Likewise, obesity also has been reported to be associated with anemia in adults in some countries,18-20 which may be due to an up-regulation of hepcidin expression in obesity, thereby hampering iron absorption.21 We also showed that hs-CRP, which is an indicator of chronic inflammation, was higher in anemic patients which is in line with the findings of a cohort study in outpatients adults.22 This evidence concerns the gene HAMP and anemia (phenotype).