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Moderate NaFeEDTA and ferrous sulfate supplementation can improve both hematologic status and oxidative stress in anemic pregnant women.

Asia Pacific journal of clinical nutrition
January 1, 2011
Xiu X Han et al. (7 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultAnemia, Iron-DeficiencyDietary SupplementsDouble-Blind MethodEdetic AcidFemaleFerric CompoundsFerrous CompoundsGlutathione PeroxidaseHumansIronMalondialdehydePregnancyPregnancy Complications, HematologicTreatment Outcome
Study Links
PubMed ID22094835
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations11
Citations/Year0.8
Relative Citation Ratio0.48
NIH Percentile26.2%
Research Impact Scores
APT Score0.50
Weight Score1.28
Normalized Score0.70
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