Abstract

Iron deficiency is a major public health concern and nutritional approaches are required to reduce its prevalence. The aim of this study was to examine the iron bioavailability of a novel home fortificant, the “Lucky Iron Fish™” (LIF) (www.luckyironfish.com/shop, Guelph, Canada) and the impact of dietary factors and a food matrix on iron uptake from LIF in Caco-2 cells. LIF released a substantial quantity of iron (about 1.2 mM) at pH 2 but this iron was only slightly soluble at pH 7 and not taken up by cells. The addition of ascorbic acid (AA) maintained the solubility of iron released from LIF (LIF-iron) at pH 7 and facilitated iron uptake by the cells in a concentration-dependent manner. In vitro digestion of LIF-iron in the presence of peas increased iron uptake 10-fold. However, the addition of tannic acid to the digestion reduced the cellular iron uptake 7.5-fold. Additionally, LIF-iron induced an overproduction of reactive oxygen species (ROS), similar to ferrous sulfate, but this effect was counteracted by the addition of AA. Overall, our data illustrate the major influence of dietary factors on iron solubility and bioavailability from LIF, and demonstrate that the addition of AA enhances iron uptake and reduces ROS in the intestinal lumen.

Highlights

  • The World Health Organization (WHO) estimated in 2010 that iron deficiency anemia (IDA) affects one third of the world’s population [1]

  • Effect of pH and ascorbic acid (AA) on the Quantity of Iron Released from Lucky Iron FishTM” (LIF)

  • The addition of AA at 1 and 10 mM produced a concentration-dependent increase in the soluble iron in water treated with LIF, from 2.5 to 5.4 fold a concentration-dependent increase in the soluble iron in water treated with LIF, from 2.5 to 5.4 fold respectively

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Summary

Introduction

The World Health Organization (WHO) estimated in 2010 that iron deficiency anemia (IDA) affects one third of the world’s population [1]. Amongst the strategies used to reduce the prevalence of iron deficiency, food-based or home fortification strategies can be very cost-effective [3]. A new home fortification approach uses an iron ingot, the “Lucky Iron FishTM” (LIF), and has recently been tested in a Cambodian population [7,8,9]. It is based on the principle of releasing iron during cooking, as occurs with iron pots, but the LIF is much smaller, only weighing approximately

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