Mujica-Coopman María F, Borja Angélica, Pizarro Fernando, Olivares Manuel
Micronutrients Laboratory, Institute of Nutrition and Food Technology, University of Chile, Av. El Líbano 5524, Macul, 7830490, Santiago, Chile.
Biol Trace Elem Res. 2015 May;165(1):10-7. doi: 10.1007/s12011-014-0226-y. Epub 2015 Jan 14.
The objective was to determine the effect of daily supplementation with 30 mg of iron (Fe) plus 30 mg of zinc (Zn) for 3 months on Fe status of women of childbearing age. This was a randomized double-blind, placebo-controlled trial. Eighty-one women (18-45 years) were randomly assigned to receive either a daily single dose of 30 mg of Fe (group 1; n = 28) and 30 mg of Fe plus 30 mg of Zn (group 2; n = 26) or placebo (n = 27) for 3 months. Hemoglobin (Hb), mean corpuscular volume, serum Fe, total iron-binding capacity, transferrin saturation, erythrocyte Zn protoporphyrin, serum ferritin (SF), serum transferrin receptor (TfR), total body Fe, serum Zn, and high-sensitivity C-reactive protein were measured at baseline and at the end of the study. At baseline, 3.7, 28.4, and 3.7 % of women had iron-deficiency anemia (IDA), Fe deficiency without anemia, and depleted Fe stores, respectively. No significant differences on Fe status were found between groups before supplementation. After supplementation, group 2 showed a significant increase of Hb and total body Fe and a significant decrease of TfR compared with placebo (p < 0.05). Moreover, serum Zn increased significantly in group 2 compared with group 1 (p < 0.01) and placebo (p < 0.01). In conclusion, daily supplementation with 30 mg of Fe plus 30 mg of Zn for 3 months improved significantly the Fe and Zn status of women, compared with those who received placebo. The positive effect of Fe supplementation on Fe status is enhanced by combined Zn supplementation.
目的是确定每日补充30毫克铁(Fe)加30毫克锌(Zn),持续3个月对育龄妇女铁状态的影响。这是一项随机双盲、安慰剂对照试验。81名年龄在18至45岁的女性被随机分配,分别每日单次服用30毫克铁(第1组;n = 28)、30毫克铁加30毫克锌(第2组;n = 26)或安慰剂(n = 27),为期3个月。在基线和研究结束时测量血红蛋白(Hb)、平均红细胞体积、血清铁、总铁结合力、转铁蛋白饱和度、红细胞锌原卟啉、血清铁蛋白(SF)、血清转铁蛋白受体(TfR)、全身铁、血清锌和高敏C反应蛋白。在基线时,分别有3.7%、28.4%和3.7%的女性患有缺铁性贫血(IDA)、缺铁但无贫血以及铁储备耗竭。补充前各组之间的铁状态无显著差异。补充后,与安慰剂相比,第2组的Hb和全身铁显著增加,TfR显著降低(p < 0.05)。此外,与第1组(p < 0.01)和安慰剂组(p < 0.01)相比,第2组的血清锌显著增加。总之,与接受安慰剂的女性相比,每日补充30毫克铁加30毫克锌,持续3个月可显著改善女性的铁和锌状态。锌补充联合铁补充可增强铁补充对铁状态的积极作用。