Nurses "More Likely" to be Anemic

Out of 400 nurses who were tested for iron deficiency anemia at this year’s Royal College of Nursing congress, 15-20% were found to have diminished red blood cell production due to low iron stores in the body.

“With all the problems going on in the NHS, we need to look after our own staff first.”
Toby Richards

Those behind the testing said the findings suggested the presence of anemia might be negatively impacting on the performance of already under pressure nurses, by leaving them tired.

The findings indicate that nurses have a prevalence of iron deficiency anemia that is often higher than the rest of the male and female population, with the exception of pregnant women.

According to the National Institute for Health and Care Excellence, iron deficiency anemia has a prevalence of 2-5% among adult men and postmenopausal women, rising to an estimated 23% in pregnant women and 14% in non-pregnant women.



Professor Toby Richards and his research team from University College London carried out iron deficiency anemia tests at the conference in Liverpool last month.

“That’s one in six to eight nurses walking around potentially under-performing.”
Toby Richards

As well as testing their blood through a finger prick and checking them for symptoms, the team also carried out a questionnaire with RCN members to find out why they may be anaemic.

Questions on the form included whether they had heavy menstrual bleeding, were vegetarian or vegan, and whether they had recently become a recent mother.

Professor Richards, who led the testing at congress, told Nursing Times that of 400 nurses tested, 15-20% were found to have iron deficiency anaemia and were also not aware.

Describing this figure as “huge”, he said: “That’s one in six to eight nurses walking around potentially under-performing and they’re the population that should be advising others.”

“With all the problems going on in the NHS, we need to look after our own staff first,” he said. “We’ve got to care for our own nurses.”

He noted that common symptoms of iron deficiency anemia were fatigue and feeling weak.

When asked why a considerably high number of nurses were affected by iron deficiency anemia and were unaware, Professor Richards said nurses were “more tolerant” and, therefore, may not notice the symptoms.

He also said nurses were likely to be blood donors, noting that 20% of donors were healthcare professionals.

In addition, he highlighted that the profession was female-dominated and that women were more likely to have the condition anyway.

Professor Richards, who has his own clinic, noted that some of the causes of iron deficiency, such as heavy bleeding during the menstrual cycle, were often taboo subjects, and called on nurses to help tackle this.

He said to break the stigma among people in general, “we have to start with the professionals”.

Following the findings from RCN congress, he said more needed to be done to educate nurses and the wider population about iron deficiency anemia, adding: “Nurses don’t truly understand what anemia is.”

He said it was important to educate and raise awareness of the condition among nurses because they were the ones giving advice to the general public.

Professor Richards and his research team attended the conference following the launch in May (2019) of new RCN guidelines.

Original article by nursingtimes.net.