Reddy Manju B, Hurrell Richard F, Cook James D
Department of Food Science and Human Nutrition, Iowa State University, Ames, 50011, USA.
J Nutr. 2006 Mar;136(3):576-81. doi: 10.1093/jn/136.3.576.
It is widely recognized that the intake of animal foods is the most important dietary determinant of the iron status of a population. The primary reason is the high bioavailability of heme iron, but it is also known from radiolabeled single-meal feeding studies in humans that muscle tissue facilitates absorption of nonheme iron. In the present study, we examined the effect of meat intake on nonheme iron absorption from a whole diet. Iron absorption was measured during 3 separate dietary periods in 14 volunteers (7 men and 7 women) by having them ingest a radioiron-labeled wheat roll with every meal for 5 d. The diet was freely chosen for the first dietary period and altered to eliminate or maximally increase the intake of muscle foods during the second and third periods. Nonheme iron absorption did not differ for the 3 dietary periods although the geometric mean of 4.81% when subjects consumed a freely chosen diet increased by 35% to 6.47% with maximum meat consumption (P = 0.075). When nonheme absorption was adjusted to normalize for differences in iron status using serum ferritin correction and the 3 absorption periods were pooled, multiple regression analysis indicated no significant relation with heme or nonheme iron, vitamin C, calcium, phosphorus, fiber, or tea content of the diet with the exception of animal tissue (P = 0.013). We conclude that the higher iron status associated with the consumption of an omnivorous diet is due more to the intake of heme iron than to the enhancing effect on nonheme iron absorption.
人们普遍认为,动物性食物的摄入是人群铁营养状况最重要的饮食决定因素。主要原因是血红素铁的生物利用率高,但从人体放射性标记单餐喂养研究中也可知,肌肉组织有助于非血红素铁的吸收。在本研究中,我们研究了肉类摄入对全食物中非血红素铁吸收的影响。通过让14名志愿者(7名男性和7名女性)在3个不同的饮食阶段每餐食用一个放射性铁标记的小麦面包,持续5天,来测量铁的吸收情况。在第一个饮食阶段,饮食可自由选择,在第二个和第三个阶段,饮食进行了调整,以消除或最大限度地增加肌肉食物的摄入量。尽管当受试者食用自由选择的饮食时,非血红素铁的吸收率几何平均值为4.81%,在最大量食用肉类时增加了35%,达到6.47%,但这3个饮食阶段的非血红素铁吸收没有差异(P = 0.075)。当使用血清铁蛋白校正对非血红素铁吸收进行调整,以使其因铁营养状况的差异而标准化,并将3个吸收阶段合并时,多元回归分析表明,除了动物组织外,饮食中的血红素铁或非血红素铁、维生素C、钙、磷、纤维或茶的含量与之均无显著关系(P = 0.013)。我们得出结论,与杂食性饮食相关的较高铁营养状况更多是由于血红素铁的摄入,而非对非血红素铁吸收的增强作用。