Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159c Nowoursynowska Street, 02-776 Warsaw, Poland.
Nutrients. 2019 May 10;11(5):1049. doi: 10.3390/nu11051049.
Iron intake and heme/non-heme iron proportions are crucial for iron deficiency anemia prevention. Women of childbearing age are indicated by World Health Organization as the primary target group, but maintaining iron balance is particularly challenging for adolescents. The aim of the presented study was to analyze heme and non-heme iron intake and dietary sources in adolescent menstruating females in a national Polish sample. The study was conducted in a representative sample of adolescents (aged 15-20) who were recruited from all regions of Poland based on secondary school sampling (random quota sampling), with 1385 female adolescents being included in the sample. The iron intake was assessed using the previously validated IRONIC-FFQ (IRON Intake Calculation-Food Frequency Questionnaire). The intakes of iron, heme iron, non-heme iron, and iron from food product groups were assessed and compared with those of male adolescents ( = 1025) who were recruited from the same schools, as well as between sub-groups stratified by age, body mass index, anemia history, following vegetarian diet, applying iron supplementation and school type. Compared with male individuals, females were characterized by a lower intake of all forms of iron. It was stated that non-heme iron intake was highest in younger ones, overweight ones, vegetarian ones, and comprehensive school students. Female adolescents with anemia history were characterized by similar iron intake as others. For the target group, there is inadequate nutritional education and a necessity to broaden the knowledge about specific sources of iron.
铁的摄入量和血红素/非血红素铁的比例对于预防缺铁性贫血至关重要。世界卫生组织将育龄妇女确定为主要目标人群,但青少年维持铁平衡尤其具有挑战性。本研究的目的是分析波兰全国青少年月经期女性的血红素和非血红素铁摄入量和膳食来源。该研究在波兰所有地区的中学中采用二级抽样(随机配额抽样),以代表性样本的方式招募了年龄在 15-20 岁之间的青少年(n=1385),其中包括 1385 名女性青少年。铁的摄入量使用先前验证的 IRONIC-FFQ(IRON 摄入量计算-食物频率问卷)进行评估。评估了铁、血红素铁、非血红素铁和来自食物产品组的铁的摄入量,并与来自相同学校的男性青少年(n=1025)进行了比较,还根据年龄、体重指数、贫血史、素食、铁补充剂和学校类型进行了亚组分层比较。与男性相比,女性的所有形式铁的摄入量都较低。研究表明,非血红素铁的摄入量在年龄较小、超重、素食和综合学校的学生中最高。有贫血史的青春期少女的铁摄入量与其他人相似。对于目标人群,需要进行更充分的营养教育,拓宽对特定铁源的认识。