Moderate NaFeEDTA and ferrous sulfate supplementation can improve both hematologic status and oxidative stress in anemic pregnant women.
Study Goal
The researchers aimed to compare the effects of sodium iron ethylenediaminetetraacetate (NaFeEDTA) and ferrous sulfate on iron bioavailability and oxidative stress in anemic pregnant women.
Results Summary
Both iron forms significantly improved hematologic indicators (Hb, plasma iron, ferritin) and oxidative stress parameters (GSH-Px, MDA), with NaFeEDTA showing superior efficacy in plasma iron, ferritin, and GSH-Px activity compared to ferrous sulfate.
Population
Anemic pregnant women (80 ≤ Hb <110 g/L)
Effective Dosage
60 mg iron daily as ferrous sulfate or NaFeEDTA
Duration
2 months
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
60 mg iron as ferrous sulfate | increase | Hb | anemic pregnant women | 20.5 g/L | Considerable increases | #1 |
60 mg iron as NaFeEDTA | increase | Hb | anemic pregnant women | 21.8 g/L | Considerable increases | #2 |
60 mg iron as ferrous sulfate | increase | plasma iron | anemic pregnant women | 4.81 μmol/L | Considerable increases | #3 |
60 mg iron as NaFeEDTA | increase | plasma iron | anemic pregnant women | 7.19 μmol/L | Considerable increases | #4 |
60 mg iron as ferrous sulfate | increase | ferritin | anemic pregnant women | 2.63 μg /L | Considerable increases | #5 |
60 mg iron as NaFeEDTA | increase | ferritin | anemic pregnant women | 8.99 μg /L | Considerable increases | #6 |
60 mg iron as ferrous sulfate | increase | Glutathione peroxidase (GSH-Px) activities | anemic pregnant women | 32.6 IU/ml | increased | #7 |
60 mg iron as NaFeEDTA | increase | Glutathione peroxidase (GSH-Px) activities | anemic pregnant women | 75.3 IU/ml | increased | #8 |
60 mg iron as ferrous sulfate | decrease | malondialdehyde (MDA) levels | anemic pregnant women | 0.70 μmol/L | decreased | #9 |
60 mg iron as NaFeEDTA | decrease | malondialdehyde (MDA) levels | anemic pregnant women | 1.12 μmol/L | decreased | #10 |
60 mg iron as NaFeEDTA | increase | plasma iron | anemic pregnant women | 2.38 μmol/L | significantly greater | #11 |
60 mg iron as NaFeEDTA | increase | ferritin | anemic pregnant women | 6.36 μg /L | significantly greater | #12 |
60 mg iron as NaFeEDTA | increase | GSH-Px activity | anemic pregnant women | 42.7 IU/ml | significantly greater | #13 |
Iron is important general well being, to prevent or treat anemia, and is a cofactor of many enzymes in the anti-oxidant process. Effect of sodium iron ethylenediaminetetraacetate (NaFeEDTA) and ferrous sulfate on iron bioavailability and oxidative stress in anemic pregnant women was evaluated. A 2-month randomized controlled trial was conducted on 153 anemic pregnant women, with 80 <= Hb <110 g/L. They were randomly allocated to three groups: group C (n=51) was the placebo control group, group I (n=51) was supplemented daily with 60 mg iron as ferrous sulfate, and group IE (n=51) with 60 mg iron as NaFeEDTA. Blood samples were collected before and at the end of the intervention for measurements of hematological indices and oxidative stress parameters. Considerable increases of hematologic indicators were observed: 20.5 and 21.8 g/L for Hb (both p values <0.001); 4.81 and 7.19 μmol/L for plasma iron (both p values <0.001), 2.63 and 8.99 μg /L for ferritin (both p values <0.05) in I and IE groups, respectively, compared with the control group. Glutathione peroxidase (GSH-Px) activities increased by 32.6 and 75.3 IU/ml, and malondialdehyde (MDA) levels decreased by 0.70 and 1.12 μmol/L in I and IE groups, compared with the C group (p values <0.05). Moreover, differences of plasma iron, ferritin and GSH-Px activity were 2.38 μmol/L, 6.36 μg /L and 42.7 IU/ml were also significantly greater in the IE group than in the I group. Moderate iron supplementation may be beneficial to improving iron deficiency and oxidative stress, and NaFeEDTA is better than ferrous sulfate.