Which Blood Group is More Anemic: Five Years of Retrospective Experience
Citation
Zeynep Akidaği, Halime Dana (2023) Which Blood Group Is More Anemic: Five Years of Retrospective Experience J Hematol Blood Disord 10(1): 103Abstract
Aim: The relationship between blood groups and diseases has been a subject of interest for many researchers. This study aims to investigate the susceptibility of each blood group to anemia based on the relationship between the erythrocyte indices and the biochemical parameters used to diagnose anemia. Materials and Methods: This is a retrospective study in which blood groups, according to the ABO grouping system, were examined in 1162 male individuals aged 18-65 within five years from 2018 to 2022. They were categorized as anemic or healthy based on their hemoglobin concentrations. Individuals with a hemoglobin (HGB) value below 12 g/dL were considered anemic. Findings: Erythrocyte indices, including HGB (Hemoglobin), RBC (Red Blood Cells), HCT (Hematocrit), MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Hemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), and parameters related to anemia such as iron, total iron-binding capacity (TIBC), vitamin B12, and ferritin were statistically analyzed. Among 1162 male individuals, 2% (n=23) were found to be anemic. The most common blood group among the 1162 male individuals was A Rh (+) with 41% (n=465), followed by O Rh (+) with 26% (n=296), while the least common blood group was AB Rh (-) with 0.5% (n=6). The average HGB value of anemic individuals was 10.4 g/dL, and the average iron value was 70.6 μg/dL. Among the blood groups, the blood group with the lowest HGB and iron values was A Rh (-).
When comparing the blood groups and erythrocyte indices of anemic and healthy individuals, significant differences were found between the two groups (p<0.001), except for the MCHC parameter, where there was no significant difference (p=0.565). A significant difference was found in iron levels when comparing the blood groups and biochemical parameters
of anemic and healthy individuals. Still, no significant differences were observed in TIBC (p=0.885), ferritin (p=0.318), and vitamin B12 (p=0.108). Conclusion: In light of the study findings, it can be concluded that the parameters MCHC, ferritin, TIBC, and vitamin B12 are not as crucial as iron and HGB in diagnosing anemia, and the blood group most susceptible to anemia is A Rh (-).