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최철원(Chul Won Choi),박경화(Kyung Hwa Park),윤소영(So Young Yoon),백창원(Chang Won Paek),서재홍(Jae Hong Seo),최경묵(Kyung Mook Choi),김병수(Byung Soo Kim),백세현(Sei Hyun Baik),신상원(Sang Won Shin),김열홍(Yeul Hong Kim),김준석(Jun 대한내과학회 2001 대한내과학회지 Vol.60 No.3
N/A Background : Anemia is the most common hematologic problem encountered in the elderly. We conducted this prospective study to define the prevalence and characteristics of anemia in the elderly. Methods : From August 1999 to October 1999, volunteers with age of 60 or more living in southwest area of Seoul, Korea were selected. Hemoglobin, mean corpuscular volume, red cell distribution width and iron profile were evaluated. WHO criteria cut off value of hemoglobin for the diagnosis of anemia was used, 13 g/dL in men and 12 g/dL in women. Results : A total 1716 community residents aged 60 years or older were studied. Male to female ratio was 344:1372, and median age was 70 years (range:60-92). The prevalence of anemia was 10.2% in men (35/344) and 14.1% in women (194/1372). Normocytic anemia was most common, followed by macrocytic and microcytic anemia in order. Conclusion : The prevalence of anemia over the age of 60 was 10.2% in men and 14.1% in women and normocytic anemia was the most common type in our series. Considering that macrocytic anemia was more common than microcytic anemia, we suggest that screening profile for the detection of anemia in older persons should include the level of folate and vitamin B12.(Korean J Med 60:249-253, 2001)