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[基于山羊奶饮食的营养性缺铁性贫血恢复中血红蛋白再生的效率]

[EFFICIENCY OF HAEMOGLOBIN REGENERATION IN THE NUTRITIONAL FERROPENIC ANAEMIA RECOVERY WITH GOAT MILK-BASED DIETS].

作者信息

Serrano Reina José Antonio, Nestares Pleguezuelo Teresa, Muñoz Alférez Ma José, Díaz Castro Javier, López Aliaga Ma Inmaculada

机构信息

Departamento de Fisiología, Facultad de Farmacia e Instituto de Nutrición y Tecnología de los Alimentos "José Mataix", Universidad de Granada, España..

出版信息

Nutr Hosp. 2015 Oct 1;32(4):1813-9. doi: 10.3305/nh.2015.32.4.9501.

Abstract

OBJECTIVE

in spite of the high incidence/prevalence of iron deficiency anemia (IDA) and the beneficial effects derived from the consumption of goat milk, scarce is known about the recovery of the anemia following a balanced diet accompanied by the intake of goat milk of goat. The aim of the current study is to assess, in rats with experimentally induced nutritional iron deficiency anemia, the effects of goat or cow milk-based diets, supplied during 30 days, on the recovery of the anemia and the efficiency of regeneration of the hemoglobin.

MATERIAL AND METHODS

40 male Wistar albino rats newly weaned were divided at random in two experimental groups and they were fed ad libitum for 40 days with AIN-93G diet, either with normal iron content (control group, 45 mg/kg diet), or low iron content (anaemic group, 5 mg/kg diet). Samples of blood form the caudal vein were collected for the hematologic control of the anemia. Later, both experimental groups (control and iron deficient) were fed for 30 days with goat or cow milk- based diets. After finishing the experimental period and previous anesthesia the animals were withdrawn by canulation of the abdominal aorta, and the obtained blood was gathered in tubes with EDTA as anticoagulant for the later determination of hematologic parameters and the efficiency of regeneration of the hemoglobin.

RESULTS AND DISCUSSION

after the consumption of a diet with low iron content during 40 days, the rats were anaemic, with a concentration of hemoglobin, hematocrit, serum iron, mean corpuscular volume (MCV), serum ferritin and low transferrin (p < 0.001), whereas the levels of platelets and the total iron binding capacity (TIBC) were raised (p < 0.001), findings consistent with the anemia induced experimentally in the animals. The efficiency of regeneration of the hemoglobin was higher in control and anaemic rats fed goat milk-based diet in comparison with those fed cow milk-based diet (p < 0.001) due to, partly, to the major levels of serum iron and hemoglobin, and to the best nutritive utilization of iron in the animals that consumed the goat milk-based diet thanks to the excellent nutritional characteristics of this type of milk.

CONCLUSION

the consumption during 30 days of goat or cow milk-based diets favors the recovery of the iron deficiency anemia, especially with the goat milk, due to the major efficiency of regeneration of the hemoglobin, index that shows the quantity of iron of the diet used for the synthesis of hemoglobin. Therefore, it would be recommendable the consumption of goat milk in the context of a balanced diet in healthy populations and, especially in those at risk of suffering iron deficiency.

摘要

目的

尽管缺铁性贫血(IDA)的发病率/患病率很高,且饮用羊奶有益,但关于在均衡饮食并摄入羊奶的情况下贫血的恢复情况,人们了解甚少。本研究的目的是评估在实验性诱导营养性缺铁性贫血的大鼠中,以羊奶或牛奶为基础的饮食持续供应30天对贫血恢复及血红蛋白再生效率的影响。

材料与方法

40只刚断奶的雄性Wistar白化大鼠随机分为两个实验组,分别随意喂食AIN - 93G饮食40天,一种饮食铁含量正常(对照组,45毫克/千克饮食),另一种饮食铁含量低(贫血组,5毫克/千克饮食)。从尾静脉采集血样用于贫血的血液学对照。之后,两个实验组(对照组和缺铁组)分别以羊奶或牛奶为基础的饮食喂养30天。实验期结束并经麻醉后,通过腹主动脉插管处死动物,采集的血液收集到含有乙二胺四乙酸(EDTA)作为抗凝剂的试管中,用于后续血液学参数的测定及血红蛋白再生效率的评估。

结果与讨论

在食用40天低铁含量饮食后,大鼠出现贫血,血红蛋白、血细胞比容、血清铁、平均红细胞体积(MCV)、血清铁蛋白和转铁蛋白水平较低(p < 0.001),而血小板水平和总铁结合力(TIBC)升高(p < 0.001),这些结果与动物实验性诱导的贫血一致。与喂食牛奶为基础饮食的对照组和贫血大鼠相比,喂食羊奶为基础饮食的大鼠血红蛋白再生效率更高(p < 0.001),部分原因是血清铁和血红蛋白水平更高,以及由于这种羊奶具有优良营养特性,食用羊奶为基础饮食的动物对铁的营养利用率更高。

结论

在30天内食用以羊奶或牛奶为基础的饮食有利于缺铁性贫血的恢复,尤其是羊奶,因为其血红蛋白再生效率更高,该指标显示了用于合成血红蛋白的饮食中铁的量。因此,在健康人群的均衡饮食中,尤其是在有缺铁风险的人群中,建议饮用羊奶。

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