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Implications of changes in WHO haemoglobin elevation adjustment guidelines on global, regional, and national anaemia burden, 1990-2023: a population-based modelling study - PubMed

6 hours ago
  • #Elevation Adjustment
  • #WHO Guidelines
  • #Anaemia Burden
  • The study compares the impact of WHO's 2001 and 2024 haemoglobin elevation adjustment guidelines on global anaemia estimates from 1990 to 2023.
  • Using the WHO 2024 method, global anaemia prevalence in 2023 was 26.4%, 2.4 percentage points higher than the 24.0% estimated with the 2001 method, adding about 198 million cases.
  • The increase elevates anaemia from the third to the second leading cause of disability worldwide, with the largest prevalence rises in regions at 500-2000 m elevation, such as eastern sub-Saharan Africa and central Asia.
  • Researchers used population-based modelling with spatiotemporal Gaussian process regression to estimate mild, moderate, and severe anaemia by age, sex, and location for 204 countries and territories.
  • The findings highlight the need for policymakers to consider updated guidelines in anaemia interventions, especially in areas most affected by elevation adjustments, to ensure unbiased and comparable burden estimates.