Body iron status in blood donors in Erbil


  • Mohamad Salih AL Gaff Assit. Professor consultant hematology, Hawler Medical University,
  • Mouroge AL Ani Assist professor clinical hematology, Hawler Medical University
  • Sanabil Slew Babka MD, MOH Nanakaly hospital.


Body iron, blood donors


Background and Objectives: Blood donation is a process by which an individual voluntarilydonates blood for humanitarian reasons, for storage in blood bank. The aim of this study is evaluation of iron status of blood donors in Erbil city.

Methods: Over six months period ,489 healthy looking adult male attending Nanakaly hospital for blood disease in Erbil city north of Iraq, those divided into 1st time donors, multiple donors (2-4times/2year) and frequent donors(>4times/2year), blood samples for complete blood picture, serum iron parameters &serum ferritin level were performed.

Results: Ninety one donor(18.6%)were found to have laboratory evidence of iron deficiency, all were repeated donors, (20.5%) among multiple donors increased to (26.7%) among frequent donors. iron deficiency was positively related to the frequency of blood donations(p<0.001).the frequency of early stages of iron deficiency was higher among multiple donors (store depletion 47.9%, iron deficient erythropoiesis (IDE) 47.9% ompared to 37.2% store depletion &44.2% iron deficient erythropoiesis (IDE) among frequent donor iron deficiency anemia (IDA) was higher among frequent donors(18.6%V4.2%p=0.01).mean cell volume (MCV) was inversely related to frequency of donation, emoglobin and Hematocrit (HB& PCV) showed no association with serum ferritin or with frequency of donations, however serum iron& transferrin saturation were positively associated with  erum ferritin level.

Conclusion: iron deficiency is common among repeated donors and worsens with increasing frequency of donations ,iron supplementation may be needed.


Metrics Loading ...


Badar A, Ahmed A, Ayub M, Ansari AK (2002). Effect of frequent blood donations on iron stores of non anemic male blood donors. Ayub Med Coll Abbotabad; 14(2): 24-27.

Andrews NC (2004). Iron deficiency and related disorders. In : Greer JP, Foerster J, Lukens JN, Rodgers GM, Paraskevas F, Glader B. Wintrobe’s Clinical Hematology. 11th Edition. Philadelphia: Lippincott Williams & Wilkins. 980-1009.

Alexander HD, Sherlock JP, Bharucha C (2000). Red cell indices as predictors of iron depletion in blood donors. Clin Lab Heme; 22: 253-258.

Simon TL, Garry PJ, Hooper EM (1981). Iron stores in blood donors.JAMA; 245: 2038-2043 (Abstract)

LewisSM,Bain BJ, Bates I(2006). Dacie and Lewis Practical Hematology.10th Edition, Philladelphia:Elsevier.PP26-27.

Alvarez-Ossorio L, Kirchner H, Klüter H, Schlenke P (2000). Low ferritin levels indicate the need for iron supplementation: strategy to minimize iron-depletion in regular blood donors. Transfuse Med; 10: 107-112.

Nadarajan VS and Eow GI (2002). Anemia and iron status among blood donors in a blood transfusion unit in Malaysia. Malaysian J Pathol; 24: 99-102.

Cancado RD, Chiaton CS, Alonso FF, Junior D.M.L, Alves R.C.S (2001). Iron deficiency in blood donors. Sao Paulo Med J; 119: 32-34.

Shahshahani HJ, Attar M, Yavari MT (2005). A study of the prevalence of iron deficiency and its related factors in blood donors of Yazd, Iran, 2003. Transfus Med; 15(4): 287-293.

Mittal R, Marwaha N, Basu S, Mohan H, Kumar AR (2006).Evaluation of iron stores in blood donors by serum ferritin. Indian J Med Res;124:641-646.

Djalali M, Neyestani TR, Bateni J, Siassi F (2006). The effect of repeated blood donations on the iron status of Iranian blood donors attending the Iranian blood transfusion organization. Int J Vitam Nutr Res; 76 (3): 132-137.

Mahida VI, Bahatti A, Gupte SC (2008). Iron status of regular voluntary blood donors. Asian J Transfus Sci; 2: 9-12.

Norashikin J, Roshan TM, Rosline H, Zaidah AW, Suhair AA, Rapiaah M (2006). A study of serum ferritin levels among male blood donors in hospital university sains Malaysia. South east Asian J Trop Med Pub Health; 37: 370-373.

Workwood M and Hoffbrand VA (2005). Iron metabolism, Iron deficiency and disorder of heme synthesis. In: Hoffbrand AV, Catovsky D, Tuddenham EGD, Editors. Postgraduate Hematology. 5th Edition. Oxford: Blackwell. PP 26-43.




How to Cite

AL Gaff, M. S., AL Ani, M., & Babka, S. S. (2018). Body iron status in blood donors in Erbil. Zanco Journal of Medical Sciences (Zanco J Med Sci), 14(3 Special), 1–8. Retrieved from



Original Articles