title: The ecology of anemia: Anemia prevalence and correlated factors in adult indigenous women in Argentina.
abstract: OBJECTIVE
  The Toba/Qom of Namqom are an indigenous community native to the Gran Chaco region of northern Argentina. Historically seminomadic foragers, the diet of peri-urban community members has rapidly changed from high-protein, high-fiber to hypercaloric, processed. This study aims to understand the impact of this nutritional transition on aspects of women's health by exploring the relationship between prevalence of anemia and current diet composition, place of birth, and reproductive history.
  
  
  METHODS
  We measured the capillary hemoglobin (Hb) levels of 153 adult women. Each participant was also given two interviews characterizing reproductive history and a 24-hour food recall.
  
  
  RESULTS
  The average Hb level was 12.6 g/dL (range 5.8-15.7 g/dL). In our sample, 28% of participants were anemic and 31% were borderline anemic. Iron and vitamin C consumption were negatively associated with Hb levels. Body mass index was marginally associated with Hb levels. Being born in a peri-urban setting, a proxy for early Westernized diet was associated with higher risk of anemia, suggesting developmental experience may play a role. Pregnant and lactating women had lower Hb levels than menstruating and menopausal women. Age, height, parity, and age at first pregnancy were not found to be statistically significant predictors of anemia.
  
  
  CONCLUSIONS
  Iron deficiency represents a serious health concern for women, particularly pregnant ones. Our results suggest that both past and current nutritional ecology variables may be associated with the risk of anemia. These findings inform public health interventions, since reproductive history may be more difficult to modify than current diet.
authors.affiliation: Department of Molecular Biophysics & Biochemistry, Yale University, New Haven, Connecticut, 05611.
authors.forename: Laura G
authors.initials: LG
authors.lastname: Goetz
authors.affiliation: Department of Anthropology, Yale University, New Haven, Connecticut, 05611.
authors.forename: Claudia
authors.initials: C
authors.lastname: Valeggia
mesh_terms: D000328:Adult; D000368:Aged; D000740:Anemia / Q000453:epidemiology* / Q000209:etiology; D001118:Argentina / Q000453:epidemiology; D004032:Diet; D005260:Female; D006801:Humans; D007199:Indians, South American; D008875:Middle Aged; D009752:Nutritional Status; D015995:Prevalence; D017584:Reproductive History; D012307:Risk Factors; D055815:Young Adult