High doses of vitamin A impair iron absorption

Fabíola Rainato Gabriel, Vivian MM Suen, Julio Sergio Marchini, José Eduardo Dutra de OliveiraDivision of Clinical Nutrition, Department of Internal Medicine, Ribeirão Preto School of Medicine, São Paulo University, São Paulo...

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Main Authors: Gabriel FR, Suen VM, Marchini JS, Dutra de Oliveira JE
Format: Article
Language:English
Published: Dove Medical Press 2012-10-01
Series:Nutrition and Dietary Supplements
Online Access:http://www.dovepress.com/high-doses-of-vitamin-a-impair-iron-absorption-a11153
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author Gabriel FR
Suen VM
Marchini JS
Dutra de Oliveira JE
author_facet Gabriel FR
Suen VM
Marchini JS
Dutra de Oliveira JE
author_sort Gabriel FR
collection DOAJ
description Fabíola Rainato Gabriel, Vivian MM Suen, Julio Sergio Marchini, José Eduardo Dutra de OliveiraDivision of Clinical Nutrition, Department of Internal Medicine, Ribeirão Preto School of Medicine, São Paulo University, São Paulo, BrazilObjective: The present study aimed to determine the influence of vitamin A on iron absorption when vitamin A and iron are administered together orally compared with the administration of iron alone.Methods: This was a randomized double-blind clinical trial conducted on healthy men with normal red blood cell indices. Five experiments were performed, with iron (10 mg); iron (10 mg) plus vitamin A (450, 900 and 1800 µg), and placebo. After an 8-hour fast, basal (T0) blood samples were collected: basal (T0), 2 hours (T1), and 4 hours (T2) after the ingestion of the compounds to be studied. Iron was determined by inductively coupled plasma mass spectrometry. Serum ferritin was determined by an immunometric method, ie, by chemoluminescent enzyme immunoassay. Plasma retinol was measured by high-pressure liquid chromatography. Serum curves and the sum of the area under the curve adjusted to the mixed effects linear model were determined (P < 0.05).Results: Vitamin A at the doses of 450 and 900 µg had a stimulating effect, which, however, did not differ significantly from that of experiment 1 in which iron was used alone. At the dose of 1800 µg, vitamin A had a negative effect on iron absorption.Conclusion: High doses of vitamin A may cause lower serum iron levels, whereas a low dose favors iron absorption.Keywords: iron absorption, serum iron, vitamin A, oral iron, oral supplement
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spelling doaj.art-5a438a10c8c04c968a92f57b4553a7a02022-12-22T03:09:10ZengDove Medical PressNutrition and Dietary Supplements1179-14892012-10-012012default6165High doses of vitamin A impair iron absorptionGabriel FRSuen VMMarchini JSDutra de Oliveira JEFabíola Rainato Gabriel, Vivian MM Suen, Julio Sergio Marchini, José Eduardo Dutra de OliveiraDivision of Clinical Nutrition, Department of Internal Medicine, Ribeirão Preto School of Medicine, São Paulo University, São Paulo, BrazilObjective: The present study aimed to determine the influence of vitamin A on iron absorption when vitamin A and iron are administered together orally compared with the administration of iron alone.Methods: This was a randomized double-blind clinical trial conducted on healthy men with normal red blood cell indices. Five experiments were performed, with iron (10 mg); iron (10 mg) plus vitamin A (450, 900 and 1800 µg), and placebo. After an 8-hour fast, basal (T0) blood samples were collected: basal (T0), 2 hours (T1), and 4 hours (T2) after the ingestion of the compounds to be studied. Iron was determined by inductively coupled plasma mass spectrometry. Serum ferritin was determined by an immunometric method, ie, by chemoluminescent enzyme immunoassay. Plasma retinol was measured by high-pressure liquid chromatography. Serum curves and the sum of the area under the curve adjusted to the mixed effects linear model were determined (P < 0.05).Results: Vitamin A at the doses of 450 and 900 µg had a stimulating effect, which, however, did not differ significantly from that of experiment 1 in which iron was used alone. At the dose of 1800 µg, vitamin A had a negative effect on iron absorption.Conclusion: High doses of vitamin A may cause lower serum iron levels, whereas a low dose favors iron absorption.Keywords: iron absorption, serum iron, vitamin A, oral iron, oral supplementhttp://www.dovepress.com/high-doses-of-vitamin-a-impair-iron-absorption-a11153
spellingShingle Gabriel FR
Suen VM
Marchini JS
Dutra de Oliveira JE
High doses of vitamin A impair iron absorption
Nutrition and Dietary Supplements
title High doses of vitamin A impair iron absorption
title_full High doses of vitamin A impair iron absorption
title_fullStr High doses of vitamin A impair iron absorption
title_full_unstemmed High doses of vitamin A impair iron absorption
title_short High doses of vitamin A impair iron absorption
title_sort high doses of vitamin a impair iron absorption
url http://www.dovepress.com/high-doses-of-vitamin-a-impair-iron-absorption-a11153
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