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IRON

IRON DEFICIENCY IN VEGETARIANS

Australian scientists studied the dietary iron intake and blood levels of iron in Australian men aged 20-50 years, with varying degrees of dietary restriction. Results showed that male vegetarians had higher iron intakes than omnivores. Although their intakes were above recommended levels, their blood iron levels were generally low, showing poor absorption. Vegetarians are advised to drink fruit juices rich in vitamin C with meals, to improve absorption, or to take iron supplements.
EUR. J. CLIN. NUTRIT. 1999, 53, 189-194

IRON DEFICIENCY AND MENTAL HEALTH

Scientists in America investigated the status of iron in schoolchildren and compared the results with school records to determine possible associations between nutritional deficiencies and academic ability. Analysis of the data showed an increased risk of mild to moderate mental retardation in children who were anaemic during infancy.
AM. J. CLIN. NUTRIT. 1999, 69, 1, 115-9

HAZARDS OF IRON SUPPLEMENTS

Iron deficiency is usually corrected by supplements of ferrous sulphate, which has side effects including constipation and nausea. Scientists have been investigating the potentially damaging effects of ferrous sulphate. Healthy volunteers were given ferrous sulphate supplements (19mg elemental iron) daily. Faecal iron loss was significantly increased in both men and women, and colonic free radicals increased by approximately 40%. More research is needed to investigate the mucosal damage and production of potential carcinogens caused by iron supplements.
AM. J. CLIN. NUTRIT. 1999, 69, 2, 250-255


IRON DEFICIENCY ANAEMIA

Three gastroenterologists wrote to the BMJ recommending gastrointestinal endoscopy in cases of iron deficiency anaemia, allowing small mucosal lesions to be seen, blood loss to be estimated directly, and biopsy samples to be taken (particularly from the second part of the duodenum for coeliac disease). They point out that only a small proportion of their patients have symptoms or signs pointing to the cause, and that diagnoses such as coeliac disease and carcinoma of the colon rarely have other symptoms.
Goddard et al
BMJ 314, p1759

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