{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:06:05Z","timestamp":1787961965645,"version":"build-2784847793"},"reference-count":94,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Procter &amp; Gamble Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The lack of standardized clinical practice impeding the optimal management of iron deficiency (ID) and iron deficiency anemia (IDA) in women is a global concern, particularly in the Asia-Pacific region. The aim of this study was to determine best practices through a Delphi consensus process. In Round 1, panelists were asked to rate their level of agreement with 99 statements across four domains: identification, diagnosis and assessment, prevention, and treatment of ID\/IDA in women. In Round 2, panelists reappraised their ratings in view of the collective feedback and responses to Round 1. After two rounds, consensus (\u226585% agreement) was reached for 84% of the Delphi statements. Experts agreed on the role of presenting symptoms and risk factors in prompting assessments of anemia and iron status in women. Experts repeatedly called for prevention, recommending preventive iron supplementation for pregnant women irrespective of anemia prevalence levels, and for non-pregnant adult women, adolescent girls, and perimenopausal women living in areas with a high prevalence of anemia. Experts unanimously agreed to prescribing oral ferrous iron as first-line therapy for uncomplicated ID\/IDA. The recommendations and clinical pathway algorithms generated should be used to inform clinical practice and standardize the care of women at risk or presenting with ID\/IDA in the Asia-Pacific region.<\/jats:p>","DOI":"10.3390\/nu15143125","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T00:39:41Z","timestamp":1689295181000},"page":"3125","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Prevention and Management of Iron Deficiency\/Iron-Deficiency Anemia in Women: An Asian Expert Consensus"],"prefix":"10.3390","volume":"15","author":[{"given":"Rishma Dhillon","family":"Pai","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Lilavati Hospital, Mumbai 400050, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yap Seng","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyra Ruth","family":"Clemente-Chua","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Medical City, Pasig 1605, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6260-6273","authenticated-orcid":false,"given":"Rima","family":"Irwinda","sequence":"additional","affiliation":[{"name":"Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia\u2014Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trang Nguyen Khanh","family":"Huynh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Pham Ngoc Thach University of Medicine, Ho Chi Minh 700000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noroyono","family":"Wibowo","sequence":"additional","affiliation":[{"name":"Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Indonesia\u2014Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Corazon Zaida","family":"Gamilla","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Santo Tomas Hospital, Manila 1008, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-0697","authenticated-orcid":false,"given":"Zaleha Abdullah","family":"Mahdy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e247","DOI":"10.1016\/S2352-3026(22)00079-5","article-title":"Iron deficiency in women: Clearing the rust of silence","volume":"9","author":"Tang","year":"2022","journal-title":"Lancet Haematol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1080\/09513590.2017.1306736","article-title":"Forty to fifty-five-year-old women and iron deficiency: Clinical considerations and quality of life","volume":"33","author":"Firquet","year":"2017","journal-title":"Gynecol. 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