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评估低剂量铁补充剂在恢复缺铁但无贫血的健康绝经前女性铁水平至正常范围的疗效。

Assessment of the Efficacy of a Low-Dose Iron Supplement in Restoring Iron Levels to Normal Range among Healthy Premenopausal Women with Iron Deficiency without Anemia.

机构信息

The Applied Science and Performance Institute, Research Division, Tampa, FL 33607, USA.

MegaFood, Manchester, NH 03103, USA.

出版信息

Nutrients. 2023 Jun 3;15(11):2620. doi: 10.3390/nu15112620.

Abstract

(1) Background: Iron deficiency without anemia (IDWA) is a prevalent health concern in premenopausal women. Oral supplementation of iron may be a viable solution to improve blood-iron status in women; however, the effects of a high-dose iron-supplement regimen have been associated with gastrointestinal side effects. Therefore, the purpose of the present study was to evaluate the effectiveness of a low-dose liquid fermented iron-bisglycinate supplement (LIS) on improving blood-iron status in premenopausal women with IDWA without increasing constipation or gastrointestinal distress. (2) Methods: 85 premenopausal women with IDWA (ferritin < 70 ng/dL and hemoglobin > 11.0 g/dL) took a LIS (27 mg) or a placebo (PLA) for 8 weeks. Blood draws were taken at Wk0 and Wk8 of the study to measure serum-iron markers. In addition, surveys of gastrointestinal distress were administered at Wk0, Wk4, and Wk8 while the profile of mood states (POMS) was surveyed at Wk0 and Wk8. (3) Results: Compared to the placebo, the LIS was able to increase serum ferritin ( = 0.03), total serum iron ( = 0.03), and mean corpuscular volume ( = 0.02), while exhibiting no significant interaction in subjective gastrointestinal distress ( > 0.05). No significant effects were detected for POMS ( > 0.05). (4) Conclusions: Supplementing with LIS appears to improve blood-iron status without causing significant gastrointestinal distress in premenopausal women with IDWA.

摘要

(1)背景:铁缺乏但不伴贫血(IDWA)是绝经前妇女普遍存在的健康问题。口服补铁可能是改善女性血液铁状态的可行方法;然而,高剂量补铁方案的效果与胃肠道副作用有关。因此,本研究旨在评估低剂量液体发酵铁双甘氨酸补充剂(LIS)在改善 IDWA 绝经前妇女的血液铁状态而不增加便秘或胃肠道不适方面的有效性。(2)方法:85 名 IDWA(铁蛋白<70ng/dL 且血红蛋白>11.0g/dL)的绝经前妇女服用 LIS(27mg)或安慰剂(PLA)8 周。在研究的 Wk0 和 Wk8 采血以测量血清铁标志物。此外,在 Wk0、Wk4 和 Wk8 时进行胃肠道不适调查,在 Wk0 和 Wk8 时进行心境状态(POMS)调查。(3)结果:与安慰剂相比,LIS 能够增加血清铁蛋白(=0.03)、总血清铁(=0.03)和平均红细胞体积(=0.02),而主观胃肠道不适无显著交互作用(>0.05)。POMS 未检测到显著影响(>0.05)。(4)结论:在 IDWA 的绝经前妇女中补充 LIS 似乎可以改善血液铁状态,而不会引起明显的胃肠道不适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bbd/10255632/322799a6bf81/nutrients-15-02620-g001.jpg

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