Human Plasma Iron Responses Following Test Doses of Iron from Known Sources

Abstract A study was conducted to determine the effects of certain dietary components on iron absorption in human subjects. Iron absorption was measured by plasma iron responses following test doses of iron as ferrous sulfate or ferric pyrophosphate alone or with egg, enriched white bread, or ascorbic acid. The effects of egg on iron absorption were inconclusive. Phytates at the level present in enriched white bread had no adverse effects and 500 mg ascorbic acid proved beneficial.

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Acute Consumption of Prebiotic Galacto-Oligosaccharides Increases Iron Absorption from Ferrous Fumarate, but not from Ferrous Sulfate and Ferric Pyrophosphate: Stable Iron Isotope Studies in Iron-Depleted Young Women

Journal of Nutrition ◽

10.1093/jn/nxaa199 ◽

2020 ◽

Vol 150 (9) ◽

pp. 2391-2397

Author(s):

Frederike M D Jeroense ◽

Christophe Zeder ◽

Michael B Zimmermann ◽

Isabelle Herter-Aeberli

Keyword(s):

Stable Isotopes ◽

Ferrous Sulfate ◽

Iron Absorption ◽

Ferric Pyrophosphate ◽

Ferrous Fumarate ◽

Paired Samples ◽

Wilcoxon Rank Sum Test ◽

Isotope Studies ◽

High Doses ◽

Dose Dependent

ABSTRACT Background Although acute consumption of high doses of prebiotic galacto-oligosaccharides (GOS) increases fractional iron absorption (FIA) from ferrous fumarate (FeFum), it is uncertain if low doses of GOS have this effect. Furthermore, whether GOS improve iron absorption from other commonly used iron compounds and whether ascorbic acid (AA) enhances the effect of GOS on iron absorption from FeFum is unclear. Objectives In iron-depleted women [serum ferritin (SF) <30 μg/L], we assessed: 1) whether the acute enhancing effect of GOS on FeFum is dose dependent; 2) if GOS would affect FIA from ferrous sulfate (FeSO4) or ferric pyrophosphate (FePP); and 3) if AA and GOS given together enhance FIA from FeFum to a greater extent compared with GOS alone. Methods We recruited 46 women (mean age 22.0 y, mean BMI 21.3 kg/m2, median SF 17.1 μg/L), and measured FIA from 14 mg iron labeled with stable isotopes in the following conditions: 1) FIA from FeFum given with 3.5 g, 7 g GOS, and without GOS; 2) FIA from FeSO4 and FePP given with and without 15 g GOS; and 3) FIA from FeFum given with 7 g GOS with and without 93 mg AA. FIA was measured as erythrocyte incorporation of stable isotopes after 14 d. Comparisons were made using paired samples t-test or Wilcoxon rank sum test where appropriate. Results Giving 7 g of GOS significantly increased FIA from FeFum (+26%; P = 0.039), whereas 3.5 g GOS did not (P = 0.130). GOS did not significantly increase FIA from FeSO4 (P = 0.998) or FePP (P = 0.059). FIA from FeFum given with GOS and AA was significantly higher compared with FeFum given with GOS alone (+30%; P <0.001). Conclusions In iron-depleted women, GOS does not increase FIA from FeSO4 or FePP, but it increases FIA from FeFum. Thus, a combination of FeFum and GOS may be a well-absorbed formula for iron supplements. The study was registered at clinicaltrials.gov as NCT03762148.

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Iron absorption from a malted cocoa drink fortified with ferric orthophosphate using the stable isotope 58Fe as an extrinsic label

British Journal Of Nutrition ◽

10.1079/bjn19830071 ◽

1983 ◽

Vol 50 (1) ◽

pp. 51-60 ◽

Cited By ~ 12

Author(s):

Susan J. Fairweather-Tait ◽

Margaret J. Minski ◽

D. P. Richardson

Keyword(s):

Ascorbic Acid ◽

Stable Isotope ◽

Hydrochloric Acid ◽

Wheat Flour ◽

Iron Absorption ◽

Human Subjects ◽

Ferrous Sulphate ◽

Hot Water ◽

Fasting Condition ◽

Potential Use

1. The potential use of an extrinsic label to measure iron absorption from a ferric orthophosphate-fortified malted cocoa drink was examined by measuring the solubility of the FePO4 in 0·1 M-hydrochloric acid.2. The validity of using the stable isotope 58Fe as an extrinsic label was tested by comparing Fe absorption by rats from wheat flour extrinsically-labelled with 58Fe or 59Fe.3. Fe absorption from a malted cocoa drink (20 g powder made up with hot water) fortified with FePO4 (0·5 mg Fe/g powder) was measured in human subjects using 58Fe as an extrinsic label. Absorption was calculated by measuring unabsorbed 58Fe in faeces. Absorptions of Fe from the drink fortified with either FePO4 or ferrous sulphate were compared. The effect of the addition of ascorbic acid to the drink (1 mg/g powder) on Fe availability was also examined.4. The effect of fasting on Fe absorption from the drink was determined in rats by giving the drink to fasting animals or shortly after they had consumed a small meal.5. The FePO4 was totally soluble in 0·1 M-HCl and there were no differences in absorption between 58Fe- and 59Fe-labelled wheat flour. In the human experiment the proportion of Fe absorbed from the drink plus FePO4 and ascorbic acid was (mean with SE) 0·25 (0·02), from the drink plus FePO4 0·24 (0·02) and from the drink plus FeSO4 0·23 (0·03). Fasting had a significant effect on Fe availability; rats given the drink shortly after a small meal absorbed less than half as much Fe as those given the drink on a fasted stomach.6. It was concluded that the FePO4 used to fortify the malted cocoa drink was as well absorbed as FeSO4 but that the high levels of absorption were a reflection of the fasting condition of the subjects. The level of ascorbic acid was not great enough to enhance the availability of the FePO4 any further.

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Effect of Ascorbic Acid and Particle Size on Iron Absorption from Ferric Pyrophosphate in Adult Women

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831.74.4.294 ◽

2004 ◽

Vol 74 (4) ◽

pp. 294-300 ◽

Cited By ~ 28

Author(s):

Fidler ◽

Davidsson ◽

Zeder ◽

Walczyk ◽

Marti ◽

...

Keyword(s):

Particle Size ◽

Ascorbic Acid ◽

Iron Absorption ◽

Average Particle Size ◽

Relative Bioavailability ◽

Molar Ratio ◽

Average Particle ◽

Adult Women ◽

Mean Particle Size ◽

Ferric Pyrophosphate

The effects of added ascorbic acid and particle size on iron absorption from ferric pyrophosphate were evaluated in adult women (9–10 women/study) based on erythrocyte incorporation of iron stable isotopes (57Fe or 58Fe) 14 days after administration. Three separate studies were made with test meals of iron-fortified infant cereal (5 mg iron/meal) and the results are presented as geometric means and relative bioavailability values (RBV, FeSO4 = 100%). The results of study 1 showed that iron absorption was significantly lower from ferric pyrophosphate (mean particle size 8.5 mum) than from FeSO4 in meals without ascorbic acid (0.9 vs. 2.6%, p < 0.0001, RBV 36%) and in the same meals with ascorbic acid added at a 4:1 molar ratio relative to fortification iron (2.3 vs. 9.7%, p < 0.0001, RBV 23%). Ascorbic acid increased iron absorption from ferric pyrophosphate slightly less (2.6-fold) than from FeSO4 (3.7-fold) (p < 0.05). In studies 2 and 3, RBV of ferric pyrophosphate with an average particle size of 6.7 mum and 12.5 mum was not significantly different at 52 and 42% (p > 0.05), respectively. In conclusion, the addition of ascorbic acid increased fractional iron absorption from ferric pyrophosphate significantly, but to a lesser extent than from FeSO4. Decreasing the mean particle size to 6.7 mum did not significantly increase iron absorption from ferric pyrophosphate.

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Regular consumption of a complementary food fortified with ascorbic acid and ferrous fumarate or ferric pyrophosphate is as useful as ferrous sulfate in maintaining hemoglobin concentrations >105 g/L in young Bangladeshi children

American Journal of Clinical Nutrition ◽

10.3945/ajcn.2008.27353 ◽

2009 ◽

Vol 89 (6) ◽

pp. 1815-1820 ◽

Cited By ~ 10

Author(s):

Lena Davidsson ◽

Shafiqual Alam Sarker ◽

Kazi Asif Jamil ◽

Shamima Sultana ◽

Richard Hurrell

Keyword(s):

Ascorbic Acid ◽

Ferrous Sulfate ◽

Complementary Food ◽

Ferric Pyrophosphate ◽

Ferrous Fumarate ◽

Regular Consumption

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Vitamin C—Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination

Nutrients ◽

10.3390/nu13020615 ◽

2021 ◽

Vol 13 (2) ◽

pp. 615

Author(s):

Martin Doseděl ◽

Eduard Jirkovský ◽

Kateřina Macáková ◽

Lenka Krčmová ◽

Lenka Javorská ◽

...

Keyword(s):

Ascorbic Acid ◽

Vitamin C ◽

Iron Absorption ◽

Plasma Concentrations ◽

Physiological Role ◽

Renal Stones ◽

Anti Oxidant ◽

High Doses ◽

Epigenetic Processes

Vitamin C (L-ascorbic acid) has been known as an antioxidant for most people. However, its physiological role is much larger and encompasses very different processes ranging from facilitation of iron absorption through involvement in hormones and carnitine synthesis for important roles in epigenetic processes. Contrarily, high doses act as a pro-oxidant than an anti-oxidant. This may also be the reason why plasma levels are meticulously regulated on the level of absorption and excretion in the kidney. Interestingly, most cells contain vitamin C in millimolar concentrations, which is much higher than its plasma concentrations, and compared to other vitamins. The role of vitamin C is well demonstrated by miscellaneous symptoms of its absence—scurvy. The only clinically well-documented indication for vitamin C is scurvy. The effects of vitamin C administration on cancer, cardiovascular diseases, and infections are rather minor or even debatable in the general population. Vitamin C is relatively safe, but caution should be given to the administration of high doses, which can cause overt side effects in some susceptible patients (e.g., oxalate renal stones). Lastly, analytical methods for its determination with advantages and pitfalls are also discussed in this review.

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Maturation, iron deficiency, and ligands in enteric radioiron transport in vitro

American Journal of Physiology-Legacy Content ◽

10.1152/ajplegacy.1963.204.1.171 ◽

1963 ◽

Vol 204 (1) ◽

pp. 171-175 ◽

Cited By ~ 14

Author(s):

W. S. Ruliffson ◽

J. M. Hopping

Keyword(s):

Ascorbic Acid ◽

Iron Deficiency ◽

Iron Absorption ◽

Deficiency Anemia ◽

Anaerobic Incubation ◽

Reverse Effect ◽

Factors Affecting ◽

Everted Gut Sac

The effects in rats, of age, iron-deficiency anemia, and ascorbic acid, citrate, fluoride, and ethylenediaminetetraacetate (EDTA) on enteric radioiron transport were studied in vitro by an everted gut-sac technique. Sacs from young animals transported more than those from older ones. Proximal jejunal sacs from anemic animals transported more than similar sacs from nonanemic rats, but the reverse effect appeared in sacs formed from proximal duodenum. When added to media containing ascorbic acid or citrate, fluoride depressed transport as did anaerobic incubation in the presence of ascorbic acid. Anaerobic incubation in the presence of EDTA appeared to permit elevated transport. Ascorbic acid, citrate, and EDTA all enhanced the level of Fe59 appearing in serosal media. These results appear to agree with previously established in vivo phenomena and tend to validate the in vitro method as one of promise for further studies of factors affecting iron absorption and of the mechanism of iron absorption.

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