Liberal Ângela, Pinela José, Vívar-Quintana Ana Maria, Ferreira Isabel C F R, Barros Lillian
Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal.
Tecnología de los Alimentos, Escuela Politécnica Superior de Zamora, Universidad de Salamanca, Avenida Requejo 33, 49022 Zamora, Spain.
Foods. 2020 Dec 15;9(12):1871. doi: 10.3390/foods9121871.
Iron deficiency remains one of the main nutritional disorders worldwide and low iron intake and/or bioavailability are currently the major causes of anemia. To fight this public health problem, the scientific challenge is to find an iron form with sufficient bioavailability to increase its levels in humans through food fortification. In turn, biofortification appears as a comparatively advantageous and bearable strategy for the delivery of vitamins and other micronutrients for people without access to a healthy and diverse diet. This approach relies on plant breeding, transgenic techniques, or agronomic practices to obtain a final food product with a higher iron content. It is also known that certain food constituents are able to favor or inhibit iron absorption. The management of these compounds can thus successfully improve the absorption of dietary iron and, ultimately, contribute to fight this disorder present all over the world. This review describes the main causes/manifestations of iron-deficiency anemia, forms of disease prevention and treatment, and the importance of a balanced and preventive diet. A special focus was given to innovative food fortification and biofortification procedures used to improve the iron content in staple food crops.
缺铁仍然是全球主要的营养失调问题之一,目前铁摄入量低和/或生物利用度低是贫血的主要原因。为应对这一公共卫生问题,科学面临的挑战是找到一种生物利用度足够高的铁形式,通过食品强化来提高人体中的铁含量。反过来,生物强化似乎是一种相对有利且可行的策略,可为无法获得健康多样饮食的人群提供维生素和其他微量营养素。这种方法依靠植物育种、转基因技术或农艺实践来获得铁含量更高的最终食品。还已知某些食物成分能够促进或抑制铁的吸收。因此,对这些化合物的调控能够成功改善膳食铁的吸收,并最终有助于对抗全球普遍存在的这种失调状况。本综述描述了缺铁性贫血的主要原因/表现、疾病预防和治疗的形式,以及均衡和预防性饮食的重要性。特别关注了用于提高主食作物铁含量的创新性食品强化和生物强化程序。