IMPACT OF SMOKELESS TOBACCO USE ON HEMATOLOGICAL PARAMETERS AND ANEMIA-RELATED INDICES IN ADULT MALES

Main Article Content

Abdul Waheed
Abdul Samad
Malook Jan
Hazar Khan Bugti
Noor Nasir Rajpoot
Ali Muhammad Memmon

Keywords

Smokeless tobacco, anemia, hemoglobin, hematological parameters, red blood cell indices.

Abstract

Abstract


Background: Smokeless tobacco (SLT) is widely consumed in South Asia and has been linked to several systemic health effects. Evidence regarding its influence on hematological parameters and anemia-related indices remains inconsistent.


Methodology: A cross-sectional study was conducted among 234 adult males, including 59 smokeless tobacco users and 175 non-users. Hematological parameters including hemoglobin (Hb), red blood cell count (RBC), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), red cell distribution width (RDW), white blood cell count (WBC), platelet count (PLT), mean platelet volume (MPV), lymphocyte percentage, and neutrophil percentage were compared between groups.
Results: Smokeless tobacco users demonstrated lower mean hemoglobin, RBC count, hematocrit, and MCH values than non-users. Users also exhibited slightly higher platelet counts, MPV, and lymphocyte percentages. However, none of the observed differences reached statistical significance (p>0.05). The pattern nevertheless suggested a tendency toward less favorable anemia-related indicesamong smokeless tobacco users.


Conclusion: Smokeless tobacco use was associated with lower hemoglobin-related indices, although statistically significant differences were not observed. Larger prospective studies are required to clarify the potential contribution of smokeless tobacco to anemia and hematological alterations.


  

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