Borel M J, Smith S H, Brigham D E, Beard J L
Nutrition Department, Pennsylvania State University, University Park 16802.
J Nutr. 1991 May;121(5):729-36. doi: 10.1093/jn/121.5.729.
The impact of varying severities of iron-deficiency anemia on fasting blood glucose, plasma triiodothyronine, heart norepinephrine concentrations and resting oxygen consumption were evaluated. Male weanling Sprague-Dawley rats were assigned to one of six dietary groups (4, 6, 11, 16, 23 or 40 mg Fe/kg diet) for 6 wk. Hemoglobin, liver iron and transferrin saturation were significantly lower in the 4 and 6 mg Fe/kg diet groups relative to the other groups and were indicative of anemia, low tissue iron stores and impaired erythropoiesis. Fasting blood glucose and heart norepinephrine concentrations were significantly higher and lower, respectively, in the 4 and 6 mg Fe/kg diet groups than the three highest dietary Fe groups. Although fasting blood glucose was significantly inversely correlated (r = -0.89, P = 0.0001) with hemoglobin concentration; a significant quadratic relationship (R 2 = 0.70, P = 0.0001) existed between hemoglobin and heart norepinephrine concentration. Differences in plasma triiodothyronine concentrations and resting oxygen consumption were not significant among the groups. Thus, base on hemoglobin concentration as an index of the severity of iron deficiency, these findings demonstrate that certain physiological manifestations of iron deficiency occur at even moderate-to-mild degrees of anemia.
评估了不同严重程度的缺铁性贫血对空腹血糖、血浆三碘甲状腺原氨酸、心脏去甲肾上腺素浓度和静息氧耗的影响。将雄性断乳Sprague-Dawley大鼠分为六个饮食组之一(铁含量分别为4、6、11、16、23或40 mg/kg饮食),持续6周。相对于其他组,铁含量为4和6 mg/kg饮食组的血红蛋白、肝脏铁和转铁蛋白饱和度显著降低,表明存在贫血、组织铁储备低和红细胞生成受损。铁含量为4和6 mg/kg饮食组的空腹血糖显著高于三个高铁饮食组,而心脏去甲肾上腺素浓度则显著低于后者。虽然空腹血糖与血红蛋白浓度显著负相关(r = -0.89,P = 0.0001);但血红蛋白与心脏去甲肾上腺素浓度之间存在显著的二次关系(R2 = 0.70,P = 0.0001)。各组之间血浆三碘甲状腺原氨酸浓度和静息氧耗的差异不显著。因此,以血红蛋白浓度作为缺铁严重程度的指标,这些发现表明,即使在中度至轻度贫血的情况下,缺铁也会出现某些生理表现。