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IWD: Routine tests undertaken by women dropped by 35% in 2020

The top 7 tests undertaken by women in terms of volume are Thyroid Stimulating Hormone, Creatinine, Hemoglobin, Random Blood Glucose, Cholesterol, Vitamin D and Calcium

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Dr Abha Sabhikhi|Mar 08, 2022, 15:04:11 IST
SRL Diagnostics report on International Women’s Day7th March 2022: Mumbai: Ahead of International Women’s Day, SRL Diagnostics, and India’s leading diagnostic chain published a data analytics report on results of samples received for various tests from January 2015 to December 2021 at SRL Laboratories across the country. This report has been prepared basis retrospective data mining done on the results of top 7 tests undertaken by women. The report covers five major metro cities: Mumbai, Delhi, Bangalore, Kolkata, and Chennai.The top 7 tests undertaken by women in terms of volume are Thyroid Stimulating Hormone, Creatinine, Hemoglobin, Random Blood Glucose, Cholesterol, Vitamin D and Calcium.Speaking about the report, Mr. Anand. K, Chief Executive Officer, SRL Diagnostics said “Women are the primary care takers of families across the world. It is observed that women suffer from poor health outcomes and this has consequences not just for women but also for their families. Our study on 1.3 crore samples tested over 5 years across 5 metro cities show that women suffer from most common ailments including high blood sugar and cholesterol levels, poor kidney function, anemia, vitamin D deficiency and calcium deficiency. We have published this report to showcase data evidence that points to these conditions and deficiencies.”Dr. Abha Sabhikhi, Technical Director, SRL Diagnostics said “Women often tend to neglect their own nutrition and health needs and this is observed even in metro cities. Women bear the dual responsibility of being the primary caregivers at home in addition to their role in the professional sphere. This Women’s Day, we have analysed and published data so that more women can understand their risks and prioritise their own health and well-being. Regular monitoring of vital parameters, balanced nutrition, time for self-care and physical exercise is important.”Table 1: Total number of samples tested across cities for top seven tests undertaken by women
LocationHemoglobinTSHCalciumVitamin DFasting Blood SugarCholesterolCreatinine
Mumbai90686010782912187902502095243263951391362444
Delhi8693887085011665961822012687282315731503916
Bangalore4974795126797506260349157685172182881740
Kolkata254051295439471434923715266291384506714
Chennai12297414461317926181875374553923190815
Grand Total2650752273952352551756018311571469442014445629
 --------------------------------------------------------------------------------------------------------------------------------------HEMOGLOBIN TEST The Hemoglobin test is one of the many parameters that is tested in CBC – that is a complete blood count or hematocrit. The hemoglobin test is of the utmost importance as IDA (Iron Deficiency Anemia) has been a huge public health problem in India. Estimates suggest that 20% of maternal deaths are directly related to anemia. The National Nutritional Anemia Prophylaxis Program was launched in 1970 in India to improve the status of IDA but it continues to be an underdiagnosed and underutilized problem. It is important to diagnose and correct anemia for overall health and well-being. 
  • In an analysis of Hemoglobin results in five cities, we found that over 55% of women who underwent the Hemoglobin test reported abnormal levels.
  • In 2020, the first year of pandemic, Hemoglobin tests dropped by over 29% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
 Table 2: Analysis of Hemoglobin results in five cities
Hemoglobin NormalAbnormal TotalNormalAbnormal
Mumbai43704746981390686048.1951.81
Delhi37165449773486938842.7557.25
Kolkata8638516766625405134.0066.00
Bangalore25254824493149747950.7749.23
Chennai595046347012297448.3951.61
Average12071381443614265075244.8255.18
Table 2A: Covid-19 Impact on routine tests for women - Hemoglobin
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
2015115119108191293768291220012
20161208545%13110121%3247311%74648-10%18715-6%
20171217931%1335472%3611111%778634%190812%
201813574211%1421286%390938%70588-9%194162%
20191457147%133658-6%427129%7749910%193590%
2020110790-24%99725-25%31765-26%52170-33%12191-37%
202115684842%12103821%4252134%6179918%1420016%
Total906860869388254051497479 122974 
 Table 2B: Age Group wise analysis of Hemoglobin results in five metro cities
HemoglobinMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-15250271281158763297565342341617812734349202402
16-30102505856998463089552211472540575456509942143719712
31-4512491912484689866110490230843858069446620841500716553
46-6010813211048976740104951206124529748815524651037311301
61-85747761317295951015401315820533673995269370748112712
85+1688423921458972380160110672675286790
Total437047469813371654497734863851676662525482449315950463470
 
HemoglobinMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1566%34%66%34%61%39%71%29%67%33%
16-3054%46%49%51%45%55%60%40%52%48%
31-4550%50%45%55%37%63%53%47%48%52%
46-6049%51%42%58%31%69%48%52%48%52%
61-8536%64%28%72%23%77%37%63%37%63%
85+28%72%19%81%19%81%29%71%27%73%
 --------------------------------------------------------------------------------------------------------------------------------------THYROID STIMULATING HORMONE The Thyroid Stimulating Hormone is the most commonly ordered test to diagnose thyroid related disorders or to diagnose thyroid hormone imbalances. The TSH test may also be ordered along with Free T3 and Total T3 or Free T4 and Total T4.
  • In an analysis of TSH results in five cities, we found that over 25% of women who underwent the TSH test reported abnormal levels.
  • In 2020, the first year of pandemic, TSH tests dropped by over 35% as access to testing was restricted due to lockdown and fear of visiting a health care center for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
Table 3: Analysis of TSH results in five cities
TSHNormalAbnormal TotalNormalAbnormal
Mumbai820044258247107829176.0523.95
Delhi53162217687970850175.0324.97
Kolkata2184777696229543973.9526.05
Bangalore38641212626751267975.3724.63
Chennai1200462456714461383.0116.99
Average2076601662922273952376.6823.32
 Table 3A: Covid-19 Impact on routine tests for women – Thyroid Stimulating Hormone
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
2015149020105281412759989821795
2016135978-9%1069782%423433%83497-16%226214%
20171475709%1078491%40546-4%77930-7%2530812%
201816173410%1095562%430776%76397-2%24770-2%
201919337620%1153805%4824412%775482%22688-8%
2020128823-33%77294-33%34338-29%44632-42%13703-40%
202116179026%8616311%4561633%5277718%137280%
Total1078291708501295439512679 144613 
 Table 3B: Age Group wise analysis of Thyroid Stimulating Hormone results in five metro cities
TSHMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-152610239683044165018560162122147178414175580
16-30175672455831140223139445197131779573326627382807014
31-452911619140017146958249684972370513677444855360218814
46-60201361698841205414352553348203597078227337200505316
61-8512346846340923863595342012176305989025125112192729
85+22801072276312578634701086539301114
Total8200442582475316221768792184777696238641212626712004624567
 
TSHMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1587%13%82%18%84%16%93%7%96%4%
16-3079%21%78%22%77%23%78%22%85%15%
31-4576%24%75%25%74%26%75%25%80%20%
46-6074%26%73%27%72%28%72%28%79%21%
61-8573%27%72%28%70%30%70%30%80%20%
85+68%32%69%31%65%35%67%33%73%27%
 --------------------------------------------------------------------------------------------------------------------------------------CALCIUM TEST A calcium test is included as part of routine wellness testing. Thyroid disorders, kidney disorders, malnutrition, malabsorption, vitamin D deficiencies or excess vitamin D intake are all related to calcium levels and hence is ordered both during diagnosis and treatment monitoring of these conditions.
  • In an analysis of Total Calcium Test results in five cities, we found that over 21% of women who underwent the calcium test reported abnormal levels.
  • In 2020, the first year of pandemic, Total Calcium tests dropped by over 32% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
Table 4: Analysis of Calcium results in five cities
CityNormalAbnormal TotalNormalAbnormal
Mumbai1854133337721879084.7415.26
Delhi1228624373416659673.7526.25
Kolkata34967121764714374.1725.83
Bangalore57062180007506276.0223.98
Chennai1214157851792667.7332.27
Average41244511307252551778.4821.52
 Table 4A: Covid-19 Impact on routine tests for women – Calcium test
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
20152512210245684144652512
20162450-2%227568%661416%9120-37%2450-2%
2017289218%2520211%6481-2%1098820%289218%
20182605-10%263044%781921%10791-2%2605-10%
2019290612%284778%81434%1230114%290612%
20202033-30%21078-26%5273-35%7493-39%2033-30%
2021252824%217553%712935%990432%252824%
Total17926166596471437506217926 
 Table 4B: Covid-19 Impact on routine tests for women – Calcium test
CalciumMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1535956426760255112193552057614600305
16-30250654253156084380349792510449231015471162
31-4555234107053060290897977218416336405326641163
46-60581578896360321098411793353514222439635321110
61-85425718624326421586010228502413694637035711910
85+7912571218870253153304257227135
Total185413333771228624373434967121765706218000121415785
 
CalciumMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1585%15%73%27%77%23%77%23%66%34%
16-3085%15%78%22%79%21%82%18%57%43%
31-4584%16%77%23%79%21%80%20%70%30%
46-6087%13%77%23%77%23%76%24%76%24%
61-8583%17%67%33%67%33%68%32%65%35%
85+75%25%58%42%62%38%54%46%63%37%
 --------------------------------------------------------------------------------------------------------------------------------------VITAMIN D TEST Vitamin D is considered the most underdiagnosed and undertreated nutritional deficiency across the world. Vitamin D deficiency is seen both in countries that are sunshine deficient and sufficient. 
  • In an analysis of Vitamin D Test results in five cities, we found that over 72% of women who underwent the Vitamin D test reported abnormal levels.
  • In 2020, the first year of pandemic, Total Vitamin D tests dropped by over 41% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
 Table 5: Analysis of Vitamin D results in five cities
CityNormalAbnormal TotalNormalAbnormal
Mumbai6816918204025020927.2472.76
Delhi5245612974518220128.7971.21
Kolkata12504367334923725.4074.60
Bangalore12691476586034921.0378.97
Chennai9665149802464539.2260.78
Average15548541115656664127.4472.56
 Table 5A: Covid-19 Impact on routine tests for women – Vitamin D
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
20153055223650577870952939
2016313943%2993227%61386%72252%355321%
2017337187%28600-4%6076-1%75374%3015-15%
20184179824%3410619%760625%926423%2537-16%
2019454569%26773-22%935723%1185928%285012%
202027916-39%18094-32%5802-38%7032-41%1340-53%
20213937541%2104616%848046%1033747%8411528%
Total250209182201492376034924645 
 Table 5B: Age Group wise analysis of Vitamin D results in five metro cities
Vitamin DMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-151841487666531923554212674031274274556
16-30705231823505724251130552711659104204023680
31-45182756492611304371662751107974097180678105072
46-602243749367151463030039671114332431017538933589
61-8518156304661388318331383180873212760640442027
85+4085824134621081687711624256
Total681691820405245612974512504367331269147658966514980
 
Vitamin DMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1527%73%26%74%30%70%24%76%33%67%
16-3018%82%17%83%20%80%14%86%10%90%
31-4522%78%23%77%20%80%18%82%14%86%
46-6031%69%33%67%26%74%24%76%52%48%
61-8537%63%43%57%32%68%30%70%67%33%
85+41%59%47%53%39%61%40%60%81%19%
 --------------------------------------------------------------------------------------------------------------------------------------FASTING BLOOD SUGAR TEST The fasting blood sugar test measures the amount of blood sugar after 12 hours of overnight fasting. Fasting blood sugar test provides more accurate results and is easy to interpret. India is home to over 77 million diabetics and has the second-highest number of diabetes patients aged between 20-79 years as of 2019. Socioeconomic and demographic changes, along with increased susceptibility for diabetes in India individuals owing to genetic factors have led to an explosive rise in the prevalence of diabetes mellitus in India over the past forty years. In addition, the country also has a burden of ‘’pre-diabetes’’. Timely diagnosis can prevent pre-diabetes manifesting in to diabetes. Good sugar control in diabetics can also help prevent diabetes related complications. 
  • In an analysis of Fasting Blood sugar results in five cities, we found that over 48% of women who underwent the fasting blood sugar test reported abnormal levels.
  • In 2020, the first year of pandemic, Fasting Blood Sugar tests dropped by over 33% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
  Table 6: Analysis of Fasting Blood Sugar results in five cities
CityNormalAbnormal TotalNormalAbnormal
Mumbai24919427513252432647.5352.47
Delhi15294711578126872856.9243.08
Kolkata634358922715266241.5558.45
Bangalore867137097215768554.9945.01
Chennai29073246725374554.0945.91
Average581362575784115714651.0248.98
 Table 6A: Covid-19 Impact on routine tests for women – Fasting Blood Sugar
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
2015654643699118137265459246
2016701187%4142612%194417%23622-11%7588-18%
2017749237%422792%205986%250856%839711%
20188465013%452397%2320313%24223-3%8044-4%
2019901677%40272-11%2547310%244781%83974%
202057085-37%28784-29%19467-24%15485-37%5267-37%
20218191944%3373717%2634335%1824718%680629%
Total524326268728152662157685 53745 
 Table 6B: Age Group wise analysis of Fasting Blood Sugar results in five metro cities
RBSMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-15329157214003208188627749518525477
16-306217712634403678322159044422286355139128002746
31-45887285404550716249372052918368322661503593005987
46-605563210515929048430561413834458139532582344738669
61-853844110120618317366111169131137111102440921857049
85+925151649677428756525438161144
Total249194275132152947115781634358922786713709722907324672
 
RBSMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1585%15%87%13%76%24%73%27%77%23%
16-3083%17%83%17%78%22%85%15%82%18%
31-4562%38%67%33%53%47%68%32%61%39%
46-6035%65%40%60%29%71%35%65%34%66%
61-8528%72%33%67%27%73%31%69%24%76%
85+38%62%39%61%34%66%40%60%30%70%
 --------------------------------------------------------------------------------------------------------------------------------------TOTAL CHOLESTEROL TEST Cholesterol is a waxy substance that is found in all the cells of the body and performs important function. It is important to keep the total cholesterol levels within the optimal levels. Higher levels of cholesterol is associated with and increased risk of heart disease. High cholesterol in itself does not cause any symptoms at all. It is important to routinely check for cholesterol levels. Only a blood test can reveal the levels of cholesterol in the blood.
  • In an analysis of Total Cholesterol Test results in five cities, we found that over 27% of women who underwent the total cholesterol test reported abnormal levels.
  • In 2020, the first year of pandemic, Total Cholesterol tests dropped by over 40% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
 Table 7: Analysis of Total Cholesterol results in five cities
CityNormalAbnormal TotalNormalAbnormal
Mumbai28043011470939513970.9729.03
Delhi1726625891123157374.5625.44
Kolkata68511228739138474.9725.03
Bangalore1288914329117218274.8625.14
Chennai38846150775392372.0427.96
Average68934025486194420173.0126.99
Table 7A: Covid-19 Impact on routine tests for women – Total Cholesterol Test
YearMumbai %Delhi%Kolkata%Bangalore%Chennai%
20155601524266121093455210351
2016559300%3886260%132399%27986-19%9553-8%
2017594526%389990%143638%27330-2%95490%
2018626255%419037%153207%24586-10%8490-11%
2019676948%36065-14%14473-6%259596%7300-14%
202039010-42%22359-38%9223-36%13696-47%4314-41%
20215441339%2911930%1265737%1807332%43661%
Total3951392315739138417218253923 
Table 7B: Age Group wise analysis of Total Cholesterol Test results in five metro cities  
CholesterolMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1525665371513283757710780411590090
16-304898974112548535868796153333767501186681298
31-45874503154443825148491875560744040112050114764062
46-6078988484364829125411228469908290701633899196353
61-856137626422391411399517282517524487969275833206
85+1061359788233255763628530068
Total280430114709172662589116851122873128891432913884615077
 
CholesterolMumbaiDelhiKolkataBangaloreChennai
Age GroupNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormalNormalAbnormal
0-1583%17%95%5%84%16%87%13%91%9%
16-3087%13%88%12%85%15%87%13%87%13%
31-4573%27%75%25%76%24%77%23%74%26%
46-6062%38%66%34%70%30%64%36%61%39%
61-8570%30%74%26%77%23%72%28%70%30%
85+75%25%77%23%77%23%81%19%82%18%
 --------------------------------------------------------------------------------------------------------------------------------------CREATININE TESTThe creatinine test measures the level of creatinine in the blood. Creatinine is a by-product from energy-production processes in muscles. Creatinine as a waste product exits through the urine. Kidneys filter creatinine out of the blood thus creatinine blood level measures how well the kidney is functioning. Elevated creatinine level signifies impaired kidney function or kidney disease. As the kidneys become impaired for any reason, the creatinine level in the blood will rise due to poor clearance of creatinine by the kidneys. Abnormally high levels of creatinine thus warn of possible malfunction or failure of the kidneys. 
  • In 2020, the first year of pandemic, creatinine tests dropped by over 31% as access to testing was restricted due to lockdown and fear of visiting a health care centre for health needs. In 2021, despite an increase in tests, the volumes did not reach pre-pandemic levels.
 Table 8: Covid-19 Impact on routine tests for women - Creatinine
YearMumbai % Delhi% Kolkata% Bangalore% Chennai%
20151632641810616193714916630032
201617943210%21540619%672259%121050-19%316725%
201719685910%2254455%710656%1286266%325023%
20182043214%2425098%8148815%1286250%30622-6%
201923602416%2428180%891779%1407329%29735-3%
2020164849-30%181917-25%61403-31%97718-31%18086-39%
202121769532%21476018%7441921%11582319%181660%
Total1362444 1503916 506714 881740 190815 
Creatinine tests dropped by over 31% in 2020, the first year of the pandemic. Despite an increase in volumes in 2021, testing volumes did not reach pre pandemic levels.--------------------------------------------------------------------------------------------------------------------------------------Disclaimer: As an advanced Clinical Reference Laboratory, SRL receives samples for screening, diagnostic and monitoring purpose. Hence it is expected that there may be a bias in the statistical analysis of tests. Though we have endeavoured to remove repeat patient IDs for the data analysis, it is possible that some of the test results may be from repeat patients in this analysis that spans five years. The reason is that sometimes the patient is registered again under different coordinates as they fail to provide their unique patient ID.Dr. Abha Sabhikhi is the Technical Advisor & Mentor at SRL Diagnostics. Views expressed are personal.Read all the Latest NewsTrending NewsCricket NewsBollywood NewsIndia News and Entertainment News here. Follow us on FacebookTwitter and Instagram.
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First Published:Mar 08, 2022, 15:01:07 IST
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