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임신여성의 철영양상태와 철결핍상태 판정을 위한 Hb, Hct, TIBC, sTfR 및 sTfR:ferritin 비의 임계수준 평가s
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  • 임신여성의 철영양상태와 철결핍상태 판정을 위한 Hb, Hct, TIBC, sTfR 및 sTfR:ferritin 비의 임계수준 평가s
  • Iron Status of Pregnant Women and Evaluation of Cut-off Levels of Hb, Hct, TIBC, sTfR, sTfR:ferritin Ratio for Assessment of Iron Deficiency
저자명
이종임,임현숙
간행물명
한국가정과학회지
권/호정보
2001년|4권 1호|pp.36-45 (10 pages)
발행정보
한국가정과학회
파일정보
정기간행물|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

This study was performed to determine the changes of maternal iron status during pregnancy cross sectionally, and to evaluate the appropriateness of the cut-off points of hemoglobin (Hb). hematocrit (Hct), serum transferrin receptor (sTfR) and sTfR : ferritin ratio for assessing iron deficiency status based on serum ferritin level (< 12${mu}g$/L). Serum Hb concentrations in the first trimester were significantly higher (p < 0.05) than those in the second and third trimester. Serum levels of iron and ferritin in the third trimester were significantly lower (p < 0.05) than those in the first and second trimester. On the other hand, sTfR:ferritin ratios in the third trimester were significantly higher (p < 0.05) than those in the first and second trimester. sTfR concentrations did not change significantly during pregnancy. The appropriate cut-off points of Hb were 11.5g/dL for whole period of pregnancy. 12.0g/dL for 1st trimester. and 11.5g/dL for both 2nd and 3rd trimester. The good cut-off points of Hct were 34% for whole period of pregnancy. 36% for 1st trimester. and 34% for both 2nd and 3rd trimester The suitable cut-off points of TIBC were 400${mu}g$/dL for whole period of pregnancy. 360${mu}g$/dL for 1st trimester, and 400${mu}g$<TEX>/dL for both 2nd and 3rd trimester. Any cut-off point of sTfR could not be selected because of its low sensitivity and specificity. The proper cut-off point of sTfR : ferritin ratio was 600 or 650 for all the periods determined except the first trimester. In conclusion, there were no reliable cut-off levels of sTfR and those of sTfR : ferritin ratio showed low specificity. The cut-off values of Hb and Hct for assessing iron deficiency were slightly higher than the values used to evaluate anemia. Thus, if appropriate cut-off levels were applied, Hb. Hct, or TIBC might be useful indices for evaluating iron deficiency as well as anemia.