Publisher: School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Archives of Advances in Biosciences

  • Home
  • Journal Info
    • About the Journal
    • Publisher
    • Editorial Board
    • Indexing/Abstracting
    • Objectives and Scope
    • Privacy Statement
    • Journal History
  • Issues
    • Current
    • Archives
  • Publication Ethics
    • Code of Publishing Ethics
    • Ethical Guidelines
  • Journal Policies
    • Article Processing Charge (APC)
    • Allegations of Misconduct
    • Archiving
    • Article Withdrawal
    • Complaints Process
    • Conflict of Interest
    • Copyright & Open Access Policy
    • Editorial Policies
    • Peer-Review Policy
    • Post-Publication Discussions and Corrections
    • Principles of Transparency
    • Repository
    • Using Artificial Intelligence (AI)
  • Guidelines
    • Author Guidelines
    • Reviewer Guidelines
    • Journal Designer Guidelines
    • Journal Language Editor Guidelines
  • Manuscript Templates
    • Original Article
    • Review Article
    • Case Reports
    • Short Communication
    • Policy Note
  • Submit
  • FAQ
  • Contact Us
Advanced Search
  1. Home
  2. Archives
  3. Vol. 17 No. 1 (2026): Continuous Volume (In Press)
  4. Research/Original Articles

Vol. 17 No. 1 (2026)

April 2026

Evaluation of Growth Characteristics and Contributing Factors in Individuals with β-Thalassemia Major

  • Fateme Sadat Mirrashidi
  • Sana Aghazadeh
  • Maryam Golmohammadi
  • Najmeh Hemmatian
  • Reza Morovatshoar
  • Rasoul Raesi
  • Salman Daneshi

Archives of Advances in Biosciences, Vol. 17 No. 1 (2026), 28 April 2026 , Page 1-10
https://doi.org/10.22037/aab.v17i1.52424 Published: 2026-10-03

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Background: Growth problems are prevalent in children with β-thalassemia major and stem from a combination of various underlying causes. This study looked at height and weight status and what factors were linked to them in children with β-thalassemia major.

Methods: This was a cross-sectional study done with 80 children who have β-thalassemia major in Jiroft in 2024. We gathered information from their medical files using a checklist we created ourselves. It covered basic details about the children, their height and weight measurements, and serum ferritin levels. We used National Center for Health Statistics (NCHS) growth charts to evaluate the growth parameters. All analysis was done in SPSS version 22 with descriptive statistics and the right inferential tests; we took p < 0.05 as significant.

Results: The mean age of the participants was 12.1 ± 3.4 years. Overall, 78.7% of the children had a height-for-age below the 50th percentile, including 40.0% below the 5th percentile. Similarly, 87.6% had a weight-for-age below the 50th percentile, including 30.0% below the 5th percentile. Growth disorder was significantly associated with age (P = 0.006), whereas no statistically significant association was observed with sex (P = 0.246). Serum ferritin levels were ≥1,000 μg/L in 95.0% of the participants. Although the mean serum ferritin level was higher among children with growth disorder than among those without growth disorder, the difference was not statistically significant (P = 0.551).

Discussion: These results indicate a high rate of growth failure that worsens as the children get older. This likely reflects the cumulative effects of the disease and/or its treatment over time.

Conclusion: Growth impairment is highly prevalent among children with β-thalassemia major in Jiroft and becomes increasingly pronounced with age. Early and regular assessments, together with comprehensive management approaches, are essential to minimize potential long-term growth-related complications.

Keywords:
  • Beta Thalassemia
  • Growth Disorders
  • Child Development
  • Iron Overload
  • Ferritins
  • PDF

How to Cite

Mirrashidi, F. S., Aghazadeh, S., Golmohammadi, M., Hemmatian, N., Morovatshoar, R., Raesi, R., & Daneshi, S. (2026). Evaluation of Growth Characteristics and Contributing Factors in Individuals with β-Thalassemia Major. Archives of Advances in Biosciences, 17(1), 1–10. https://doi.org/10.22037/aab.v17i1.52424
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

1.Isaiah A, Kwaifa IK, Abdulrahman Y, Sunday OA. Prevalence of thalassemia in Nigeria: pathophysiology and clinical manifestations. Clin Med Health Res J. 2024;4(2):806-15. (DOI: 10.18535/cmhrj.v4i2.325)

2.Al-Saadi KHJ. Calculating some of biochemistry indicators for patients of β-thalassemia major in Misan [master’s thesis]. Misan: University of Misan, College of Science; 2022. (LINK)

3.Abd Al-Abbass H, Obaid AF, Makki Al-Hindy H, Abdulrasol ZA, Jasim Shlash AM. Epidemiological characteristics and disease complications in thalassemia syndrome patients in Babylon, Iraq. J Babol Univ Med Sci. 2024;26(1):22-9. (DOI: 10.22088/jbums.26.1.22)

4.Loscalzo J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, editors. Harrison’s principles of internal medicine. 21st ed. New York: McGraw Hill; 2022. (LINK)

5.Sadiq IZ, Abubakar FS, Usman HS, Abdullahi AD, Ibrahim B, Kastayal BS, et al. Thalassemia: pathophysiology, diagnosis, and advances in treatment. Thalass Rep. 2024;14(4):81-102. (DOI: 10.3390/thalassrep14040010)

6.Hajimoradi M, Haseli S, Abadi A, Chalian M. Musculoskeletal imaging manifestations of beta-thalassemia. Skeletal Radiol. 2021;50(9):1749-62. (DOI: 10.1007/s00256-021-03732-9)

7.Soteh MBH, Akhavan Niaki H, Kowsarian M, Aliasgharian A, Banihashemi A. Frequency of beta-globin gene mutations in beta-thalassemia patients from east of Mazandaran. J Mazandaran Univ Med Sci. 2008;18(67):17-25. (DOI: 10.1155/2024/8664803)

8.Ghotbi N, Tsukatani T. Evaluation of the national health policy of thalassaemia screening in the Islamic Republic of Iran. East Mediterr Health J. 2005;11(3):308-18. (LINK)

9.Moradi K, Aznab M, Azimi A, Biglari M, Shafieenia S, Alibakhshi R. α-Thalassemia mutations in Ilam Province, West Iran. Hemoglobin. 2022;46(3):147-52. (DOI: 10.1080/03630269.2019.1694033)

10.Abolghasemi H, Amid A, Zeinali S, Radfar MH, Eshghi P, Rahiminejad MS, et al. Thalassemia in Iran: epidemiology, prevention, and management. J Pediatr Hematol Oncol. 2007;29(4):233-8. (DOI: 10.1097/MPH.0b013e3180437e02)

11.Mahdavi MR, Kowsarian M, Karami H, Mohseni A, Vahidshahi K, Roshan P, et al. Prevalence of hemoglobin alpha-chain gene deletion in neonates in North of Iran. Eur Rev Med Pharmacol Sci. 2010;14(10):871-5. (LINK)

12.Reyes-Núñez V, Garcés-Eisele J, Jorge S, Kimura E, Ferreira-Costa F, Sonati MF, et al. Molecular characterization of alpha-thalassemia in the Mexican population. Rev Invest Clin. 2006;58(3):234-6. (LINK)

13.Ben Salah N, Bou-Fakhredin R, Mellouli F, Taher AT. Revisiting beta thalassemia intermedia: past, present, and future prospects. Hematology. 2017;22(10):607-16. (DOI: 10.1080/10245332.2017.1333246)

14.Kitiashvili M. Beta thalassemia: pathogenesis, progression, and treatment [master’s thesis]. Boston: Boston University; 2022. (LINK)

15.Forni GL, Gianesin B, Musallam KM, Longo F, Rosso R, Lisi R, et al. Overall and complication-free survival in a large cohort of patients with β-thalassemia major followed over 50 years. Am J Hematol. 2023;98(3):381-7. (DOI: 10.1002/ajh.26798)

16.Santarone S, Angelini S, Natale A, Vaddinelli D, Spadano R, Casciani P, et al. Survival and late effects of hematopoietic cell transplantation in patients with thalassemia major. Bone Marrow Transplant. 2022;57(11):1689-97. (DOI: 10.1038/s41409-022-01786-4)

17.Tantiworawit A, Kamolsripat T, Piriyakhuntorn P, Rattanathammethee T, Hantrakool S, Chai-Adisaksopha C, et al. Survival and causes of death in patients with alpha and beta-thalassemia in Northern Thailand. Ann Med. 2024;56(1):2338246. (DOI: 10.1080/07853890.2024.2338246)

18.Yadav PK, Singh AK. A review of iron overload in beta-thalassemia major, and a discussion on alternative potent iron chelation targets. Plasmatology. 2022;16:26348535221103560. (DOI: 10.1177/26348535221103560)

19.Basu S, Rahaman M, Dolai TK, Shukla PC, Chakravorty N. Understanding the intricacies of iron overload associated with β-thalassemia: a comprehensive review. Thalass Rep. 2023;13(3):179-94. (DOI: 10.3390/thalassrep13030017)

20.Porter J. Chapter 3: Iron overload: pathophysiology, diagnosis and monitoring. In: Cappellini MD, Farmakis D, Porter J, et al., editors. 2021 Guidelines: for the management of transfusion dependent thalassaemia (TDT). 4th ed. Nicosia, Cyprus: Thalassaemia International Federation; 2023. (LINK)

21.Silva AMN, Rangel M. The (bio)chemistry of non-transferrin-bound iron. Molecules. 2022;27(6):1784. (DOI: 10.3390/molecules27061784)

22.Angoro B, Motshakeri M, Hemmaway C, Svirskis D, Sharma M. Non-transferrin bound iron. Clin Chim Acta. 2022;531:157-67. (DOI: 10.1016/j.cca.2022.04.004)

23.Camaschella C, Hershko C. Iron metabolism, iron deficiency and disorders of haem synthesis. In: Hoffbrand's Postgraduate Haematology. 8th ed. 2025. p. 163-87. (DOI: 10.1002/9781118853771.ch3)

24.Faranoush M, Faranoush P, Heydari I, Foroughi-Gilvaee MR, Azarkeivan A, Parsai Kia A, et al. Complications in patients with transfusion dependent thalassemia: a descriptive cross-sectional study. Health Sci Rep. 2023;6(10):e1624. (DOI: 10.1002/hsr2.1624)

25.Malik S, Syed S, Ahmed N. Complications in transfusion-dependent patients of β-thalassemia major: a review. Pak J Med Sci. 2009;25(4):678-82. (LINK)

26.Aessopos A, Farmakis D. Pulmonary hypertension in β-thalassemia. Ann N Y Acad Sci. 2005;1054(1):342-9. (DOI: 10.1196/annals.1345.041)

27.Aessopos A, Berdoukas V, Tsironi M. The heart in transfusion dependent homozygous thalassaemia today: prediction, prevention and management. Eur J Haematol. 2008;80(2):93-106. (DOI: 10.1111/j.1600-0609.2007.01018.x)

28.Cappellini MD, Taher AT, Motta I. Thalassemia and hypercoagulability. Hematology Am Soc Hematol Educ Program. 2025;2025(1):285-90. (DOI: 10.1182/hematology.2025000716)

29.Abo-Elwafa HA, Youseff LM, Mahmoud RA, Elbadry MI, Tawfeek A, Aziz SP. Venous thromboembolism risk assessment among beta-thalassemia patients. J Appl Hematol. 2023;14(3):230-5. (DOI: 10.4103/joah.joah_31_23)

30.Al-Sheyyab M, Batieha A, El-Khateeb M. The prevalence of hepatitis B, hepatitis C and human immunodeficiency virus markers in multi-transfused patients. J Trop Pediatr. 2001;47(4):239-42. )DOI: 10.1093/tropej/47.4.239(

31.Ambrosio MR, Cattaneo CA, Gagliardi I, Carnevale A, Zatelli MC. Aetiology, diagnosis and treatment of thalassemia-associated osteoporosis of the adult. J Endocrinol Invest. 2025;48(4):799-815. (DOI: 10.1007/s40618-024-02503-2)

32.Ananvutisombat N, Tantiworawit A, Punnachet T, Hantrakun N, Piriyakhuntorn P, Rattanathammethee T, et al. Prevalence and risk factors predisposing low bone mineral density in patients with thalassemia. Front Endocrinol (Lausanne). 2024;15:1393865. (DOI: 10.3389/fendo.2024.1393865)

33.Habeb A, Deeb A, Hamza RT, Iughetti L, Jalaludin MY, Muze K-C, et al. International consensus on the diagnosis and management of endocrine complications of β and α thalassemia in children and adolescents. Horm Res Paediatr. 2025. (DOI: 10.1159/000546904)

34.Arianezhad A, Eslamizadeh R, Momeni A, Yazdanpanah P, Behzadifard M. Investigation of alloimmunization in beta-thalassemia major patients: a cross-sectional study. Ann Med Surg (Lond). 2025;87(4):1893-6. (DOI: 10.1097/ms9.0000000000003092)

35.Almorish MAW, Al-Absi B, Elkhalifa AME, Alhamidi AH, Abdelrahman M. Red blood cell alloimmunization in blood transfusion-dependent β-thalassemia major patients in Sana’a City-Yemen. Sci Rep. 2024;14(1):1005. (DOI: 10.1038/s41598-024-51561-2)

36.Faranoush P, Elahinia A, Ziaee A, Faranoush M. Review of endocrine complications in transfusion-dependent thalassemia. Iran J Blood Cancer. 2023;15(4):212-35. (DOI: 10.61186/ijbc.15.4.212)

37.Alharbi SM, Alshammari SS, Alsiaf HA, Alkhowaiter FS. Systematic review of metabolic and endocrinological complications in beta-thalassemia major: insights from 2021 to 2023. Int J Med Dev Ctries. 2024;8(1):288-96. (DOI: 10.24911/IJMDC.51-1690502594)

38.Khalili D, Boloki MK, Fahimfar N, Gharavi M. Survey of the growth disorder in thalassemia major patients in Rasht, Iran. 2007. (LINK)

39.Noori NM, Boryrie T. Growth and puberty disorders in patients with thalassemia major over 10 years old at Aliasghar Hospital in Zahedan. Urmia Med J. 2002;13(3):191-8. (LINK)

40.Kamali A, Bazrafkan F, Hadjiseyed Abotorabi M. Comparison of height and weight of thalassemia major patients with NCHS. J Qazvin Univ Med Sci. 2001:33-8. (LINK)

41.Shamshirsaz AA, Bekheirnia MR, Kamgar M, Pourzahedgilani N, Bouzari N, Habibzadeh M, et al. Metabolic and endocrinologic complications in beta-thalassemia major: a multicenter study in Tehran. BMC Endocr Disord. 2003;3(1):4. )DOI: 10.1186/1472-6823-3-4(

42.Wu KH, Tsai FJ, Peng C. Growth hormone (GH) deficiency in patients with β-thalassemia major and the efficacy of recombinant GH treatment. Ann Hematol. 2003;82(10):637-40. )DOI: 10.1007/s00277-003-0712-3(

43.Mohammadi R, Allahyari I, Mazaheri E, Seyed Javadi M, Arish G. Evaluation of physical growth of patients with thalassemia major based on NCHS criteria. J Health Care. 2011;13(1). (LINK)

44.Aydinok Y, Darcan S, Polat A, Kavakli K, Nişli G, Çoker M, et al. Endocrine complications in patients with β-thalassemia major. J Trop Pediatr. 2002;48(1):50-4. (DOI: 10.1093/tropej/48.1.50)

45.Gulati R, Bhatia V, Agarwal SS. Early onset of endocrine abnormalities in beta-thalassemia major in a developing country. J Pediatr Endocrinol Metab. 2000;13(6):651-6. (DOI: 10.1515/jpem.2000.13.6.651)

46.De Sanctis V, Soliman AT, Elsedfy H, Skordis N, Kattamis C, Angastiniotis M, et al. Growth and endocrine disorders in thalassemia: the international network on endocrine complications in thalassemia (I-CET) position statement and guidelines. Indian J Endocrinol Metab. 2013;17(1):8-18. (DOI: 10.4103/2230-8210.107808)

47.Moayeri H, Oloomi Z. Prevalence of growth and puberty failure with respect to growth hormone and gonadotropins secretion in beta-thalassemia major. Arch Iran Med. 2006;9(4):329-34. (LINK)

48.Theodoridis C, Ladis V, Papatheodorou A, Berdousi H, Palamidou F, Evagelopoulou C, et al. Growth and management of short stature in thalassaemia major. J Pediatr Endocrinol Metab. 1998;11(Suppl 3):835-44. (LINK)

49.Kwan E, Lee A, Li A, Tam S, Chan C, Lau Y, et al. A cross-sectional study of growth, puberty and endocrine function in patients with thalassaemia major in Hong Kong. J Paediatr Child Health. 1995;31(2):83-7. (DOI: 10.1111/j.1440-1754.1995.tb00752.x)

50.Shiva S, Sari Sorkhabi R. Short stature in patients with beta-thalassemia. J Urmia Univ Med Sci. 2008;19:125-31. (LINK)

51.Mohammad K, Hosseini M, Noorbala AA. Secular trends in growth (weight and height) of children in Iran over a decade (1990–1991 to 1999). Hakim Res J. 2006;9(1):1-8. (Persian) (LINK)

52.Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 16th ed. Philadelphia: W.B. Saunders Co.; 2000. (LINK)

53.Kliegman R, Toth H, Bordini BJ, Basel DG. Nelson pediatric symptom-based diagnosis. Philadelphia: Elsevier; 2022. (LINK)

54.Rostami M. Evaluation of serum iron and ferritin in myocardial infarction patients in Imam Ali hospital of Andimeshk in 2008–2009. Jentashapir J Cell Mol Biol. 2010;1(1). (LINK)

55.Tiosano D, Hochberg Z. Endocrine complications of thalassemia. J Endocrinol Invest. 2001;24(9):716-23. )DOI: 10.1007/BF03343916(

56.Hamidah A, Rahmah R, Azmi T, Aziz J, Jamal R. Short stature and truncal shortening in transfusion dependent thalassemia patients: results from a thalassemia center in Malaysia. Southeast Asian J Trop Med Public Health. 2001;32(3):625-30. (LINK)

57.Saxena A. Growth retardation in thalassemia major patients. Int J Hum Genet. 2003;3(4):237-46. (DOI: 10.1080/09723757.2003.11885858)

58.Gomber S, Dewan P. Physical growth patterns and dental caries in thalassemia. Indian Pediatr. 2006;43(12):1064-9. (LINK)

59.Karamifar H, Shahriari M, Amirhakimi GH. Failure of puberty and linear growth in beta-thalassemia major. Turk J Haematol. 2005;22(2):65-9. (LINK)

60.Kattamis C, Touliatos N, Haidas S, Matsaniotis N. Growth of children with thalassaemia: effect of different transfusion regimens. Arch Dis Child. 1970;45(242):502-9. (DOI: 10.1136/adc.45.242.502)

  • Abstract Viewed: 83 times
  • PDF Downloaded: 13 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Developed By

Open Journal Systems

Information

  • For Readers
  • For Authors
  • For Librarians
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact

Address: P.O. Box: 19395-4618, Darband St., Qods Sq.,Tehran, Iran.

Tel: +98-21-22707346

eISSN: 2783-1264

 Archives of Advances in Biosciences is an open access article under the terms of the Creative Commons Attribution -NonCommercial 4.0 International License.( CC BY-NC 4.0)

Powered by OJSPlus