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Effect of iron supplementation during lactation on maternal iron status and oxidative stress

A randomized controlled trial

Bibliographic Data

ID15537271
AuthorsJosh M Jorgensen (0000-0001-8299-2530, University of California, Davis, corresponding author), Zhenyu Yang (0000-0003-1388-2519, Chinese Center For Disease Control and Prevention), Bo Lönnerdal (0000-0002-3459-2484, University of California, Davis), Caroline J Chantry (0000-0002-1437-317X, University of California Davis Medical Center), Kathryn G Dewey (0000-0002-4185-3451, University of California, Davis)
Year2016
Volume13
Issue4
Publication date2016-11-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.12394
PMID27896921
OpenAlexW2558839097
LanguageEN
Citations received1
References cited6

We examined the effect of iron-containing prenatal vitamin-mineral supplements taken postpartum on biomarkers of iron status and oxidative stress. Lactating women (n = 114) were randomly assigned to consume daily one iron-free prenatal vitamin-mineral supplement plus either 27 mg of iron or placebo for approximately 3.5 months. The placebo group took the tablets between meals, while those given iron took the tablets either with (Fe-W) or between meals (Fe-B). Blood and urine samples were collected before and after the supplementation period to analyze hemoglobin (Hb), ferritin, hepcidin, transferrin saturation (TfSat), total plasma iron, and biomarkers of oxidative stress (isoprostane and 8-hydroxy-2-deoxyguanosine (8-OHdG)) and inflammation (C-reactive protein (CRP) and alpha-1-acid glycoprotein (AGP)). There was a trend toward a greater change in Hb among women in the Fe-B group compared to placebo (+2.5 vs. -3.7 g/L, respectively, p = 0.063). When the iron groups were combined, there was a greater change in Hb (+1.4 g/L) compared to placebo (p = 0.010). There were trends toward greater changes in TfSat (p = 0.087) and total plasma iron (p = 0.065) in the iron groups compared to placebo, yet no significant differences between the three groups in change in hepcidin (p = 0.291), isoprostane (p = 0.319), or 8-OHdG (p = 0.659), nor in change in ferritin among those with elevated CRP at baseline (60% of women; p = 0.946); among those without elevated CRP (40% of women), ferritin increased more in the iron groups compared to placebo (p = 0.001). Iron consumption during lactation moderately increased iron status, particularly among women without elevated CRP, and increased Hb, but did not significantly increase oxidative stress

Anemia · Biology · Ferritin · Hemoglobin · Hepcidin · Inflammation · Iron deficiency · Isoprostane · Lactation · Lipid peroxidation · Oxidative stress · Pathology · Placebo · Pregnancy · Serum ferritin · Transferrin saturation · Vitamin · Folate and B Vitamins Research · Hemoglobinopathies and Related Disorders · Iron Metabolism and Disorders · Medicine · Endocrinology · Internal Medicine

  • Effect of iron supplementation during lactation on maternal iron status and oxidative stress

    Open Access•Josh M Jorgensen, Zhenyu Yang et al.•Maternal and Child Nutrition•2016

  • Estimation of the Youden Index and its Associated Cutoff Point

    Open Access•Ronen Fluss, David Faraggi et al.•Biometrical Journal•2005

  • Analysing controlled trials with baseline and follow up measurements

    Open Access•Andrew J Vickers, David G Altman et al.•BMJ•2001

  • Validation of a self-administered diet history questionnaire using multiple diet records

    Open Access•Gladys Block, Margo Woods et al.•Journal of Clinical Epidemiology•1990

  • Ancova versus change from baseline had more power in randomized studies and more bias in nonrandomized studies

    Open Access•Gerard van Breukelen, Gerard J P van Breukelen•Journal of Clinical Epidemiology•2006

  • Effect of iron supplementation during lactation on maternal iron status and oxidative stress

    Open Access•Josh M Jorgensen, Zhenyu Yang et al.•Maternal and Child Nutrition•2016

Unique citing works1
Citations per year0,1
Citation span2016 - 2016 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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