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General characteristics of anemia in postmenopausal women and elderly men
Tuba Taslamacioglu Duman1, Gulali Aktas1, Burcin Meryem Atak1
1Department of Internal Medicine, Bolu Abant Izzet Baysal University Hospital, Bolu, Turkey.
Insights
Investigating anemia in postmenopausal women and elderly men reveals distinct causes. Elderly men show higher rates of vitamin B12 deficiency anemia and comorbidities, suggesting tailored diagnostic approaches are needed.
Area of Science:
- Gerontology
- Hematology
- Internal Medicine
Background:
- Anemia is a common condition, particularly in postmenopausal women and elderly men, with diverse underlying etiologies.
- Understanding gender-specific differences in anemia causes is crucial for effective diagnosis and management in aging populations.
Purpose of the Study:
- To investigate the etiologies, causes, laboratory markers, and interventions for anemia in postmenopausal women and elderly men.
- To compare the characteristics of anemia between these two demographic groups.
Main Methods:
- Retrospective analysis of medical data from anemic patients, including postmenopausal women and elderly men.
- Grouping subjects by gender and comparing their anemia profiles, comorbidities, and diagnostic procedures.
Main Results:
- Iron deficiency anemia was prevalent in both groups, but vitamin B12 deficiency anemia was significantly more common in elderly men (28.6%) compared to women (2.6%).
- Elderly men exhibited higher rates of comorbidities (85.7%) than women (60.3%).
- Approximately half of the colonoscopies performed in the study population were deemed unnecessary.
Conclusions:
- Anemia etiology requires careful investigation in the elderly, with a higher suspicion for vitamin B12 deficiency and comorbidities in men.
- The high rate of normal colonoscopies suggests a need to refine diagnostic strategies to avoid unnecessary procedures in this demographic.
Abstract:
In present study, we aimed to investigate anemia etiologies, underlying causes, laboratory markers of anemia, required interventions in postmenopausal women and elderly men. The medical data of the anemic subjects were recorded from the patients' files and computerized database of the institution and retrospectively analyzed. Study population grouped into two according to the gender; men and women. Medical data of men and women were compared. A total of 113 subjects enrolled to the study; 78 women and 35 men. 51 (65%) of women and 21 (60%) of men had iron deficiency anemia, 5 (6.4%) of women and 1 (2.9%) of men had anemia of chronic disease, 2 (2.6%) of women and 10 (28.6%) of men had vitamin B12 deficiency anemia. Forty seven (60.3%) of the women and 30 (85.7%) of the men had comorbidities. 47% of colonoscopies were normal in study population (44% of women and 50% of men). Etiology and causes of anemia should be carefully investigated in subjects with advanced age. Physicians should kept in mind that B12 deficiency and comorbidities were more common in elderly men and about half of the colonoscopy procedures in this population is unnecessary.
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