Articles

Prevalence of G6PD Deficiency in Iran, a Mata-analysis

Abstract

Search results show that numerous primary studies have been carried out in different parts of Iran regarding prevalence of G6PD deficiency; if results of these studies are combined, a reliable estimation of prevalence of this factor will be achieved in Iran. Thus, present study, aimed to determine the prevalence of G6PD deficiency by combining findings of qualified primary studies using meta-analysis and taking into account heterogeneity considerations. Searching the relevant keywords in Iranian and International databases, primary studies were selected. After quality appraisal and applying inclusion and exclusion criteria, relevant primary studies were selected. In each study, standard error of prevalence of G6PD was calculated according to binominal distribution formula. Finally, heterogeneity index was determined among studies using Cochran's test. Prevalence of G6PD in Iran was estimated by STATA software ver 11 using fixed or random effect model based on heterogeneity results. 148916 subjects in 36 primary studies which entered this meta-analysis were examined. G6PD deficiency prevalence was 6.7% in Iran (men: 8.8% and women: 2.2%). Also, this deficiency in the present study was four times higher in men than in women. Its prevalence was adjusted in different parts of Iran and it was shown that it was between 0.8 and 15.2 using Bayesian analysis. This meta-analysis showed that Iran is among countries with high frequency of G6PD deficiency and there is a significant difference in prevalence of G6PD in different parts of Iran. According to these results, screening newborn children seems very vital. Carrying out other primary studies regarding prevalence of G6PD seems unnecessary.

Farhud DD, Yazdanpanah L. Glucose-6-phosphate dehydrogenase (G6PD) Deficiency. Iranian J Publ Health 2008;37(4):1-18.

Iranpour R, Hashemipour R, Talaei SM, et al. Newbornscreening for glucose-6-phosphate dehydrogenase deficiency in Isfahan, Iran: A quantitative assay. Arch Dis Child 2008;93(4):278-84.

Koosha A, Rafizadeh B. Evaluation of neonatal indirect hyperbilirubinaemia at Zanjan Province of Iran in 2001- 2003: prevalence of glucose-6-phosphate dehydrogenase deficiency. Singapore Med J 2007;48(5):424-8.

Noori-Daloii MR, Soltanian S, Mohammad Gangi SH, et al. Molecular Identification of the Most Prevalent Mutations of Glucose-6-Phosphate Dehydrogenase (G6PD) Gene in deficient Patients in Khorasan Province of Iran. J Sci I. R. Iran 2006;17(2):103-6.

Noori-Daloii MR, Hajebrahimi Z, Najafi L, et al. A comprehensive study on the major mutations in glucose-6- phosphate dehydrogenase-deficient polymorphic variants identified in the coastal provinces of Caspian Sea in the north of Iran. Clin Biochem 2007;40(9-10):699-704.

Usanga EA, Ameen R. Glucose-6-phosphate dehydrogenase deficiency in Kuwait, Syria, Egypt, Iran, Jordan and Lebanon. Hum Hered 2000;50(3):158-61.

Haghdoost AA, Sadeghirad B, Hajarizadeh B, et al. The Application of Systematic Review and Meta-analysis Concepts in Summarizing the Findings of Observational Studies. Iran J Psychiatry 2007;2(4):132-6.

Nkhoma ET, Poole C, Vannappagari V, et al. The global prevalence of glucose-6-phosphate dehydrogenase deficiency: A systematic review and meta-analysis. Blood Cells Mol Dis 2009;42(3):267-78.

Yousefi J, Mirzadeh M, Malek A. The role of hemolysis in inducing jaundice in the newborns with G6PD deficiency, Iran J Pediatr 2006;16(4):461-6.

Hajiebrahimtehrani F, Faghihzadeh S, Borna H. The survey of necessary detection of Glucose-6-phosphate dehydrogenase in hyperbilirubinaemia newborn. Daneshvar Med 2004;11(51):29-32.

Hajiebrahim Tehrani F, Kholdi N, Fallah N, et al. Glucose- 6-phosphate dehydrogenase (G6PD) Deficiency in icteric new born of inpatient, Daneshvar Med 2004;12(53):7-12.

Khalili D, Jafroodi M, Sajedi SA, et al. Survey of the prevalence of glucose-6-phosphate dehydrogenase deficiency in Rasht-Iran. J Gilan Univ Med Sci 2007;19(63):56-60.

Mojghan H. The prevalence of glucose-6-phosphate dehydrogenase deficiency in jaundiced newborn of Amirkabir hospitals of Arak in 2008 to 2009. J Rahavard Danesh 2000;3(1):33-8.

Ahmadpoorkachoo M, Mamoori G, Janaghi K. The prevalence of glucose-6-phosphate dehydrogenase= deficiency in in hyperbilirubinaemia newborn. J Mashhad Med Facul 2001;44(71):91-5.

Eghbalian F, Monsef AR. Evaluation of Glucose-6- Phosphate Dehydrogenase Deficiency without Hemolysis in Icteric Newborns. Iran J Ped 2007;17(1):36-40.

Nobahar M, Vafaei AA. Investigation of glucose-6- phosphate dehydrogenase deficiency by NADP test in jaundiced newborn. J Qazvin Univ Med Sci 2004;29(1):46-51.

Boskabadi H, Omidian M, Mafinejad S. Prevalence and Clinical Manifestation of Glucose-6-Phosphate Dehydrogenase Deficiency in Newborns with Hyperbilirubinemia in Mashhad. Iran Maced J Med Sci 2010;3(1):1-5.

Ahmadi AH, Ghazizadeh Z. Evaluation of neonatal hyperbilirubinemia at Mazandaran Province of Iran in 2004-2007: prevalence of glucose-6-phosphate dehydrogenase deficiency. Res J Biol Sci 2008;3(8):934-9.

Sarreshtehdari M, Doulatshahi L. Determination of Glucose-6-phosphate dehydrogenase deficiency in icteric neonates. J Qazvin Univ Med Sci 2003;25(1):38-46.

Firoozrai M, Sedaghatkabli MR, Haghighi L. determination of frequency of Glucose-6-phosphate dehydrogenase(G6PD) deficiency in newborns with hyperbilirubinemia. JIUMS 2001;8(23):52-7.

Iranpour R, Akbar MR, Haghshenas I. Glucose-6- phosphate dehydrogenase deficiency in neonates. Indian J Pediatr 2003;70(11):855-7.

Zahedpasha Y, Ahmadpour M, Zahedpasha A. Glucose 6 phosphate Dehydrogenase (G6PD) deficiency. J Babol Univ Med Sci 2006;8(1):114-22.

Movahhed A, Farrokhi Sh. Incidence Rate of G6PD Deficiency in Newborns in Bushehr/Iran. Iranian J Pediatr 2003;13(1):55-8.

Mohammadzadeh A, Jafarzadeh M, Farhat AS, et al. Prevalence of glucose-6-phosphate dehydrogenase deficiency in neonates of Northeast of Iran. J Chin Clin Med 2009;4(8):448-51.

Kosaryan M, Nasehi MM, Karami H, et al. Neonatal Screening for G6PD Deficiency in Mazandaran Province, Iran 2007-2010. IJBC 2010;2(4):113-6.

Abolghasemi H, Mehrani H, Amid A. An update on the prevalence of glucose-6-phosphate dehydrogenase deficiency and neonatal jaundice in Tehran neonates. Clin Biochem 2004;37(3):241-4.

Khalesy N, Khosravi N, Haghighi M. Prevalence of Glucose - 6 - phosphate dehydrogenase deficiency in neonates born in Tehran-Iran (2008-09). J Gorgan Uni Med Sci 2012;14(1):100-5.

Mahdavi MR, Kosaryan M, Mortazavi A, Sangsefidi SH. The screening of G6PD deficiency in newborns of Sari, 1996. J Mazandaran Univ Med Sci 1997;8(2):22-4.

Alidalaki S, Negahban T, Halakooei M, et al. Investigation of Glucose-6-phosphate Dehydrogenase Deficiency in Rafsanjan, Autumn 2004. J Rafsenjan Univ Med Sci 2007;6(4):291-8.

Mortazavi Y, Esmaeilzadeh A, Kalantari S. Evaluation of molecular genetics of glucose-6- phosphate dehydrogenase deficiency and male individuals in zanjan city during 2001-2003. KAUMS J(FEYZ) 2006;9(4):1-6.

Hashemi SA, Zahed Pasha Y, Haji Ahmadi M, et al. Prevalence of G6PD deficiency among primary school students in Amol. J Babol Univ Med Sci 2005;7(1):52-6.

Mirzaei A, Fallahzadeh A, Haghbin S. Prevalence of Glucose-6-phosphate dehydrogenase deficiency in a student population in Yasuj. Armaghan Danesh 2000;5(17-18):63-7.

Mortazavi Y, Mirzamohammadi F, Teremahi Ardestani M, Mirimoghadam E, Vulliamy TJ. Glucose 6-phosphatemdehydrogenase deficiency in Tehran, Zanjan and Sistan- Balouchestan provinces:prevalence and frequency of Mediterranean variant of G6PD. Iran J Biotechnol 2010;8(4):229-33.

Rahimi Z, Raygani AV, Siabani S, et al. Prevalence of glucose-6-phosphate dehydrogenase deficiency among schoolboys in Kermanshah, Islamic Republic of Iran. East Mediterr Health J 2008;14(4):978-9.

Mehrabani D, Pasalar M, Afrasiabi A, et al. Frequency of Thalassemia, Iron and Glucose-6Phosphate Dehydrogenase Deficiency among Turkish Migrating Nomad Children in Southern Iran. Acta Medica Iranica 2009;47(1):20-4.

Karimi M, Mehrabani D, Pasalar M, et al. Thalassemia,Iron and G6PD Deficiency in Lor Migrating Nomad Children, Southern Iran. IRCMJ 2010;12(4):441-5.

Nakhaee AR, Dabiri S, Noora M. Survey of the Prevalence of Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency in Admitted Men for Premarriage Tests in Zahedan-Iran Reference Laboratory. Zahedan J Res Med Sci 2009;11(3):33-40.

Nakhaee A, Salimi S, Zadehvakili A, et al. The Prevalence of Mediterranean Mutation of Glucose-6-Phosphate Dehydrogenase (G6PD) in Zahedan. Zahedan J Res Med Sci 2012;14(3):39-43.

Nabavizadeh SH, Anushiravani A. The prevalence of G6PD deficiency in blood transfusion recipients.Hematology 2007;12(1):85-8.

Amoozegar H, Mirshakeri M, Paishva N. Prevalence of Glucose-6-Phosphate Dehydrogenase Deficiency among Male Donors in Shiraz, Southern Iran. Iran J Med Sci 2005;30(2):94-6.

Kazemi Nezhad SR, Mashayekhi A, Khatami SR, et al. Prevalence and Molecular Identification of Mediterranean Glucose-6-Phosphate Dehydrogenase Deficiency in Khuzestan Province, Iran. Iranian J Publ Health 2009; 38(3):127-31.

Emamghorashi F, Hoshmand F, Mohtashamifar A. Screening for glucose-6-phosphate dehydrogenase deficiency in blood donors. Hematology 2010;15(2):122-4.

Ahmed H, Yulubu AM, Hendricks RG. Neonatal jaundice in Zaria, Nigeria- a second prospective study. West Afr J Med 1999;14(1):15-23.

Slusher TM, Vreman HJ, Melaren DW, et al. Glucose-6- phosphate dehydrogense deficiency and carboxy hemoglobin concentrations associated with bilirubin related morbidity and death in Nigerian infants. J Pediatr 1995;126(1):102-4.

Madan N, Sundaram K, Bhargava S. Glucose-6-phosphate dehydrogenase deficiency and neonatal hyperbilirubinemia. Indian J Med Res 1989;90:306-13.

Verma M, Singla D, Crawell S. Glucose -6-phosphate dehydrogenase deficiency in neontes, prospective study. Indian J pediatr 1999;67(9);386-9.

Yaish HM, Niazi GA, al Shaatan M, et al. Increased incidence of hyperbilirobinemia in ‘unchallenged’ glucose- 6-phosphate dehydrogenase deficiency in term Saudi newborns. Ann Trop Pediatr 1991;11(3):259-66.

Joseph R, Ho LY, Gomez JM, et al. Mass newborn screening for glucose-6-phosphate dehydrogenase deficiency in Singapore. Southeast Asian J Trop Med Public Health 1999:30(suppl 2):70-1.

Gibbs WN, Gray R, Lowry M. G6PD deficiency and neonatal jaundice in Jamaica. Br J Hematol 1979;43(2):263-74.

Hon A, Balakrishnan S. Hyperbilirubinemia and erythrocyte Glucose-6- phosphate dehydrogenase deficiency in Malaysian newborns. Med J Malaysia 1998; 44(1): 30-4.

Padilla C, Nishiyama K, Shirakawa T, et al. Screening for glucose -6-phosphate dehydrogenase deficiency using a modified formazan method: a pilot study on Filipino male newborns. Pediatr Int 2003;45(1):10-5.

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IssueVol 52, No 4 (2014) QRcode
SectionArticles
Keywords
G6PD Hemolysis Meta-analysis Icteric newborn Jaundiced Newborn Iran

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How to Cite
1.
Moosazadeh M, Amiresmaili M, Aliramezany M. Prevalence of G6PD Deficiency in Iran, a Mata-analysis. Acta Med Iran. 1;52(4):256-264.