2% in the north region, 28.9% in west, 26.9% in northwest and 25% in the central region.

 

Cause of anaemia among men in India:

1. Illiteracy:

       Men with less education and those living in rural areas are more likely to have anaemia.

2. Poverty:

       Less household wealth lead to unavailability of proper nutritional diets and lead to anaemia.

3. Neglect:

       Men are branded as rough and tough in society. Health of men is often ignored and neglected especially in rural areas.

4. Other factors:

       Factors such as consuming smokeless tobacco, being underweight, level of urbanisation and household wealth are associated with a higher probability of developing the disease.

 

Impacts of Anaemia among Men:

       It can decrease productivity by causing fatigue, creating difficulty in concentrating, and lethargy.

       Although male anaemia does not affect the intergenerational cycle of malnutrition but it may reduce overall work performance and quality of life.

       It also lead to lack of harmony in family as men are irritated most of the time and show their anger on family.

       It put life of men in danger as fatigue may lead to unintended consequences like falling on working site from rooftop.

 

Preventive Measures:

       The distribution of iron tablets and food fortification with iron.

       Iron fortification of food is a methodology utilized worldwide to address iron deficiency. Iron fortification programs usually involve mandatory, centralized mass fortification of staple foods, such as wheat flour.

       Higher awareness about anaemia and various nutritional deficiencies.

       Health of men should not be ignored. Focus must be on erving issues like hidden hunger.

       Men must be taught about bad effects of smoking that lead to less hunger and lead to other diseases.

       Anemia Mukt Bharat: In 2018, the Govt launched Anemia Mukt Bharat for tackling anaemia. It focuses on children, pregnant women, women of reproductive age and male and female adolescents.

 

The existing anaemia control measures in the country are majorly focussed on women and children. The inclusion of the males in the target population will help to eliminate anaemia completely from the country. In 2018, the government of India launched Anaemia Mukt Bharat (AMB) as part of the Intensified National Iron Plus Initiative (NIPI) Program for accelerating the annual rate of decline of anaemia from one to three percentage points.