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Assessment of Some Biochemical Markers of Nutritional Status Among Adult Sickle Cell Anaemia Patients in Steady State in Zaria

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Abstract

Sickle cell anaemia is a chronic haemolytic state which is characterized by hypercatabolism that could predispose to malnutrition. The low socio economic backgroundof our patients may worsen their health status.

The study was aimed atassessing some biochemicalmarkers of nutritional status among adult sickle cell anaemia patients in steady state in Zaria.

It is a crosssectional descriptive study which was conducted in the Departments of Chemical Pathology and Haematology, Ahmadu Bello University Teaching Hospital, Shika, Zaria, Kaduna State.

Some biochemical markers of nutritional status of 60 adult SCA patients in steady state and 60 healthy non SCA controls were assessed.

Mean (±SEM) serum vitamin D concentration was significantly lower in SCA patients 14.55±1.49 ug/L compared with controls 25.87.±4.29 ug/L (p<0.05).

Introduction

Sickle cell anemia (SCA) is a genetic disease that results from the substitution of valine for glutamic acid in the β-globin chain of the hemoglobin molecule (Pauling and Itano, 1949).

The consequence of this amino acid substitution is the formation of hemoglobin S (HbS). Under low oxygen tension and/or conditions of acidosis. 

HbS precipitates and forms polymerized crystals called tactoids (hemoglobin polymers), which distort the red blood cells (Nelson and Cox, 2005; Ganong, 2003).

The resulting sickle-shaped red cells lose their pliability and cannot navigate the small capillaries, become sticky, and adhere to the small veins, small arteries, and other blood vessels causing vaso-occlusion (Aster, 2005; Bunn and Forget, 1977).

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