July 1, 2020

How can you increase dietary iron absorption?

By Maria Tikka ANutr, MMedSci

Today’s topic is about what increases and what inhibits iron absorption regarding our eating habits. Dietary supplement information will not be included!

According to the World Health Organization, iron deficiency is the most common nutrition deficiency in the world. It affects people in both developing and developed countries . Iron deficiency anemia is the most common cause of anemia. Usually, symptoms could include fatigue, impaired cognitive performance, cold intolerance and dyspnea during exercise .

Dietary factors that affect iron absorption

  1. The type of iron: There two types of iron in our foods; Heamic iron, which is found in meat products and non-heamic iron, which is found in plant iron sources. Heamic iron’s absorption rate is 20-30% and 10-15% of non-heamic iron is absorbed .

2. Cooking methods: When we cook meat, high temperature for long could decrease the absorption of hemic iron by breaking the porphyrin ring of the molecule .

3. Meal igredients:

  • Vitamin C faciliates iron absorption the most. It enhances iron absorption , , by maintaining iron into a more absorbable and soluble form which protects it from binding to substances that prevent its absorption .
  • Calcium has been reported to reduce iron absorption in many studies, but the mechanism is still unclear. It is possible that the activity of a heme transport transpoter is reduced by calcium .
  • Citric acid enhances iron absorption by protecting it from precipitation in the bowel .
  • Phytates (present in plant foods) have been found to reduce iron absorption , , but not in all studies . Maybe they reduce iron absorption by creating non-absorbable complexes with iron molecules .
  • Fish & Poultry may increase non-hemic iron absorption possibly because of the type of aminoacids they contain or because the prevent the action of phytates .

A few good iron sources :

Food Iron (mg)/ 100 gr of food
Chicken liver, braised11.54
Mussels, raw3.95
Oysters, raw4.61
Ground beef, raw1.97
Lamb, cooked1.87
Egg, whole, boiled1.74
Wheat bread3.12
Lentils, dry, cooked3.11
White beans, dry, cooked3.68
Chickpeas, dry, cooked3.87
Spinach, raw2.71
Black beans, dry, cooked2.09
Mushrooms, cooked from fresh1.73

In the UK, iron intake recommendations include :

  • 14.8 mg/day for 11-50 year-old females
  • 11.3 mg/day for 11-18 year-old males
  • 8.7 mg/day for adult men, women older than 50 years old and 7-10 year-old children

Dietary Tips to enhance iron absorption

citrus fruit and bell peppers are vitamin c sources
Citrus fruit and bell peppers are excellent vitamin C sources!

Add vitamin C sources to your iron-rich meals. For example:

  • Add fresh lemon juice to beef/mussels/legumes.
  • If you like having fruit for dessert, prefer those with a high vitamin C content like oranges, clementines, strawberries, pineapple and kiwis. Citrus fruit (lemons, oranges, clementines, grapefruit, limes) are high in both vitamin C and citric acid, which could increase iron absorption!
  • Add fresh thyme and vegetables like bell peppers (especially red and yellow), cauliflower, broccoli, spinach and kale to your salad.
  • Add broccoli florets to your spaghetti sauce.

Try avoiding calcium food sources close to your iron-rich meals. For example:

  • Try not to combine legumes with cheese. I know lentils/beans with feta cheese is the best meal in the world, but we could try adding feta cheese less often!
  • Try not to add a big amount of grated cheese/cream cheese with beef bolognese sauce.
  • Try avoiding dairy snacks with 2-3 hours after your iron-rich meal.

I hope this information has helped with answering questions you might have about iron absorption. If you believe you have symptoms of iron deficiency anemia or have any other relevant concerns, please contact your doctor!

Please leave a rating on my google business account.

References:

1.
Armah SM, Boy E, Chen D, Candal P, Reddy MB. Regular Consumption of a High-Phytate Diet Reduces the Inhibitory Effect of Phytate on Nonheme-Iron Absorption in Women with Suboptimal Iron Stores. J Nutr. 2015 Aug;145(8):1735–9.
1.
Al Hasan SM, Hassan M, Saha S, Islam M, Billah M, Islam S. Dietary phytate intake inhibits the bioavailability of iron and calcium in the diets of pregnant women in rural Bangladesh: a cross-sectional study. BMC Nutrition [Internet]. 2016 Apr 21 [cited 2020 Jul 1];2(1):24. Available from: https://doi.org/10.1186/s40795-016-0064-8
1.
Beck KL, Conlon CA, Kruger R, Coad J. Dietary Determinants of and Possible Solutions to Iron Deficiency for Young Women Living in Industrialized Countries: A Review. Nutrients [Internet]. 2014 Sep 19 [cited 2020 Jul 1];6(9):3747–76. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4179187/
1.
Miller JL. Iron Deficiency Anemia: A Common and Curable Disease. Cold Spring Harb Perspect Med [Internet]. 2013 Jul [cited 2020 Jul 1];3(7). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3685880/
1.
Geissler C, Powers H. Human Nutrition [Internet]. 12th ed. Churchill Livingstone; 2010. 792 p. Available from: https://www.elsevier.com/books/human-nutrition/geissler/978-0-7020-3118-2
1.
Mann J, Truswell AS. Essentials of HumanNutrition [Internet]. Second. OXFORD UNIVERSITY PRESS; 2002. Available from: http://ssu.ac.ir/cms/fileadmin/user_upload/Mtahghighat/taghzie_imani/book/Essentials%20of%20Human%20Nutrition.pdf
1.
SACN Iron and Health Report [Internet]. GOV.UK. [cited 2020 Jul 1]. Available from: https://www.gov.uk/government/publications/sacn-iron-and-health-report
1.
WHO | Micronutrient deficiencies [Internet]. WHO. [cited 2020 Jul 1]. Available from: http://www.who.int/nutrition/topics/ida/en/

Summary
What increases iron absorption through diet
Article Name
What increases iron absorption through diet
Description
Information about increasing iron absorption through our diet and useful tips to create high iron meals.
Author