What lifestyle habits contribute to the development of mild anemia (iron deficiency)?

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From the Guidelines

Mild anemia can be caused by several lifestyle habits, primarily poor dietary choices lacking in iron, which can be mitigated by consuming iron-rich plant-based foods in combination with sources of vitamin C, as recommended by the most recent study 1.

Causes of Mild Anemia

  • Diets low in iron-rich foods such as red meat, leafy greens, beans, and fortified cereals can lead to iron-deficiency anemia over time.
  • Strict vegetarian or vegan diets without proper supplementation may cause B12 deficiency anemia since this vitamin is primarily found in animal products.
  • Excessive alcohol consumption interferes with the body's ability to absorb nutrients and can damage bone marrow, affecting red blood cell production.
  • Chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, or naproxen can cause gastrointestinal bleeding, leading to anemia.
  • Intense physical exercise, especially endurance sports, can cause "sports anemia" due to increased red blood cell destruction.
  • Inadequate hydration can concentrate blood, masking anemia symptoms.

Prevention of Mild Anemia

  • Maintain a balanced diet rich in iron, B12, and folate.
  • Limit alcohol intake.
  • Use NSAIDs only as directed.
  • Stay properly hydrated.
  • Consider supplements if you follow a restricted diet or have increased needs, such as during pregnancy.
  • Consume iron-rich plant-based foods, such as pulses and grains, in combination with sources of vitamin C, such as citrus fruits or bell peppers, to enhance iron absorption 1.

Key Recommendations

  • The most recent study 1 emphasizes the importance of combining different plant-based foods to increase bioavailability, particularly for iron absorption.
  • Vitamin C is a powerful enhancer of non-haeme iron absorption, and its intake can help lower the risk of iron deficiency and minimize the occurrence of iron-deficiency anaemia 1.

From the Research

Lifestyle Habits Causing Mild Anemia

Lifestyle habits that may contribute to mild anemia include:

  • Poor dietary habits, such as a diet lacking essential nutrients like iron, folate, and vitamin B12 2, 3, 4, 5, 6
  • Inadequate absorption of nutrients due to conditions like celiac disease, which can lead to iron deficiency anemia 2, 3, 4, 5, 6
  • Blood loss due to various factors, including ulceration, neoplastic diseases, or immune-mediated hemolytic disorders 2, 3
  • Inflammation, which can contribute to anemia of chronic disease 5
  • Poor adherence to a gluten-free diet in individuals with celiac disease, leading to impaired iron absorption and anemia 3, 4, 6

Nutritional Deficiencies

Nutritional deficiencies that may contribute to mild anemia include:

  • Iron deficiency, which is common in celiac disease and can lead to iron deficiency anemia 2, 3, 4, 5
  • Folate deficiency, which can occur in approximately 12% of individuals with celiac disease 5
  • Vitamin B12 deficiency, which can occur in approximately 5% of individuals with celiac disease 5
  • Magnesium deficiency, which can persist in some individuals with celiac disease despite a gluten-free diet 6

Management and Prevention

Management and prevention of mild anemia due to lifestyle habits include:

  • Adhering to a gluten-free diet in individuals with celiac disease to improve iron absorption and reduce anemia 3, 4, 6
  • Ensuring adequate intake of essential nutrients like iron, folate, and vitamin B12 through a balanced diet or supplements 2, 3, 4, 5, 6
  • Addressing underlying conditions that may contribute to blood loss or inflammation 2, 3, 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Iron deficiency anemia in celiac disease.

World journal of gastroenterology, 2015

Research

Anemia in celiac disease is multifactorial in etiology.

American journal of hematology, 2007

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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