Abstract

Deficient human diet is usually reduced in many nutrients, but animal studies on iron absorption have been only carried out for rats fed well-balanced (control) and iron-deficient diets. The aim of this study was to evaluate the effect of iron or iron/zinc supplementation on iron apparent absorption (IAA) in rats fed a diet reduced in all vitamins and minerals (R). The study was conducted on 77, 6-week-old male Wistar rats in 3 stages as follows: stage I, 4-week period of adaptation to R diet (50% less vitamins and minerals compared to AIN-93M recommendations); stage II, 4-week supplementation period with iron (RSFe) or iron/zinc (RSFeZn); stage III, 2-week post-supplementation period (rats fed R diet). Feces samples to IAA determination were collected at the 20–22nd days of stage I and II and the 10–12th days of stage III. To determine the changes in IAA after introducing and discontinuation of supplementation, feces were collected for 3 days after introducing (stage II) and 5 days after the supplementation discontinuation (stage III). At the end of stage II, compared to R rats, the IAA was statistically significantly higher in RSFe and RSFeZn rats (30.3 ± 2.0% vs. 47.4 ± 1.2% and 51.0 ± 1.7%, respectively). After introducing iron or iron/zinc supplementation, the IAA stabilized fast already in the first day, while after discontinuation of the supplementation, at least 4 days was required to the stabilization. At the end of stage III, the IAA was significantly lower in RSFe (15.8 ± 6.6%) than in RSFeZn rats (43.4 ± 5.9%). In conclusion, to confirm that iron and zinc supplementation is more beneficial than iron supplementation only, especially after discontinuation of supplementation, further research among humans is necessary.

Highlights

  • Iron and zinc are micronutrients necessary for the proper functioning of the organism

  • In the supplementation period, intake of iron was significantly higher in RSFe and RSFeZn rats compared to R rats, and zinc intake was significantly higher in RSFeZn rats compared to R and RSFe rats

  • These results indicate that supplementation of well-balanced diet should not be recommended and iron absorption depends on its amount in the diet and on other diet ingredients

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Summary

Introduction

Iron and zinc are micronutrients necessary for the proper functioning of the organism. They perform catalytic, structural, and regulatory functions, e.g., they are a part of enzymes, participate in redox reactions, as well as they are necessary for a transport of oxygen and DNA synthesis [1, 2]. Anemia is one of the most common global diseases, occurs in a third of the world’s population, half of which is due to iron deficiency, most often among children and women, especially during pregnancy [3]. Systematic review of trials showed 50% effectiveness of iron supplementation on reducing the risk of anemia and almost 80% on reducing risk of iron deficiency among children [9]. Introduction of iron supplementation could reduce global iron deficiency anemia by about 50% in pregnant and nonpregnant women [10]

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