Legumes such as beans, soy or lentils are good sources of iron. (Image: www.colourbox.com)
Therapeutic iron supplements may be less effective when given in brief intervals: A peptide molecule blocks iron absorption in the intestine even 24 hours after the iron administation. Anemia is often the result of an iron deficiency. In such cases the patients, who are typically female, will be prescribed iron supplements to be taken daily.
As soon as iron enters the body, hepcidin production begins in the liver. This tiny protein, which is composed of just 25 amino acid building blocks, then is released into the bloodstream and reaches the intestine, where one of its functions is to regulate the amount of iron absorbed into the body through the cells of the gastrointestinal tract. ETH Professor Michael B. Zimmermann’s team, has now shown how hepcidin inhibits the absorption of iron supplements in the intestine more profoundly than previously thought.
METHOD: The scientists observed over 50 young women whose iron reserves were depleted but who did not yet suffer from anemia. The women received a daily dose of at least 40mg of iron, as is commonly prescribed in cases of iron deficiency. Afterwards, they measured how hepcidin concentration developed, and quantified its effect on the absorption of subsequent doses of iron. They found that the hepcidin reached its peak after 6-8 hours, but even 24 hours after the first dose of iron it was still present in high enough quantities to markedly reduce absorption of the second dose. The body was only partly able to absorb this second dose of iron, which was given either on the same day or 24 hours after the first dose.
Traditional iron supplementation is often associated with undesirable side effects such as gastrointestinal complaints. Such issues are closely related to the dosage of iron given, and they are also one of the reasons why many patients stop taking supplements. If absorption efficiency were to be improved, it would be possible to achieve a greater biological effect from a smaller dose of iron while also reducing side effects. “To improve the percentage of iron absorbed, it would likely be more efficient to wait longer between doses,” says Moretti.
Hepcidin concentration over the course of an iron supplementation regimen lasting several weeks will be the subject of a follow-up study.
To analyse iron reabsorption, the researchers used stable iron isotopes as indicator substances. These substances have a modified ratio of stable iron isotopes. Iron-56 is the most frequent naturally occurring stable iron isotope (91.7 percent), followed by iron-54 (5.8 percent) and iron -57 (2.1 percent). Iron-58 occurs only in trace amounts. For their analysis, the scientists used tablets with increased quantities of iron-57, iron-54 and iron-58. The researchers were able to measure endogenous iron absorption by observing isotope ratio changes within the body.
Worldwide there are hundreds of millions of individuals who suffer from iron deficiency. The most common causes are elevated iron loss, such as through bleeding (particularly in menstruating women), as well as imbalanced diets low in vitamin C and meat products. Foods with a high iron content include meat, legumes and wholegrain items, liver, black pudding. In large quantities iron supplements can be toxic, however, which is why the body naturally actively regulates iron absorption. On average there are 5 to 7 grammes of iron in the human body, of which 60 percent is found in the red blood pigment, or haemoglobin. https://www.ethz.ch/en/news-and-events/eth-news/news/2015/11/iron-supplementation.html
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