The Prevalence of Iron Deficiency Anemia in Relation to Tea and Coffee Consumption Among Female University Students

Tea, Coffee, and Iron Deficiency in Female Students

Authors

  • Maham Jawad Department of Diet and Nutritional Sciences, University of Lahore, Pakistan
  • Mahin Jawad Department of Diet and Nutritional Sciences, University of Lahore, Pakistan
  • Nazia Koser Department of Pharmacy, The University of Lahore, Pakistan
  • Nisar Hussain Shah
  • Yasmin Din Department of Pharmacy, The University of Lahore, Pakistan
  • Hina Younis University of Barcelona, Spain

DOI:

https://doi.org/10.54393/df.v6i4.191

Keywords:

Tea, Iron Deficiency Anemia, Prevalence, Questionnaire, Dietary Supplements

Abstract

Tea consumption has been linked to iron deficiency anemia in several clinical trials. Lifestyle and dietary habits are important diagnostic considerations in this type of disease, and the consumption of caffeine-containing beverages can play a significant role. Objectives: To assess the prevalence of iron deficiency in relation to tea or coffee consumption among female university students. Methods: This cross-sectional study was conducted with 150 female students from the University of Lahore, selected via purposive sampling. Data were collected using a structured questionnaire comprising 25 items related to iron deficiency, dietary habits, and tea/coffee consumption patterns. Results: All participants reported regular consumption of tea or coffee. Key findings indicated that 88 (58.7%) participants experienced headaches when not consuming these beverages, 141 (94%) consumed them frequently, and 41 (27.3%) reported a constant desire to consume them. Notably, 49 (32.7%) felt tired without tea/coffee, and only 31 (20.7%) consumed these beverages with a meal. Furthermore, 27 (18%) participants reported feeling anemic, and 97 (64.7%) consumed dietary iron supplements less than 1-2 times daily. Common triggering factors after consumption included anxiety (71.3%), digestive issues (53.3%), and irregular menstrual cycles (98%). Conclusions: The study concludes that regular consumption of tea or coffee, particularly with meals, is a leading factor associated with iron deficiency risk among female university students. A notably low intake of dietary iron supplements further exacerbates the prevalence of iron deficiency anemia (IDA) in this population.

References

1. García‐Casal MN, Pasricha SR, Sharma AJ, Peña‐Rosas JP. Use and Interpretation of Hemoglobin Concentrations for Assessing Anemia Status in Individuals and Populations: Results from a WHO Technical Meeting. Annals of the New York Academy of Sciences. 2019 Aug; 1450(1): 5–14. doi: 10.1111/nyas.14090.

2. Yıldız TK, Yurtay N, Öneç B. Classifying Anemia Types Using Artificial Learning Methods. Engineering Science and Technology, an International Journal. 2021 Feb; 24(1): 50–70. doi: 10.1016/j.jestch.2020.12.003.

3. Chaparro CM, Suchdev PS. Anemia Epidemiology, Pathophysiology, and Etiology in Low- and Middle-Income Countries. Annals of the New York Academy of Sciences. 2019 Aug; 1450(1): 15–31. doi: 10.1111/nyas.14092.

4. Sundararajan S, Rabe H. Prevention of Iron Deficiency Anemia in Infants and Toddlers. Pediatric Research. 2021 Jan; 89(1): 63–73. doi: 10.1038/s41390-020-0907-5.

5. Habib MA, Black K, Soofi SB, Hussain I, Bhatti Z, Bhutta ZA, et al. Prevalence and Predictors of Iron Deficiency Anemia in Children under Five Years of Age in Pakistan: A Secondary Analysis of National Nutrition Survey Data 2011–2012. PLOS One. 2016 May; 11(5): e0155051. doi: 10.1371/journal.pone.0155051.

6. Habib MA, Raynes-Greenow C, Soofi SB, Ali N, Nausheen S, Ahmed I, et al. Prevalence and Determinants of Iron Deficiency Anemia among Non-Pregnant Women of Reproductive Age in Pakistan. Asia Pacific Journal of Clinical Nutrition. 2018 Jan; 27(1): 195–203.

7. Alzaheb RA, Al-Amer O. Prevalence of Iron Deficiency Anemia and Its Associated Risk Factors among Female University Students in Tabuk, Saudi Arabia. Clinical Medicine Insights: Women’s Health. 2017 Nov; 10: 1179562X17745088. doi: 10.1177/1179562X17745088.

8. Al-Alimi AA, Bashanfer S, Morish MA. Prevalence of Iron Deficiency Anemia among University Students in Hodeida Province, Yemen. Anemia. 2018; 2018(1): 4157876. doi: 10.1155/2018/4157876.

9. Lee D, Jung W, Shin DW. Association of Coffee or Green Tea with Ferritin or Hemoglobin in Premenopausal Women. Korean Journal of Family Medicine. 2023 Mar; 44(2): 87–92. doi: 10.4082/kjfm.22.0133.

10. Delimont NM, Haub MD, Lindshield BL. Impact of Tannin Consumption on Iron Bioavailability and Status: A Narrative Review. Current Developments in Nutrition. 2017 Feb; 1(2): 1–2. doi: 10.3945/cdn.116.000042.

11. Rahman MA, Rahman MS, Aziz Rahman M, Szymlek-Gay EA, Uddin R, Islam SM. Prevalence and Factors Associated with Anemia in Women of Reproductive Age in Bangladesh, Maldives, and Nepal: Evidence from Nationally Representative Survey Data. PLOS One. 2021 Jan; 16(1): e0245335. doi: 10.1371/journal.pone.0245335.

12. Hayat K, Iqbal H, Malik U, Bilal U, Mushtaq S. Tea and Its Consumption: Benefits and Risks. Critical Reviews in Food Science and Nutrition. 2015 Jun; 55(7): 939–954. doi: 10.1080/10408398.2012.678949.

13. Bowen S, Hussain M. Shared Culture and Heritage along the Belt and Road: A Study of Pakistani Tea. Journal of Development and Social Sciences. 2024 Feb;5(1):668-81.

14. Fan FS. Iron Deficiency Anemia due to Excessive Green Tea Drinking. Clinical Case Reports. 2016 Oct; 4(11): 1053–1055. doi: 10.1002/ccr3.707.

15. Milman N T. A Review of Nutrients and Compounds Which Promote or Inhibit Intestinal Iron Absorption: Making a Platform for Dietary Measures That Can Reduce Iron Uptake in Patients with Genetic Hemochromatosis. Journal of Nutrition and Metabolism. 2020; 2020(1): 7373498. doi: 10.1155/2020/7373498.

16. Jamnok J, Sanchaisuriya K, Sanchaisuriya P, Fucharoen G, Fucharoen S, Ahmed F, et al. Factors Associated with Anemia and Iron Deficiency among Women of Reproductive Age in Northeast Thailand: A Cross-Sectional Study. BMC Public Health. 2020; 20(1): 1–8. doi: 10.1186/s12889-020-8248-1.

17. Shah T, Warsi J, Laghari Z. Tea Drinking and Its Co-occurrence with Anemia in Pregnant Females. Rawal Medical Journal. 2020 Jan; 45(1): 163–166.

18. Ahmad Fuzi SF, Koller D, Bruggraber S, Pereira DI, Dainty JR, Mushtaq S. A One-Hour Interval between a Meal Containing Iron and Tea Consumption Attenuates the Inhibitory Effects on Iron Absorption: A Controlled Trial in Healthy UK Women Using a Stable Iron Isotope. The American Journal of Clinical Nutrition. 2017 Dec; 106(6): 1413–1421. doi: 10.3945/ajcn.117.161364.

19. Miller CH. Investigating Factors that Influence the Success of Micronutrient Interventions for the Prevention and Treatment of Iron Deficiency in Women of Reproductive Age (Doctoral dissertation, Carleton University). 2024.

20. Ryblom H, Hast R, Hellström-Lindberg E, Winterling J, Johansson E. Self-perception of Symptoms of Anemia and Fatigue Before and After Blood Transfusions in Patients with Myelodysplastic Syndromes. European Journal of Oncology Nursing. 2015 Apr 1; 19(2): 99-106.

21. Michel R, Hazimeh D, Saad EE, Olson SL, Musselman K, et al. Common Beverage Consumption and Benign Gynecological Conditions. Beverages. 2024: 10(2): 33. doi: 10.3390/beverages10020033.

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Published

2025-12-31

How to Cite

Jawad, M., Jawad, M., Koser, N., Shah, N. H., Din, Y., & Younis, H. (2025). The Prevalence of Iron Deficiency Anemia in Relation to Tea and Coffee Consumption Among Female University Students: Tea, Coffee, and Iron Deficiency in Female Students. DIET FACTOR (Journal of Nutritional and Food Sciences), 6(4), 03-07. https://doi.org/10.54393/df.v6i4.191

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